Home NC Wilmington THE Kiddie Cottage, LLC

THE Kiddie Cottage, LLC

4604 Long Leaf Hills Drive, Wilmington NC 28409 · License #65001050 · Child Care Center

One Star Center License
Capacity 199 childrenAges 0 mo – 12 yr1-Star programLast inspected Apr 22, 2026
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4604 Long Leaf Hills Drive, Wilmington NC 28409 · Directions

Hours

Not published by the state. Owners can add hours via profile claim.

Care & schedule

When they operate

transportation

Ages served

0 through 12
  • 1-Star quality rating
  • Does not accept subsidy
  • Licensed for 199 children
113
Violations, past 3 yrs
From inspections (not complaints)
0
High-risk violations
Serious / high-risk non-compliance
0
Substantiated complaints
Published by North Carolina licensing
48
Inspections, past 3 yrs
Monitoring & assessments

Inspection history & violations

Source: North Carolina's child care licensing agency
Apr 22, 2026 — Unannounced
No violations cited
Clean
Mar 23, 2026 — Annual Comp Full
4 violations cited
4 violations
  • Violation

    10A NCAC 09 .0514 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 3/23/2026 Number Present: 35 Completed Date: 3/23/2026 Age: From 0 To 5 Total Minutes: 285 Time In: 08:30 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for an annual compliance visit. Don Grossman, Director, was present and available for consultation. This facility currently operates with a Probationary license issued May 16, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. The last annual compliance visit was completed September 3, 2025. The last sanitation inspection was completed March 12, 2026, with an “Approved” classification. The last fire inspection was conducted September 5, 2025, and your facility was approved for daytime care only. Prior to the visit the 18-month compliance history score was 93%. The NC Secretary of State website was reviewed today, and The Kiddie Cottage, LLC was listed as current- active. All approved indoor and outdoor spaces were monitored today. Daily schedules and activity plans were available for review and were being followed. A variety of age-appropriate learning materials were observed in all classrooms. Infants in Spaces 6 (pink) engaged in free play. Infant feeding schedules and safe sleep checks were monitored and found to be in compliance. Toddlers in space 4 (yellow) and space 5 (blue) ate morning snack that consisted of applesauce and cereal. Two-year-old children in Space 8 (jungle) were observed sitting at tables waiting for morning snack. Children three years of age in space 10 (space) participated in free play. Preschool children in spaces 9 (arctic) sat at the meal tables waiting for morning snack. Lunch for today consisted of chicken nuggets, mixed fruit, mixed vegetables, and milk. Staff and Training Worksheets- There were seventeen (17) staff members employed at this facility. There were four new staff; all new staff and a percentage of veteran staff’s files were reviewed. Health & Safety Training – All staff members who have been employed for at least one year, have completed Health and Safety training as outlined in Child Care Rule 10A NCAC 09 .1102. New staff are in the process of completing these training courses. Health and safety trainings are required to be completed during the first year of employment and renewed every 5 years. Remember, the Recognizing and Responding to Suspicions of Child Maltreatment training must be taken at www.preventchildabusenc.org, within the first 90 days of employment. Completing, refreshing, and updating the required Health and Safety Training increases your awareness and knowledge regarding child development and safety. Ensure this information in completed, recorded on the required form, and on file for review. The following violations were documented. Violation Number Comment Rule 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. Hand sanitizer and a bottle of conditioner were stored in a low, unlocked cabinet in space 11 (ocean). .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Two (2) epi pens in space 9 (arctic) has emergency medical care plans but did not have medication permission forms. 10A NCAC 09 .0803(1)(a & b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Seven (7) staff need an annual staff evaluation. 10A NCAC 09 .0514(f) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 7, 2026, 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. Mail or email the information to: April Lester, Child Care Consultant PO Box 12948 Wilmington, NC 28405 April.Lester@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules always whether they have been monitored or specifically discussed with you in the past. The best way for you to make sure that you meet all requirements is to periodically review the child care law and rules. Reminders: In September, I instructed the director at that time to take the Emergency Preparedness and Response training. Today, it was discovered that the new Director, Don Grossman, does not have this training either. We discussed the importance of administration taking this training ASAP. Upon completing the training, you will have 4 months to revise the plan. Rated License: The original plan was to transition from the current Probationary License to a 2-5 star rated license. A full annual compliance visit was completed today; however, the program is not ready at this time to apply for a 2–5-star license. As discussed, you can submit your application for a 2–5-star license at any time in the next 6 months and a Rated License visit will be conducted. Upon the completion of all stipulations a closure letter will be mailed to you and a new 1 Star Rated License will be issued. Other Information: Criminal Background Check Information – This is a requirement and if it is not completed, it will be documented as a violation. DCDEE launched the Provider Portal for ABCMS on February 1, 2024. This access will allow providers to see applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster, see the real-time background check status of staff/household members, and run a printable report of the staff roster to assist with compliance visits. Mr. Grossman has completed the training and has entered staff. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance with the portal or the training, please contact the Criminal Background Check Unit at (919) 814-6401and someone will assist you. CLEAN CLASSROOMS FOR CAROLINA KIDS - Your facility’s status, according to the Clean Classrooms for Carolina Kids website, shows the following: • Water Testing-Completed on May 2, 2024. Water testing must be completed every three (3) years. • Lead-Based Paint- No results available • Asbestos- No results available Ensure you keep all paperwork that you receive regarding this matter, as it may be requested to verify compliance. Please refer to the website if you have specific questions! https://www.cleanwaterforuskids.org/en/carolina/faq/ for further guidance and ensure all steps have been completed. Use this link to enroll your program or view test results/status: https://www.cleanwaterforuskids.org/en/carolina/ You can contact the NC Resource Center for information, resources, and referrals on topics related to child health and health and safety in child care. Anyone in the greater early care and education community is welcome to call 1(800) 367-2229 (choose 1 then 2). Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. Click on the “What’s New” tab for important updates impacting child care in North Carolina. For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April.Lester@dhhs.nc.gov at (910)824-0954 or Kim Sherry, Licensing Supervisor, at kim.sherry@dhhs.nc.gov or (910) 824-0470 with any questions or concerns. 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

  • Violation

    10A NCAC 09 .0803 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 3/23/2026 Number Present: 35 Completed Date: 3/23/2026 Age: From 0 To 5 Total Minutes: 285 Time In: 08:30 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for an annual compliance visit. Don Grossman, Director, was present and available for consultation. This facility currently operates with a Probationary license issued May 16, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. The last annual compliance visit was completed September 3, 2025. The last sanitation inspection was completed March 12, 2026, with an “Approved” classification. The last fire inspection was conducted September 5, 2025, and your facility was approved for daytime care only. Prior to the visit the 18-month compliance history score was 93%. The NC Secretary of State website was reviewed today, and The Kiddie Cottage, LLC was listed as current- active. All approved indoor and outdoor spaces were monitored today. Daily schedules and activity plans were available for review and were being followed. A variety of age-appropriate learning materials were observed in all classrooms. Infants in Spaces 6 (pink) engaged in free play. Infant feeding schedules and safe sleep checks were monitored and found to be in compliance. Toddlers in space 4 (yellow) and space 5 (blue) ate morning snack that consisted of applesauce and cereal. Two-year-old children in Space 8 (jungle) were observed sitting at tables waiting for morning snack. Children three years of age in space 10 (space) participated in free play. Preschool children in spaces 9 (arctic) sat at the meal tables waiting for morning snack. Lunch for today consisted of chicken nuggets, mixed fruit, mixed vegetables, and milk. Staff and Training Worksheets- There were seventeen (17) staff members employed at this facility. There were four new staff; all new staff and a percentage of veteran staff’s files were reviewed. Health & Safety Training – All staff members who have been employed for at least one year, have completed Health and Safety training as outlined in Child Care Rule 10A NCAC 09 .1102. New staff are in the process of completing these training courses. Health and safety trainings are required to be completed during the first year of employment and renewed every 5 years. Remember, the Recognizing and Responding to Suspicions of Child Maltreatment training must be taken at www.preventchildabusenc.org, within the first 90 days of employment. Completing, refreshing, and updating the required Health and Safety Training increases your awareness and knowledge regarding child development and safety. Ensure this information in completed, recorded on the required form, and on file for review. The following violations were documented. Violation Number Comment Rule 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. Hand sanitizer and a bottle of conditioner were stored in a low, unlocked cabinet in space 11 (ocean). .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Two (2) epi pens in space 9 (arctic) has emergency medical care plans but did not have medication permission forms. 10A NCAC 09 .0803(1)(a & b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Seven (7) staff need an annual staff evaluation. 10A NCAC 09 .0514(f) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 7, 2026, 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. Mail or email the information to: April Lester, Child Care Consultant PO Box 12948 Wilmington, NC 28405 April.Lester@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules always whether they have been monitored or specifically discussed with you in the past. The best way for you to make sure that you meet all requirements is to periodically review the child care law and rules. Reminders: In September, I instructed the director at that time to take the Emergency Preparedness and Response training. Today, it was discovered that the new Director, Don Grossman, does not have this training either. We discussed the importance of administration taking this training ASAP. Upon completing the training, you will have 4 months to revise the plan. Rated License: The original plan was to transition from the current Probationary License to a 2-5 star rated license. A full annual compliance visit was completed today; however, the program is not ready at this time to apply for a 2–5-star license. As discussed, you can submit your application for a 2–5-star license at any time in the next 6 months and a Rated License visit will be conducted. Upon the completion of all stipulations a closure letter will be mailed to you and a new 1 Star Rated License will be issued. Other Information: Criminal Background Check Information – This is a requirement and if it is not completed, it will be documented as a violation. DCDEE launched the Provider Portal for ABCMS on February 1, 2024. This access will allow providers to see applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster, see the real-time background check status of staff/household members, and run a printable report of the staff roster to assist with compliance visits. Mr. Grossman has completed the training and has entered staff. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance with the portal or the training, please contact the Criminal Background Check Unit at (919) 814-6401and someone will assist you. CLEAN CLASSROOMS FOR CAROLINA KIDS - Your facility’s status, according to the Clean Classrooms for Carolina Kids website, shows the following: • Water Testing-Completed on May 2, 2024. Water testing must be completed every three (3) years. • Lead-Based Paint- No results available • Asbestos- No results available Ensure you keep all paperwork that you receive regarding this matter, as it may be requested to verify compliance. Please refer to the website if you have specific questions! https://www.cleanwaterforuskids.org/en/carolina/faq/ for further guidance and ensure all steps have been completed. Use this link to enroll your program or view test results/status: https://www.cleanwaterforuskids.org/en/carolina/ You can contact the NC Resource Center for information, resources, and referrals on topics related to child health and health and safety in child care. Anyone in the greater early care and education community is welcome to call 1(800) 367-2229 (choose 1 then 2). Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. Click on the “What’s New” tab for important updates impacting child care in North Carolina. For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April.Lester@dhhs.nc.gov at (910)824-0954 or Kim Sherry, Licensing Supervisor, at kim.sherry@dhhs.nc.gov or (910) 824-0470 with any questions or concerns. 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

  • Violation

    10A NCAC 09 .1102 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 3/23/2026 Number Present: 35 Completed Date: 3/23/2026 Age: From 0 To 5 Total Minutes: 285 Time In: 08:30 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for an annual compliance visit. Don Grossman, Director, was present and available for consultation. This facility currently operates with a Probationary license issued May 16, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. The last annual compliance visit was completed September 3, 2025. The last sanitation inspection was completed March 12, 2026, with an “Approved” classification. The last fire inspection was conducted September 5, 2025, and your facility was approved for daytime care only. Prior to the visit the 18-month compliance history score was 93%. The NC Secretary of State website was reviewed today, and The Kiddie Cottage, LLC was listed as current- active. All approved indoor and outdoor spaces were monitored today. Daily schedules and activity plans were available for review and were being followed. A variety of age-appropriate learning materials were observed in all classrooms. Infants in Spaces 6 (pink) engaged in free play. Infant feeding schedules and safe sleep checks were monitored and found to be in compliance. Toddlers in space 4 (yellow) and space 5 (blue) ate morning snack that consisted of applesauce and cereal. Two-year-old children in Space 8 (jungle) were observed sitting at tables waiting for morning snack. Children three years of age in space 10 (space) participated in free play. Preschool children in spaces 9 (arctic) sat at the meal tables waiting for morning snack. Lunch for today consisted of chicken nuggets, mixed fruit, mixed vegetables, and milk. Staff and Training Worksheets- There were seventeen (17) staff members employed at this facility. There were four new staff; all new staff and a percentage of veteran staff’s files were reviewed. Health & Safety Training – All staff members who have been employed for at least one year, have completed Health and Safety training as outlined in Child Care Rule 10A NCAC 09 .1102. New staff are in the process of completing these training courses. Health and safety trainings are required to be completed during the first year of employment and renewed every 5 years. Remember, the Recognizing and Responding to Suspicions of Child Maltreatment training must be taken at www.preventchildabusenc.org, within the first 90 days of employment. Completing, refreshing, and updating the required Health and Safety Training increases your awareness and knowledge regarding child development and safety. Ensure this information in completed, recorded on the required form, and on file for review. The following violations were documented. Violation Number Comment Rule 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. Hand sanitizer and a bottle of conditioner were stored in a low, unlocked cabinet in space 11 (ocean). .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Two (2) epi pens in space 9 (arctic) has emergency medical care plans but did not have medication permission forms. 10A NCAC 09 .0803(1)(a & b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Seven (7) staff need an annual staff evaluation. 10A NCAC 09 .0514(f) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 7, 2026, 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. Mail or email the information to: April Lester, Child Care Consultant PO Box 12948 Wilmington, NC 28405 April.Lester@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules always whether they have been monitored or specifically discussed with you in the past. The best way for you to make sure that you meet all requirements is to periodically review the child care law and rules. Reminders: In September, I instructed the director at that time to take the Emergency Preparedness and Response training. Today, it was discovered that the new Director, Don Grossman, does not have this training either. We discussed the importance of administration taking this training ASAP. Upon completing the training, you will have 4 months to revise the plan. Rated License: The original plan was to transition from the current Probationary License to a 2-5 star rated license. A full annual compliance visit was completed today; however, the program is not ready at this time to apply for a 2–5-star license. As discussed, you can submit your application for a 2–5-star license at any time in the next 6 months and a Rated License visit will be conducted. Upon the completion of all stipulations a closure letter will be mailed to you and a new 1 Star Rated License will be issued. Other Information: Criminal Background Check Information – This is a requirement and if it is not completed, it will be documented as a violation. DCDEE launched the Provider Portal for ABCMS on February 1, 2024. This access will allow providers to see applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster, see the real-time background check status of staff/household members, and run a printable report of the staff roster to assist with compliance visits. Mr. Grossman has completed the training and has entered staff. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance with the portal or the training, please contact the Criminal Background Check Unit at (919) 814-6401and someone will assist you. CLEAN CLASSROOMS FOR CAROLINA KIDS - Your facility’s status, according to the Clean Classrooms for Carolina Kids website, shows the following: • Water Testing-Completed on May 2, 2024. Water testing must be completed every three (3) years. • Lead-Based Paint- No results available • Asbestos- No results available Ensure you keep all paperwork that you receive regarding this matter, as it may be requested to verify compliance. Please refer to the website if you have specific questions! https://www.cleanwaterforuskids.org/en/carolina/faq/ for further guidance and ensure all steps have been completed. Use this link to enroll your program or view test results/status: https://www.cleanwaterforuskids.org/en/carolina/ You can contact the NC Resource Center for information, resources, and referrals on topics related to child health and health and safety in child care. Anyone in the greater early care and education community is welcome to call 1(800) 367-2229 (choose 1 then 2). Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. Click on the “What’s New” tab for important updates impacting child care in North Carolina. For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April.Lester@dhhs.nc.gov at (910)824-0954 or Kim Sherry, Licensing Supervisor, at kim.sherry@dhhs.nc.gov or (910) 824-0470 with any questions or concerns. 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

  • Violation

    NC GS 110-90 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 3/23/2026 Number Present: 35 Completed Date: 3/23/2026 Age: From 0 To 5 Total Minutes: 285 Time In: 08:30 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for an annual compliance visit. Don Grossman, Director, was present and available for consultation. This facility currently operates with a Probationary license issued May 16, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. The last annual compliance visit was completed September 3, 2025. The last sanitation inspection was completed March 12, 2026, with an “Approved” classification. The last fire inspection was conducted September 5, 2025, and your facility was approved for daytime care only. Prior to the visit the 18-month compliance history score was 93%. The NC Secretary of State website was reviewed today, and The Kiddie Cottage, LLC was listed as current- active. All approved indoor and outdoor spaces were monitored today. Daily schedules and activity plans were available for review and were being followed. A variety of age-appropriate learning materials were observed in all classrooms. Infants in Spaces 6 (pink) engaged in free play. Infant feeding schedules and safe sleep checks were monitored and found to be in compliance. Toddlers in space 4 (yellow) and space 5 (blue) ate morning snack that consisted of applesauce and cereal. Two-year-old children in Space 8 (jungle) were observed sitting at tables waiting for morning snack. Children three years of age in space 10 (space) participated in free play. Preschool children in spaces 9 (arctic) sat at the meal tables waiting for morning snack. Lunch for today consisted of chicken nuggets, mixed fruit, mixed vegetables, and milk. Staff and Training Worksheets- There were seventeen (17) staff members employed at this facility. There were four new staff; all new staff and a percentage of veteran staff’s files were reviewed. Health & Safety Training – All staff members who have been employed for at least one year, have completed Health and Safety training as outlined in Child Care Rule 10A NCAC 09 .1102. New staff are in the process of completing these training courses. Health and safety trainings are required to be completed during the first year of employment and renewed every 5 years. Remember, the Recognizing and Responding to Suspicions of Child Maltreatment training must be taken at www.preventchildabusenc.org, within the first 90 days of employment. Completing, refreshing, and updating the required Health and Safety Training increases your awareness and knowledge regarding child development and safety. Ensure this information in completed, recorded on the required form, and on file for review. The following violations were documented. Violation Number Comment Rule 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. Hand sanitizer and a bottle of conditioner were stored in a low, unlocked cabinet in space 11 (ocean). .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Two (2) epi pens in space 9 (arctic) has emergency medical care plans but did not have medication permission forms. 10A NCAC 09 .0803(1)(a & b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Seven (7) staff need an annual staff evaluation. 10A NCAC 09 .0514(f) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 7, 2026, 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. Mail or email the information to: April Lester, Child Care Consultant PO Box 12948 Wilmington, NC 28405 April.Lester@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules always whether they have been monitored or specifically discussed with you in the past. The best way for you to make sure that you meet all requirements is to periodically review the child care law and rules. Reminders: In September, I instructed the director at that time to take the Emergency Preparedness and Response training. Today, it was discovered that the new Director, Don Grossman, does not have this training either. We discussed the importance of administration taking this training ASAP. Upon completing the training, you will have 4 months to revise the plan. Rated License: The original plan was to transition from the current Probationary License to a 2-5 star rated license. A full annual compliance visit was completed today; however, the program is not ready at this time to apply for a 2–5-star license. As discussed, you can submit your application for a 2–5-star license at any time in the next 6 months and a Rated License visit will be conducted. Upon the completion of all stipulations a closure letter will be mailed to you and a new 1 Star Rated License will be issued. Other Information: Criminal Background Check Information – This is a requirement and if it is not completed, it will be documented as a violation. DCDEE launched the Provider Portal for ABCMS on February 1, 2024. This access will allow providers to see applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster, see the real-time background check status of staff/household members, and run a printable report of the staff roster to assist with compliance visits. Mr. Grossman has completed the training and has entered staff. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance with the portal or the training, please contact the Criminal Background Check Unit at (919) 814-6401and someone will assist you. CLEAN CLASSROOMS FOR CAROLINA KIDS - Your facility’s status, according to the Clean Classrooms for Carolina Kids website, shows the following: • Water Testing-Completed on May 2, 2024. Water testing must be completed every three (3) years. • Lead-Based Paint- No results available • Asbestos- No results available Ensure you keep all paperwork that you receive regarding this matter, as it may be requested to verify compliance. Please refer to the website if you have specific questions! https://www.cleanwaterforuskids.org/en/carolina/faq/ for further guidance and ensure all steps have been completed. Use this link to enroll your program or view test results/status: https://www.cleanwaterforuskids.org/en/carolina/ You can contact the NC Resource Center for information, resources, and referrals on topics related to child health and health and safety in child care. Anyone in the greater early care and education community is welcome to call 1(800) 367-2229 (choose 1 then 2). Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. Click on the “What’s New” tab for important updates impacting child care in North Carolina. For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April.Lester@dhhs.nc.gov at (910)824-0954 or Kim Sherry, Licensing Supervisor, at kim.sherry@dhhs.nc.gov or (910) 824-0470 with any questions or concerns. 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

Mar 11, 2026 — Unannounced
No violations cited
Clean
Feb 5, 2026 — Announced
No violations cited
Clean
Jan 28, 2026 — Unannounced
No violations cited
Clean
Dec 16, 2025 — Admin Action Follow-Up Lic
17 violations cited
17 violations
  • Violation

    10A NCAC 09 .0302 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 12/16/2025 Number Present: 39 Completed Date: 12/16/2025 Age: From 0 To 5 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Probationary License issued by the DCDEE to this facility on May 16, 2025. This facility currently operates with a Probationary license issued May 16, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. Prior to the visit, the facility had an eighteen-month compliance history score of 86%. Don Grossman, Interim Director, and Patrice Williams, Assistance Director, were present and available for consultation today. Sixty-five (65) children are enrolled and thirty-nine (39) children ages infant through 6 years of age were present in spaces 4-8 and 10-11. Children were observed participating in free play indoors or engaging in personal care routines such as toileting and morning snack. Lunch for today consisted of whole grain pasta, meat sauce, apples, pears, and milk. Adequate supervision and staff/child ratios were monitored and found in compliance. Children were being cared for in a nurturing and caring manner. One new staff member has been hired since the last monitoring visit and his file was reviewed today. The following violations were observed. Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Upon arrival, a child one year of age, in space 4 (yellow) did not have his hands washed before sitting down for morning snack. 15A NCAC 18A .2803(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two (2) diaper creams in space 8 (jungle) were not discarded or returned to the parents after the course of the treatment. .0803(12) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 30, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: When no longer needed by the child, or when the child withdraws from the program, all medications should be returned to the child’s parent/guardian or disposed of after an attempt to reach parent/guardian within 72 hours of completion of treatment. Today you stated that staff are required to check all medication boxes on Fridays; however, two diaper creams in jungle were not returned or discarded within 72 hours after the course of the treatment ended. You stated that the lead teacher will have a verbal warning. Today I suggested administration checking behind the staff every two weeks. According to Center for Disease Control and Prevention, Clean hands save lives. Handwashing is like a "do-it-yourself" vaccine—it involves five simple and effective steps (Wet, Lather, Scrub, Rinse, Dry) you can take to reduce the spread of diarrheal and respiratory illness so you can stay healthy. Regular handwashing, particularly before and after certain activities, is one of the best ways to remove germs, avoid getting sick, and prevent the spread of germs to others. It's quick, it's simple, and it can keep us all from getting sick. Handwashing is a win for everyone, except the germs. Administrative Action – Probationary I monitored for compliance with the CAP as follows: Stipulation #1 The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation Unannounced visits were conducted on: May 30, 2025 - No violations were cited July 10, 2025 - No violations were cited August 25, 2025 - No violations were cited September 3, 2025 – ten (10) violations were cited regarding nutrition, general safety, equipment, administration of medications, emergency medical care plan, staff records, in-service training, and program records. October 13, 2025 – two (2) violations were cited regarding staff records and general safety. November 24, 2025 - No violations were cited. December 16, 2025 – two (2) violations were cited regarding handwashing and medications. Stipulation #2 On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first two trainings sessions were scheduled on August 1, 2025, and October 17, 2025. The training was conducted on August 1, 2025. All staff were present except two individuals. On August 25, 2025, Mr. Grossman contacted Ms. Garner to schedule a make-up session. The first training was conducted on August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. The second training was scheduled for October 17, 2025; however, the facility emailed Ms. Garner that all staff were unable to attend on that date. A new training date was scheduled for October 24, 2025, which was completed on that date. This stipulation is still in process of completion. Stipulation #3 On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. This item is in compliance and has been completed as required. Stipulation #4 Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled for January 9, 2026. The training “Supervision with Children” was rescheduled and completed on October 24, 2025. The training “Communication & Professionalism” has been rescheduled for January 27, 2026. This item is in compliance. Stipulation #5 The facility’s revised supervision policies and procedures were due by November 7, 2025. Today you stated the revised policy was submitted to Ms. Davis on December 5, 2025. This stipulation is pending. Stipulation #6 Effective communication and professionalism policies and procedures must be developed and submitted within two weeks of the required training being completed. This stipulation is pending completion. Stipulation #7 Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. The policy has not been sent to the facility for revisions pending a decision from DCDEE regarding owner input. This stipulation is pending. Stipulation #8 On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. The policy has not been sent to the facility for revisions pending a decision from DCDEE regarding owner input. This stipulation is pending. Stipulation #9 Within two weeks of the requirements of the above stipulations being met, a staff meeting must be conducted. This stipulation is pending. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. QRIS: Choosing a Pathway to the Stars - The new rules related to the star rated license system (QRIS) have been approved. The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition has begun and the following informational opportunities are available to you: •You can review the rule roll out module in the DCDEE e-learning Moodle platform and •If you were unable to attend the recent webinars regarding Choosing a Pathway to the Stars, the sessions were recorded and will be posted on the QRIS Modernization page. •In September, child care consultants hosted in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. If you were unable to attend, reach out to me so we can review the information. •Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within 12 months based on the pathway chosen. We understand this is a big change and are committed to ensuring all providers have a good understanding of the new opportunities to make informed decisions on which pathway best suits the needs of the facility. We look forward to seeing you at these upcoming informational settings and working with you on your pathway to the stars! Other Information: Both administrators reported completing Administration 1 & 2 from Stanley Community College and are awaiting their official transcripts to submit to WORKS. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09 .0601 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 12/16/2025 Number Present: 39 Completed Date: 12/16/2025 Age: From 0 To 5 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Probationary License issued by the DCDEE to this facility on May 16, 2025. This facility currently operates with a Probationary license issued May 16, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. Prior to the visit, the facility had an eighteen-month compliance history score of 86%. Don Grossman, Interim Director, and Patrice Williams, Assistance Director, were present and available for consultation today. Sixty-five (65) children are enrolled and thirty-nine (39) children ages infant through 6 years of age were present in spaces 4-8 and 10-11. Children were observed participating in free play indoors or engaging in personal care routines such as toileting and morning snack. Lunch for today consisted of whole grain pasta, meat sauce, apples, pears, and milk. Adequate supervision and staff/child ratios were monitored and found in compliance. Children were being cared for in a nurturing and caring manner. One new staff member has been hired since the last monitoring visit and his file was reviewed today. The following violations were observed. Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Upon arrival, a child one year of age, in space 4 (yellow) did not have his hands washed before sitting down for morning snack. 15A NCAC 18A .2803(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two (2) diaper creams in space 8 (jungle) were not discarded or returned to the parents after the course of the treatment. .0803(12) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 30, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: When no longer needed by the child, or when the child withdraws from the program, all medications should be returned to the child’s parent/guardian or disposed of after an attempt to reach parent/guardian within 72 hours of completion of treatment. Today you stated that staff are required to check all medication boxes on Fridays; however, two diaper creams in jungle were not returned or discarded within 72 hours after the course of the treatment ended. You stated that the lead teacher will have a verbal warning. Today I suggested administration checking behind the staff every two weeks. According to Center for Disease Control and Prevention, Clean hands save lives. Handwashing is like a "do-it-yourself" vaccine—it involves five simple and effective steps (Wet, Lather, Scrub, Rinse, Dry) you can take to reduce the spread of diarrheal and respiratory illness so you can stay healthy. Regular handwashing, particularly before and after certain activities, is one of the best ways to remove germs, avoid getting sick, and prevent the spread of germs to others. It's quick, it's simple, and it can keep us all from getting sick. Handwashing is a win for everyone, except the germs. Administrative Action – Probationary I monitored for compliance with the CAP as follows: Stipulation #1 The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation Unannounced visits were conducted on: May 30, 2025 - No violations were cited July 10, 2025 - No violations were cited August 25, 2025 - No violations were cited September 3, 2025 – ten (10) violations were cited regarding nutrition, general safety, equipment, administration of medications, emergency medical care plan, staff records, in-service training, and program records. October 13, 2025 – two (2) violations were cited regarding staff records and general safety. November 24, 2025 - No violations were cited. December 16, 2025 – two (2) violations were cited regarding handwashing and medications. Stipulation #2 On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first two trainings sessions were scheduled on August 1, 2025, and October 17, 2025. The training was conducted on August 1, 2025. All staff were present except two individuals. On August 25, 2025, Mr. Grossman contacted Ms. Garner to schedule a make-up session. The first training was conducted on August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. The second training was scheduled for October 17, 2025; however, the facility emailed Ms. Garner that all staff were unable to attend on that date. A new training date was scheduled for October 24, 2025, which was completed on that date. This stipulation is still in process of completion. Stipulation #3 On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. This item is in compliance and has been completed as required. Stipulation #4 Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled for January 9, 2026. The training “Supervision with Children” was rescheduled and completed on October 24, 2025. The training “Communication & Professionalism” has been rescheduled for January 27, 2026. This item is in compliance. Stipulation #5 The facility’s revised supervision policies and procedures were due by November 7, 2025. Today you stated the revised policy was submitted to Ms. Davis on December 5, 2025. This stipulation is pending. Stipulation #6 Effective communication and professionalism policies and procedures must be developed and submitted within two weeks of the required training being completed. This stipulation is pending completion. Stipulation #7 Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. The policy has not been sent to the facility for revisions pending a decision from DCDEE regarding owner input. This stipulation is pending. Stipulation #8 On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. The policy has not been sent to the facility for revisions pending a decision from DCDEE regarding owner input. This stipulation is pending. Stipulation #9 Within two weeks of the requirements of the above stipulations being met, a staff meeting must be conducted. This stipulation is pending. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. QRIS: Choosing a Pathway to the Stars - The new rules related to the star rated license system (QRIS) have been approved. The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition has begun and the following informational opportunities are available to you: •You can review the rule roll out module in the DCDEE e-learning Moodle platform and •If you were unable to attend the recent webinars regarding Choosing a Pathway to the Stars, the sessions were recorded and will be posted on the QRIS Modernization page. •In September, child care consultants hosted in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. If you were unable to attend, reach out to me so we can review the information. •Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within 12 months based on the pathway chosen. We understand this is a big change and are committed to ensuring all providers have a good understanding of the new opportunities to make informed decisions on which pathway best suits the needs of the facility. We look forward to seeing you at these upcoming informational settings and working with you on your pathway to the stars! Other Information: Both administrators reported completing Administration 1 & 2 from Stanley Community College and are awaiting their official transcripts to submit to WORKS. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09 .0604 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 12/16/2025 Number Present: 39 Completed Date: 12/16/2025 Age: From 0 To 5 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Probationary License issued by the DCDEE to this facility on May 16, 2025. This facility currently operates with a Probationary license issued May 16, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. Prior to the visit, the facility had an eighteen-month compliance history score of 86%. Don Grossman, Interim Director, and Patrice Williams, Assistance Director, were present and available for consultation today. Sixty-five (65) children are enrolled and thirty-nine (39) children ages infant through 6 years of age were present in spaces 4-8 and 10-11. Children were observed participating in free play indoors or engaging in personal care routines such as toileting and morning snack. Lunch for today consisted of whole grain pasta, meat sauce, apples, pears, and milk. Adequate supervision and staff/child ratios were monitored and found in compliance. Children were being cared for in a nurturing and caring manner. One new staff member has been hired since the last monitoring visit and his file was reviewed today. The following violations were observed. Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Upon arrival, a child one year of age, in space 4 (yellow) did not have his hands washed before sitting down for morning snack. 15A NCAC 18A .2803(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two (2) diaper creams in space 8 (jungle) were not discarded or returned to the parents after the course of the treatment. .0803(12) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 30, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: When no longer needed by the child, or when the child withdraws from the program, all medications should be returned to the child’s parent/guardian or disposed of after an attempt to reach parent/guardian within 72 hours of completion of treatment. Today you stated that staff are required to check all medication boxes on Fridays; however, two diaper creams in jungle were not returned or discarded within 72 hours after the course of the treatment ended. You stated that the lead teacher will have a verbal warning. Today I suggested administration checking behind the staff every two weeks. According to Center for Disease Control and Prevention, Clean hands save lives. Handwashing is like a "do-it-yourself" vaccine—it involves five simple and effective steps (Wet, Lather, Scrub, Rinse, Dry) you can take to reduce the spread of diarrheal and respiratory illness so you can stay healthy. Regular handwashing, particularly before and after certain activities, is one of the best ways to remove germs, avoid getting sick, and prevent the spread of germs to others. It's quick, it's simple, and it can keep us all from getting sick. Handwashing is a win for everyone, except the germs. Administrative Action – Probationary I monitored for compliance with the CAP as follows: Stipulation #1 The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation Unannounced visits were conducted on: May 30, 2025 - No violations were cited July 10, 2025 - No violations were cited August 25, 2025 - No violations were cited September 3, 2025 – ten (10) violations were cited regarding nutrition, general safety, equipment, administration of medications, emergency medical care plan, staff records, in-service training, and program records. October 13, 2025 – two (2) violations were cited regarding staff records and general safety. November 24, 2025 - No violations were cited. December 16, 2025 – two (2) violations were cited regarding handwashing and medications. Stipulation #2 On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first two trainings sessions were scheduled on August 1, 2025, and October 17, 2025. The training was conducted on August 1, 2025. All staff were present except two individuals. On August 25, 2025, Mr. Grossman contacted Ms. Garner to schedule a make-up session. The first training was conducted on August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. The second training was scheduled for October 17, 2025; however, the facility emailed Ms. Garner that all staff were unable to attend on that date. A new training date was scheduled for October 24, 2025, which was completed on that date. This stipulation is still in process of completion. Stipulation #3 On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. This item is in compliance and has been completed as required. Stipulation #4 Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled for January 9, 2026. The training “Supervision with Children” was rescheduled and completed on October 24, 2025. The training “Communication & Professionalism” has been rescheduled for January 27, 2026. This item is in compliance. Stipulation #5 The facility’s revised supervision policies and procedures were due by November 7, 2025. Today you stated the revised policy was submitted to Ms. Davis on December 5, 2025. This stipulation is pending. Stipulation #6 Effective communication and professionalism policies and procedures must be developed and submitted within two weeks of the required training being completed. This stipulation is pending completion. Stipulation #7 Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. The policy has not been sent to the facility for revisions pending a decision from DCDEE regarding owner input. This stipulation is pending. Stipulation #8 On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. The policy has not been sent to the facility for revisions pending a decision from DCDEE regarding owner input. This stipulation is pending. Stipulation #9 Within two weeks of the requirements of the above stipulations being met, a staff meeting must be conducted. This stipulation is pending. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. QRIS: Choosing a Pathway to the Stars - The new rules related to the star rated license system (QRIS) have been approved. The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition has begun and the following informational opportunities are available to you: •You can review the rule roll out module in the DCDEE e-learning Moodle platform and •If you were unable to attend the recent webinars regarding Choosing a Pathway to the Stars, the sessions were recorded and will be posted on the QRIS Modernization page. •In September, child care consultants hosted in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. If you were unable to attend, reach out to me so we can review the information. •Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within 12 months based on the pathway chosen. We understand this is a big change and are committed to ensuring all providers have a good understanding of the new opportunities to make informed decisions on which pathway best suits the needs of the facility. We look forward to seeing you at these upcoming informational settings and working with you on your pathway to the stars! Other Information: Both administrators reported completing Administration 1 & 2 from Stanley Community College and are awaiting their official transcripts to submit to WORKS. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09 .0605 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 12/16/2025 Number Present: 39 Completed Date: 12/16/2025 Age: From 0 To 5 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Probationary License issued by the DCDEE to this facility on May 16, 2025. This facility currently operates with a Probationary license issued May 16, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. Prior to the visit, the facility had an eighteen-month compliance history score of 86%. Don Grossman, Interim Director, and Patrice Williams, Assistance Director, were present and available for consultation today. Sixty-five (65) children are enrolled and thirty-nine (39) children ages infant through 6 years of age were present in spaces 4-8 and 10-11. Children were observed participating in free play indoors or engaging in personal care routines such as toileting and morning snack. Lunch for today consisted of whole grain pasta, meat sauce, apples, pears, and milk. Adequate supervision and staff/child ratios were monitored and found in compliance. Children were being cared for in a nurturing and caring manner. One new staff member has been hired since the last monitoring visit and his file was reviewed today. The following violations were observed. Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Upon arrival, a child one year of age, in space 4 (yellow) did not have his hands washed before sitting down for morning snack. 15A NCAC 18A .2803(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two (2) diaper creams in space 8 (jungle) were not discarded or returned to the parents after the course of the treatment. .0803(12) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 30, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: When no longer needed by the child, or when the child withdraws from the program, all medications should be returned to the child’s parent/guardian or disposed of after an attempt to reach parent/guardian within 72 hours of completion of treatment. Today you stated that staff are required to check all medication boxes on Fridays; however, two diaper creams in jungle were not returned or discarded within 72 hours after the course of the treatment ended. You stated that the lead teacher will have a verbal warning. Today I suggested administration checking behind the staff every two weeks. According to Center for Disease Control and Prevention, Clean hands save lives. Handwashing is like a "do-it-yourself" vaccine—it involves five simple and effective steps (Wet, Lather, Scrub, Rinse, Dry) you can take to reduce the spread of diarrheal and respiratory illness so you can stay healthy. Regular handwashing, particularly before and after certain activities, is one of the best ways to remove germs, avoid getting sick, and prevent the spread of germs to others. It's quick, it's simple, and it can keep us all from getting sick. Handwashing is a win for everyone, except the germs. Administrative Action – Probationary I monitored for compliance with the CAP as follows: Stipulation #1 The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation Unannounced visits were conducted on: May 30, 2025 - No violations were cited July 10, 2025 - No violations were cited August 25, 2025 - No violations were cited September 3, 2025 – ten (10) violations were cited regarding nutrition, general safety, equipment, administration of medications, emergency medical care plan, staff records, in-service training, and program records. October 13, 2025 – two (2) violations were cited regarding staff records and general safety. November 24, 2025 - No violations were cited. December 16, 2025 – two (2) violations were cited regarding handwashing and medications. Stipulation #2 On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first two trainings sessions were scheduled on August 1, 2025, and October 17, 2025. The training was conducted on August 1, 2025. All staff were present except two individuals. On August 25, 2025, Mr. Grossman contacted Ms. Garner to schedule a make-up session. The first training was conducted on August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. The second training was scheduled for October 17, 2025; however, the facility emailed Ms. Garner that all staff were unable to attend on that date. A new training date was scheduled for October 24, 2025, which was completed on that date. This stipulation is still in process of completion. Stipulation #3 On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. This item is in compliance and has been completed as required. Stipulation #4 Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled for January 9, 2026. The training “Supervision with Children” was rescheduled and completed on October 24, 2025. The training “Communication & Professionalism” has been rescheduled for January 27, 2026. This item is in compliance. Stipulation #5 The facility’s revised supervision policies and procedures were due by November 7, 2025. Today you stated the revised policy was submitted to Ms. Davis on December 5, 2025. This stipulation is pending. Stipulation #6 Effective communication and professionalism policies and procedures must be developed and submitted within two weeks of the required training being completed. This stipulation is pending completion. Stipulation #7 Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. The policy has not been sent to the facility for revisions pending a decision from DCDEE regarding owner input. This stipulation is pending. Stipulation #8 On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. The policy has not been sent to the facility for revisions pending a decision from DCDEE regarding owner input. This stipulation is pending. Stipulation #9 Within two weeks of the requirements of the above stipulations being met, a staff meeting must be conducted. This stipulation is pending. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. QRIS: Choosing a Pathway to the Stars - The new rules related to the star rated license system (QRIS) have been approved. The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition has begun and the following informational opportunities are available to you: •You can review the rule roll out module in the DCDEE e-learning Moodle platform and •If you were unable to attend the recent webinars regarding Choosing a Pathway to the Stars, the sessions were recorded and will be posted on the QRIS Modernization page. •In September, child care consultants hosted in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. If you were unable to attend, reach out to me so we can review the information. •Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within 12 months based on the pathway chosen. We understand this is a big change and are committed to ensuring all providers have a good understanding of the new opportunities to make informed decisions on which pathway best suits the needs of the facility. We look forward to seeing you at these upcoming informational settings and working with you on your pathway to the stars! Other Information: Both administrators reported completing Administration 1 & 2 from Stanley Community College and are awaiting their official transcripts to submit to WORKS. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09 .0606 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 12/16/2025 Number Present: 39 Completed Date: 12/16/2025 Age: From 0 To 5 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Probationary License issued by the DCDEE to this facility on May 16, 2025. This facility currently operates with a Probationary license issued May 16, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. Prior to the visit, the facility had an eighteen-month compliance history score of 86%. Don Grossman, Interim Director, and Patrice Williams, Assistance Director, were present and available for consultation today. Sixty-five (65) children are enrolled and thirty-nine (39) children ages infant through 6 years of age were present in spaces 4-8 and 10-11. Children were observed participating in free play indoors or engaging in personal care routines such as toileting and morning snack. Lunch for today consisted of whole grain pasta, meat sauce, apples, pears, and milk. Adequate supervision and staff/child ratios were monitored and found in compliance. Children were being cared for in a nurturing and caring manner. One new staff member has been hired since the last monitoring visit and his file was reviewed today. The following violations were observed. Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Upon arrival, a child one year of age, in space 4 (yellow) did not have his hands washed before sitting down for morning snack. 15A NCAC 18A .2803(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two (2) diaper creams in space 8 (jungle) were not discarded or returned to the parents after the course of the treatment. .0803(12) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 30, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: When no longer needed by the child, or when the child withdraws from the program, all medications should be returned to the child’s parent/guardian or disposed of after an attempt to reach parent/guardian within 72 hours of completion of treatment. Today you stated that staff are required to check all medication boxes on Fridays; however, two diaper creams in jungle were not returned or discarded within 72 hours after the course of the treatment ended. You stated that the lead teacher will have a verbal warning. Today I suggested administration checking behind the staff every two weeks. According to Center for Disease Control and Prevention, Clean hands save lives. Handwashing is like a "do-it-yourself" vaccine—it involves five simple and effective steps (Wet, Lather, Scrub, Rinse, Dry) you can take to reduce the spread of diarrheal and respiratory illness so you can stay healthy. Regular handwashing, particularly before and after certain activities, is one of the best ways to remove germs, avoid getting sick, and prevent the spread of germs to others. It's quick, it's simple, and it can keep us all from getting sick. Handwashing is a win for everyone, except the germs. Administrative Action – Probationary I monitored for compliance with the CAP as follows: Stipulation #1 The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation Unannounced visits were conducted on: May 30, 2025 - No violations were cited July 10, 2025 - No violations were cited August 25, 2025 - No violations were cited September 3, 2025 – ten (10) violations were cited regarding nutrition, general safety, equipment, administration of medications, emergency medical care plan, staff records, in-service training, and program records. October 13, 2025 – two (2) violations were cited regarding staff records and general safety. November 24, 2025 - No violations were cited. December 16, 2025 – two (2) violations were cited regarding handwashing and medications. Stipulation #2 On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first two trainings sessions were scheduled on August 1, 2025, and October 17, 2025. The training was conducted on August 1, 2025. All staff were present except two individuals. On August 25, 2025, Mr. Grossman contacted Ms. Garner to schedule a make-up session. The first training was conducted on August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. The second training was scheduled for October 17, 2025; however, the facility emailed Ms. Garner that all staff were unable to attend on that date. A new training date was scheduled for October 24, 2025, which was completed on that date. This stipulation is still in process of completion. Stipulation #3 On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. This item is in compliance and has been completed as required. Stipulation #4 Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled for January 9, 2026. The training “Supervision with Children” was rescheduled and completed on October 24, 2025. The training “Communication & Professionalism” has been rescheduled for January 27, 2026. This item is in compliance. Stipulation #5 The facility’s revised supervision policies and procedures were due by November 7, 2025. Today you stated the revised policy was submitted to Ms. Davis on December 5, 2025. This stipulation is pending. Stipulation #6 Effective communication and professionalism policies and procedures must be developed and submitted within two weeks of the required training being completed. This stipulation is pending completion. Stipulation #7 Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. The policy has not been sent to the facility for revisions pending a decision from DCDEE regarding owner input. This stipulation is pending. Stipulation #8 On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. The policy has not been sent to the facility for revisions pending a decision from DCDEE regarding owner input. This stipulation is pending. Stipulation #9 Within two weeks of the requirements of the above stipulations being met, a staff meeting must be conducted. This stipulation is pending. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. QRIS: Choosing a Pathway to the Stars - The new rules related to the star rated license system (QRIS) have been approved. The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition has begun and the following informational opportunities are available to you: •You can review the rule roll out module in the DCDEE e-learning Moodle platform and •If you were unable to attend the recent webinars regarding Choosing a Pathway to the Stars, the sessions were recorded and will be posted on the QRIS Modernization page. •In September, child care consultants hosted in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. If you were unable to attend, reach out to me so we can review the information. •Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within 12 months based on the pathway chosen. We understand this is a big change and are committed to ensuring all providers have a good understanding of the new opportunities to make informed decisions on which pathway best suits the needs of the facility. We look forward to seeing you at these upcoming informational settings and working with you on your pathway to the stars! Other Information: Both administrators reported completing Administration 1 & 2 from Stanley Community College and are awaiting their official transcripts to submit to WORKS. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09 .0713 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 12/16/2025 Number Present: 39 Completed Date: 12/16/2025 Age: From 0 To 5 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Probationary License issued by the DCDEE to this facility on May 16, 2025. This facility currently operates with a Probationary license issued May 16, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. Prior to the visit, the facility had an eighteen-month compliance history score of 86%. Don Grossman, Interim Director, and Patrice Williams, Assistance Director, were present and available for consultation today. Sixty-five (65) children are enrolled and thirty-nine (39) children ages infant through 6 years of age were present in spaces 4-8 and 10-11. Children were observed participating in free play indoors or engaging in personal care routines such as toileting and morning snack. Lunch for today consisted of whole grain pasta, meat sauce, apples, pears, and milk. Adequate supervision and staff/child ratios were monitored and found in compliance. Children were being cared for in a nurturing and caring manner. One new staff member has been hired since the last monitoring visit and his file was reviewed today. The following violations were observed. Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Upon arrival, a child one year of age, in space 4 (yellow) did not have his hands washed before sitting down for morning snack. 15A NCAC 18A .2803(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two (2) diaper creams in space 8 (jungle) were not discarded or returned to the parents after the course of the treatment. .0803(12) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 30, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: When no longer needed by the child, or when the child withdraws from the program, all medications should be returned to the child’s parent/guardian or disposed of after an attempt to reach parent/guardian within 72 hours of completion of treatment. Today you stated that staff are required to check all medication boxes on Fridays; however, two diaper creams in jungle were not returned or discarded within 72 hours after the course of the treatment ended. You stated that the lead teacher will have a verbal warning. Today I suggested administration checking behind the staff every two weeks. According to Center for Disease Control and Prevention, Clean hands save lives. Handwashing is like a "do-it-yourself" vaccine—it involves five simple and effective steps (Wet, Lather, Scrub, Rinse, Dry) you can take to reduce the spread of diarrheal and respiratory illness so you can stay healthy. Regular handwashing, particularly before and after certain activities, is one of the best ways to remove germs, avoid getting sick, and prevent the spread of germs to others. It's quick, it's simple, and it can keep us all from getting sick. Handwashing is a win for everyone, except the germs. Administrative Action – Probationary I monitored for compliance with the CAP as follows: Stipulation #1 The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation Unannounced visits were conducted on: May 30, 2025 - No violations were cited July 10, 2025 - No violations were cited August 25, 2025 - No violations were cited September 3, 2025 – ten (10) violations were cited regarding nutrition, general safety, equipment, administration of medications, emergency medical care plan, staff records, in-service training, and program records. October 13, 2025 – two (2) violations were cited regarding staff records and general safety. November 24, 2025 - No violations were cited. December 16, 2025 – two (2) violations were cited regarding handwashing and medications. Stipulation #2 On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first two trainings sessions were scheduled on August 1, 2025, and October 17, 2025. The training was conducted on August 1, 2025. All staff were present except two individuals. On August 25, 2025, Mr. Grossman contacted Ms. Garner to schedule a make-up session. The first training was conducted on August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. The second training was scheduled for October 17, 2025; however, the facility emailed Ms. Garner that all staff were unable to attend on that date. A new training date was scheduled for October 24, 2025, which was completed on that date. This stipulation is still in process of completion. Stipulation #3 On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. This item is in compliance and has been completed as required. Stipulation #4 Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled for January 9, 2026. The training “Supervision with Children” was rescheduled and completed on October 24, 2025. The training “Communication & Professionalism” has been rescheduled for January 27, 2026. This item is in compliance. Stipulation #5 The facility’s revised supervision policies and procedures were due by November 7, 2025. Today you stated the revised policy was submitted to Ms. Davis on December 5, 2025. This stipulation is pending. Stipulation #6 Effective communication and professionalism policies and procedures must be developed and submitted within two weeks of the required training being completed. This stipulation is pending completion. Stipulation #7 Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. The policy has not been sent to the facility for revisions pending a decision from DCDEE regarding owner input. This stipulation is pending. Stipulation #8 On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. The policy has not been sent to the facility for revisions pending a decision from DCDEE regarding owner input. This stipulation is pending. Stipulation #9 Within two weeks of the requirements of the above stipulations being met, a staff meeting must be conducted. This stipulation is pending. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. QRIS: Choosing a Pathway to the Stars - The new rules related to the star rated license system (QRIS) have been approved. The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition has begun and the following informational opportunities are available to you: •You can review the rule roll out module in the DCDEE e-learning Moodle platform and •If you were unable to attend the recent webinars regarding Choosing a Pathway to the Stars, the sessions were recorded and will be posted on the QRIS Modernization page. •In September, child care consultants hosted in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. If you were unable to attend, reach out to me so we can review the information. •Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within 12 months based on the pathway chosen. We understand this is a big change and are committed to ensuring all providers have a good understanding of the new opportunities to make informed decisions on which pathway best suits the needs of the facility. We look forward to seeing you at these upcoming informational settings and working with you on your pathway to the stars! Other Information: Both administrators reported completing Administration 1 & 2 from Stanley Community College and are awaiting their official transcripts to submit to WORKS. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09 .0803 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 12/16/2025 Number Present: 39 Completed Date: 12/16/2025 Age: From 0 To 5 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Probationary License issued by the DCDEE to this facility on May 16, 2025. This facility currently operates with a Probationary license issued May 16, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. Prior to the visit, the facility had an eighteen-month compliance history score of 86%. Don Grossman, Interim Director, and Patrice Williams, Assistance Director, were present and available for consultation today. Sixty-five (65) children are enrolled and thirty-nine (39) children ages infant through 6 years of age were present in spaces 4-8 and 10-11. Children were observed participating in free play indoors or engaging in personal care routines such as toileting and morning snack. Lunch for today consisted of whole grain pasta, meat sauce, apples, pears, and milk. Adequate supervision and staff/child ratios were monitored and found in compliance. Children were being cared for in a nurturing and caring manner. One new staff member has been hired since the last monitoring visit and his file was reviewed today. The following violations were observed. Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Upon arrival, a child one year of age, in space 4 (yellow) did not have his hands washed before sitting down for morning snack. 15A NCAC 18A .2803(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two (2) diaper creams in space 8 (jungle) were not discarded or returned to the parents after the course of the treatment. .0803(12) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 30, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: When no longer needed by the child, or when the child withdraws from the program, all medications should be returned to the child’s parent/guardian or disposed of after an attempt to reach parent/guardian within 72 hours of completion of treatment. Today you stated that staff are required to check all medication boxes on Fridays; however, two diaper creams in jungle were not returned or discarded within 72 hours after the course of the treatment ended. You stated that the lead teacher will have a verbal warning. Today I suggested administration checking behind the staff every two weeks. According to Center for Disease Control and Prevention, Clean hands save lives. Handwashing is like a "do-it-yourself" vaccine—it involves five simple and effective steps (Wet, Lather, Scrub, Rinse, Dry) you can take to reduce the spread of diarrheal and respiratory illness so you can stay healthy. Regular handwashing, particularly before and after certain activities, is one of the best ways to remove germs, avoid getting sick, and prevent the spread of germs to others. It's quick, it's simple, and it can keep us all from getting sick. Handwashing is a win for everyone, except the germs. Administrative Action – Probationary I monitored for compliance with the CAP as follows: Stipulation #1 The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation Unannounced visits were conducted on: May 30, 2025 - No violations were cited July 10, 2025 - No violations were cited August 25, 2025 - No violations were cited September 3, 2025 – ten (10) violations were cited regarding nutrition, general safety, equipment, administration of medications, emergency medical care plan, staff records, in-service training, and program records. October 13, 2025 – two (2) violations were cited regarding staff records and general safety. November 24, 2025 - No violations were cited. December 16, 2025 – two (2) violations were cited regarding handwashing and medications. Stipulation #2 On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first two trainings sessions were scheduled on August 1, 2025, and October 17, 2025. The training was conducted on August 1, 2025. All staff were present except two individuals. On August 25, 2025, Mr. Grossman contacted Ms. Garner to schedule a make-up session. The first training was conducted on August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. The second training was scheduled for October 17, 2025; however, the facility emailed Ms. Garner that all staff were unable to attend on that date. A new training date was scheduled for October 24, 2025, which was completed on that date. This stipulation is still in process of completion. Stipulation #3 On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. This item is in compliance and has been completed as required. Stipulation #4 Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled for January 9, 2026. The training “Supervision with Children” was rescheduled and completed on October 24, 2025. The training “Communication & Professionalism” has been rescheduled for January 27, 2026. This item is in compliance. Stipulation #5 The facility’s revised supervision policies and procedures were due by November 7, 2025. Today you stated the revised policy was submitted to Ms. Davis on December 5, 2025. This stipulation is pending. Stipulation #6 Effective communication and professionalism policies and procedures must be developed and submitted within two weeks of the required training being completed. This stipulation is pending completion. Stipulation #7 Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. The policy has not been sent to the facility for revisions pending a decision from DCDEE regarding owner input. This stipulation is pending. Stipulation #8 On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. The policy has not been sent to the facility for revisions pending a decision from DCDEE regarding owner input. This stipulation is pending. Stipulation #9 Within two weeks of the requirements of the above stipulations being met, a staff meeting must be conducted. This stipulation is pending. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. QRIS: Choosing a Pathway to the Stars - The new rules related to the star rated license system (QRIS) have been approved. The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition has begun and the following informational opportunities are available to you: •You can review the rule roll out module in the DCDEE e-learning Moodle platform and •If you were unable to attend the recent webinars regarding Choosing a Pathway to the Stars, the sessions were recorded and will be posted on the QRIS Modernization page. •In September, child care consultants hosted in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. If you were unable to attend, reach out to me so we can review the information. •Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within 12 months based on the pathway chosen. We understand this is a big change and are committed to ensuring all providers have a good understanding of the new opportunities to make informed decisions on which pathway best suits the needs of the facility. We look forward to seeing you at these upcoming informational settings and working with you on your pathway to the stars! Other Information: Both administrators reported completing Administration 1 & 2 from Stanley Community College and are awaiting their official transcripts to submit to WORKS. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09 .0901 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 12/16/2025 Number Present: 39 Completed Date: 12/16/2025 Age: From 0 To 5 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Probationary License issued by the DCDEE to this facility on May 16, 2025. This facility currently operates with a Probationary license issued May 16, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. Prior to the visit, the facility had an eighteen-month compliance history score of 86%. Don Grossman, Interim Director, and Patrice Williams, Assistance Director, were present and available for consultation today. Sixty-five (65) children are enrolled and thirty-nine (39) children ages infant through 6 years of age were present in spaces 4-8 and 10-11. Children were observed participating in free play indoors or engaging in personal care routines such as toileting and morning snack. Lunch for today consisted of whole grain pasta, meat sauce, apples, pears, and milk. Adequate supervision and staff/child ratios were monitored and found in compliance. Children were being cared for in a nurturing and caring manner. One new staff member has been hired since the last monitoring visit and his file was reviewed today. The following violations were observed. Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Upon arrival, a child one year of age, in space 4 (yellow) did not have his hands washed before sitting down for morning snack. 15A NCAC 18A .2803(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two (2) diaper creams in space 8 (jungle) were not discarded or returned to the parents after the course of the treatment. .0803(12) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 30, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: When no longer needed by the child, or when the child withdraws from the program, all medications should be returned to the child’s parent/guardian or disposed of after an attempt to reach parent/guardian within 72 hours of completion of treatment. Today you stated that staff are required to check all medication boxes on Fridays; however, two diaper creams in jungle were not returned or discarded within 72 hours after the course of the treatment ended. You stated that the lead teacher will have a verbal warning. Today I suggested administration checking behind the staff every two weeks. According to Center for Disease Control and Prevention, Clean hands save lives. Handwashing is like a "do-it-yourself" vaccine—it involves five simple and effective steps (Wet, Lather, Scrub, Rinse, Dry) you can take to reduce the spread of diarrheal and respiratory illness so you can stay healthy. Regular handwashing, particularly before and after certain activities, is one of the best ways to remove germs, avoid getting sick, and prevent the spread of germs to others. It's quick, it's simple, and it can keep us all from getting sick. Handwashing is a win for everyone, except the germs. Administrative Action – Probationary I monitored for compliance with the CAP as follows: Stipulation #1 The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation Unannounced visits were conducted on: May 30, 2025 - No violations were cited July 10, 2025 - No violations were cited August 25, 2025 - No violations were cited September 3, 2025 – ten (10) violations were cited regarding nutrition, general safety, equipment, administration of medications, emergency medical care plan, staff records, in-service training, and program records. October 13, 2025 – two (2) violations were cited regarding staff records and general safety. November 24, 2025 - No violations were cited. December 16, 2025 – two (2) violations were cited regarding handwashing and medications. Stipulation #2 On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first two trainings sessions were scheduled on August 1, 2025, and October 17, 2025. The training was conducted on August 1, 2025. All staff were present except two individuals. On August 25, 2025, Mr. Grossman contacted Ms. Garner to schedule a make-up session. The first training was conducted on August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. The second training was scheduled for October 17, 2025; however, the facility emailed Ms. Garner that all staff were unable to attend on that date. A new training date was scheduled for October 24, 2025, which was completed on that date. This stipulation is still in process of completion. Stipulation #3 On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. This item is in compliance and has been completed as required. Stipulation #4 Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled for January 9, 2026. The training “Supervision with Children” was rescheduled and completed on October 24, 2025. The training “Communication & Professionalism” has been rescheduled for January 27, 2026. This item is in compliance. Stipulation #5 The facility’s revised supervision policies and procedures were due by November 7, 2025. Today you stated the revised policy was submitted to Ms. Davis on December 5, 2025. This stipulation is pending. Stipulation #6 Effective communication and professionalism policies and procedures must be developed and submitted within two weeks of the required training being completed. This stipulation is pending completion. Stipulation #7 Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. The policy has not been sent to the facility for revisions pending a decision from DCDEE regarding owner input. This stipulation is pending. Stipulation #8 On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. The policy has not been sent to the facility for revisions pending a decision from DCDEE regarding owner input. This stipulation is pending. Stipulation #9 Within two weeks of the requirements of the above stipulations being met, a staff meeting must be conducted. This stipulation is pending. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. QRIS: Choosing a Pathway to the Stars - The new rules related to the star rated license system (QRIS) have been approved. The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition has begun and the following informational opportunities are available to you: •You can review the rule roll out module in the DCDEE e-learning Moodle platform and •If you were unable to attend the recent webinars regarding Choosing a Pathway to the Stars, the sessions were recorded and will be posted on the QRIS Modernization page. •In September, child care consultants hosted in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. If you were unable to attend, reach out to me so we can review the information. •Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within 12 months based on the pathway chosen. We understand this is a big change and are committed to ensuring all providers have a good understanding of the new opportunities to make informed decisions on which pathway best suits the needs of the facility. We look forward to seeing you at these upcoming informational settings and working with you on your pathway to the stars! Other Information: Both administrators reported completing Administration 1 & 2 from Stanley Community College and are awaiting their official transcripts to submit to WORKS. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09 .1003 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 12/16/2025 Number Present: 39 Completed Date: 12/16/2025 Age: From 0 To 5 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Probationary License issued by the DCDEE to this facility on May 16, 2025. This facility currently operates with a Probationary license issued May 16, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. Prior to the visit, the facility had an eighteen-month compliance history score of 86%. Don Grossman, Interim Director, and Patrice Williams, Assistance Director, were present and available for consultation today. Sixty-five (65) children are enrolled and thirty-nine (39) children ages infant through 6 years of age were present in spaces 4-8 and 10-11. Children were observed participating in free play indoors or engaging in personal care routines such as toileting and morning snack. Lunch for today consisted of whole grain pasta, meat sauce, apples, pears, and milk. Adequate supervision and staff/child ratios were monitored and found in compliance. Children were being cared for in a nurturing and caring manner. One new staff member has been hired since the last monitoring visit and his file was reviewed today. The following violations were observed. Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Upon arrival, a child one year of age, in space 4 (yellow) did not have his hands washed before sitting down for morning snack. 15A NCAC 18A .2803(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two (2) diaper creams in space 8 (jungle) were not discarded or returned to the parents after the course of the treatment. .0803(12) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 30, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: When no longer needed by the child, or when the child withdraws from the program, all medications should be returned to the child’s parent/guardian or disposed of after an attempt to reach parent/guardian within 72 hours of completion of treatment. Today you stated that staff are required to check all medication boxes on Fridays; however, two diaper creams in jungle were not returned or discarded within 72 hours after the course of the treatment ended. You stated that the lead teacher will have a verbal warning. Today I suggested administration checking behind the staff every two weeks. According to Center for Disease Control and Prevention, Clean hands save lives. Handwashing is like a "do-it-yourself" vaccine—it involves five simple and effective steps (Wet, Lather, Scrub, Rinse, Dry) you can take to reduce the spread of diarrheal and respiratory illness so you can stay healthy. Regular handwashing, particularly before and after certain activities, is one of the best ways to remove germs, avoid getting sick, and prevent the spread of germs to others. It's quick, it's simple, and it can keep us all from getting sick. Handwashing is a win for everyone, except the germs. Administrative Action – Probationary I monitored for compliance with the CAP as follows: Stipulation #1 The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation Unannounced visits were conducted on: May 30, 2025 - No violations were cited July 10, 2025 - No violations were cited August 25, 2025 - No violations were cited September 3, 2025 – ten (10) violations were cited regarding nutrition, general safety, equipment, administration of medications, emergency medical care plan, staff records, in-service training, and program records. October 13, 2025 – two (2) violations were cited regarding staff records and general safety. November 24, 2025 - No violations were cited. December 16, 2025 – two (2) violations were cited regarding handwashing and medications. Stipulation #2 On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first two trainings sessions were scheduled on August 1, 2025, and October 17, 2025. The training was conducted on August 1, 2025. All staff were present except two individuals. On August 25, 2025, Mr. Grossman contacted Ms. Garner to schedule a make-up session. The first training was conducted on August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. The second training was scheduled for October 17, 2025; however, the facility emailed Ms. Garner that all staff were unable to attend on that date. A new training date was scheduled for October 24, 2025, which was completed on that date. This stipulation is still in process of completion. Stipulation #3 On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. This item is in compliance and has been completed as required. Stipulation #4 Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled for January 9, 2026. The training “Supervision with Children” was rescheduled and completed on October 24, 2025. The training “Communication & Professionalism” has been rescheduled for January 27, 2026. This item is in compliance. Stipulation #5 The facility’s revised supervision policies and procedures were due by November 7, 2025. Today you stated the revised policy was submitted to Ms. Davis on December 5, 2025. This stipulation is pending. Stipulation #6 Effective communication and professionalism policies and procedures must be developed and submitted within two weeks of the required training being completed. This stipulation is pending completion. Stipulation #7 Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. The policy has not been sent to the facility for revisions pending a decision from DCDEE regarding owner input. This stipulation is pending. Stipulation #8 On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. The policy has not been sent to the facility for revisions pending a decision from DCDEE regarding owner input. This stipulation is pending. Stipulation #9 Within two weeks of the requirements of the above stipulations being met, a staff meeting must be conducted. This stipulation is pending. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. QRIS: Choosing a Pathway to the Stars - The new rules related to the star rated license system (QRIS) have been approved. The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition has begun and the following informational opportunities are available to you: •You can review the rule roll out module in the DCDEE e-learning Moodle platform and •If you were unable to attend the recent webinars regarding Choosing a Pathway to the Stars, the sessions were recorded and will be posted on the QRIS Modernization page. •In September, child care consultants hosted in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. If you were unable to attend, reach out to me so we can review the information. •Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within 12 months based on the pathway chosen. We understand this is a big change and are committed to ensuring all providers have a good understanding of the new opportunities to make informed decisions on which pathway best suits the needs of the facility. We look forward to seeing you at these upcoming informational settings and working with you on your pathway to the stars! Other Information: Both administrators reported completing Administration 1 & 2 from Stanley Community College and are awaiting their official transcripts to submit to WORKS. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09 .1101 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 12/16/2025 Number Present: 39 Completed Date: 12/16/2025 Age: From 0 To 5 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Probationary License issued by the DCDEE to this facility on May 16, 2025. This facility currently operates with a Probationary license issued May 16, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. Prior to the visit, the facility had an eighteen-month compliance history score of 86%. Don Grossman, Interim Director, and Patrice Williams, Assistance Director, were present and available for consultation today. Sixty-five (65) children are enrolled and thirty-nine (39) children ages infant through 6 years of age were present in spaces 4-8 and 10-11. Children were observed participating in free play indoors or engaging in personal care routines such as toileting and morning snack. Lunch for today consisted of whole grain pasta, meat sauce, apples, pears, and milk. Adequate supervision and staff/child ratios were monitored and found in compliance. Children were being cared for in a nurturing and caring manner. One new staff member has been hired since the last monitoring visit and his file was reviewed today. The following violations were observed. Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Upon arrival, a child one year of age, in space 4 (yellow) did not have his hands washed before sitting down for morning snack. 15A NCAC 18A .2803(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two (2) diaper creams in space 8 (jungle) were not discarded or returned to the parents after the course of the treatment. .0803(12) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 30, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: When no longer needed by the child, or when the child withdraws from the program, all medications should be returned to the child’s parent/guardian or disposed of after an attempt to reach parent/guardian within 72 hours of completion of treatment. Today you stated that staff are required to check all medication boxes on Fridays; however, two diaper creams in jungle were not returned or discarded within 72 hours after the course of the treatment ended. You stated that the lead teacher will have a verbal warning. Today I suggested administration checking behind the staff every two weeks. According to Center for Disease Control and Prevention, Clean hands save lives. Handwashing is like a "do-it-yourself" vaccine—it involves five simple and effective steps (Wet, Lather, Scrub, Rinse, Dry) you can take to reduce the spread of diarrheal and respiratory illness so you can stay healthy. Regular handwashing, particularly before and after certain activities, is one of the best ways to remove germs, avoid getting sick, and prevent the spread of germs to others. It's quick, it's simple, and it can keep us all from getting sick. Handwashing is a win for everyone, except the germs. Administrative Action – Probationary I monitored for compliance with the CAP as follows: Stipulation #1 The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation Unannounced visits were conducted on: May 30, 2025 - No violations were cited July 10, 2025 - No violations were cited August 25, 2025 - No violations were cited September 3, 2025 – ten (10) violations were cited regarding nutrition, general safety, equipment, administration of medications, emergency medical care plan, staff records, in-service training, and program records. October 13, 2025 – two (2) violations were cited regarding staff records and general safety. November 24, 2025 - No violations were cited. December 16, 2025 – two (2) violations were cited regarding handwashing and medications. Stipulation #2 On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first two trainings sessions were scheduled on August 1, 2025, and October 17, 2025. The training was conducted on August 1, 2025. All staff were present except two individuals. On August 25, 2025, Mr. Grossman contacted Ms. Garner to schedule a make-up session. The first training was conducted on August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. The second training was scheduled for October 17, 2025; however, the facility emailed Ms. Garner that all staff were unable to attend on that date. A new training date was scheduled for October 24, 2025, which was completed on that date. This stipulation is still in process of completion. Stipulation #3 On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. This item is in compliance and has been completed as required. Stipulation #4 Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled for January 9, 2026. The training “Supervision with Children” was rescheduled and completed on October 24, 2025. The training “Communication & Professionalism” has been rescheduled for January 27, 2026. This item is in compliance. Stipulation #5 The facility’s revised supervision policies and procedures were due by November 7, 2025. Today you stated the revised policy was submitted to Ms. Davis on December 5, 2025. This stipulation is pending. Stipulation #6 Effective communication and professionalism policies and procedures must be developed and submitted within two weeks of the required training being completed. This stipulation is pending completion. Stipulation #7 Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. The policy has not been sent to the facility for revisions pending a decision from DCDEE regarding owner input. This stipulation is pending. Stipulation #8 On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. The policy has not been sent to the facility for revisions pending a decision from DCDEE regarding owner input. This stipulation is pending. Stipulation #9 Within two weeks of the requirements of the above stipulations being met, a staff meeting must be conducted. This stipulation is pending. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. QRIS: Choosing a Pathway to the Stars - The new rules related to the star rated license system (QRIS) have been approved. The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition has begun and the following informational opportunities are available to you: •You can review the rule roll out module in the DCDEE e-learning Moodle platform and •If you were unable to attend the recent webinars regarding Choosing a Pathway to the Stars, the sessions were recorded and will be posted on the QRIS Modernization page. •In September, child care consultants hosted in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. If you were unable to attend, reach out to me so we can review the information. •Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within 12 months based on the pathway chosen. We understand this is a big change and are committed to ensuring all providers have a good understanding of the new opportunities to make informed decisions on which pathway best suits the needs of the facility. We look forward to seeing you at these upcoming informational settings and working with you on your pathway to the stars! Other Information: Both administrators reported completing Administration 1 & 2 from Stanley Community College and are awaiting their official transcripts to submit to WORKS. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09 .1102 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 12/16/2025 Number Present: 39 Completed Date: 12/16/2025 Age: From 0 To 5 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Probationary License issued by the DCDEE to this facility on May 16, 2025. This facility currently operates with a Probationary license issued May 16, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. Prior to the visit, the facility had an eighteen-month compliance history score of 86%. Don Grossman, Interim Director, and Patrice Williams, Assistance Director, were present and available for consultation today. Sixty-five (65) children are enrolled and thirty-nine (39) children ages infant through 6 years of age were present in spaces 4-8 and 10-11. Children were observed participating in free play indoors or engaging in personal care routines such as toileting and morning snack. Lunch for today consisted of whole grain pasta, meat sauce, apples, pears, and milk. Adequate supervision and staff/child ratios were monitored and found in compliance. Children were being cared for in a nurturing and caring manner. One new staff member has been hired since the last monitoring visit and his file was reviewed today. The following violations were observed. Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Upon arrival, a child one year of age, in space 4 (yellow) did not have his hands washed before sitting down for morning snack. 15A NCAC 18A .2803(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two (2) diaper creams in space 8 (jungle) were not discarded or returned to the parents after the course of the treatment. .0803(12) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 30, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: When no longer needed by the child, or when the child withdraws from the program, all medications should be returned to the child’s parent/guardian or disposed of after an attempt to reach parent/guardian within 72 hours of completion of treatment. Today you stated that staff are required to check all medication boxes on Fridays; however, two diaper creams in jungle were not returned or discarded within 72 hours after the course of the treatment ended. You stated that the lead teacher will have a verbal warning. Today I suggested administration checking behind the staff every two weeks. According to Center for Disease Control and Prevention, Clean hands save lives. Handwashing is like a "do-it-yourself" vaccine—it involves five simple and effective steps (Wet, Lather, Scrub, Rinse, Dry) you can take to reduce the spread of diarrheal and respiratory illness so you can stay healthy. Regular handwashing, particularly before and after certain activities, is one of the best ways to remove germs, avoid getting sick, and prevent the spread of germs to others. It's quick, it's simple, and it can keep us all from getting sick. Handwashing is a win for everyone, except the germs. Administrative Action – Probationary I monitored for compliance with the CAP as follows: Stipulation #1 The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation Unannounced visits were conducted on: May 30, 2025 - No violations were cited July 10, 2025 - No violations were cited August 25, 2025 - No violations were cited September 3, 2025 – ten (10) violations were cited regarding nutrition, general safety, equipment, administration of medications, emergency medical care plan, staff records, in-service training, and program records. October 13, 2025 – two (2) violations were cited regarding staff records and general safety. November 24, 2025 - No violations were cited. December 16, 2025 – two (2) violations were cited regarding handwashing and medications. Stipulation #2 On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first two trainings sessions were scheduled on August 1, 2025, and October 17, 2025. The training was conducted on August 1, 2025. All staff were present except two individuals. On August 25, 2025, Mr. Grossman contacted Ms. Garner to schedule a make-up session. The first training was conducted on August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. The second training was scheduled for October 17, 2025; however, the facility emailed Ms. Garner that all staff were unable to attend on that date. A new training date was scheduled for October 24, 2025, which was completed on that date. This stipulation is still in process of completion. Stipulation #3 On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. This item is in compliance and has been completed as required. Stipulation #4 Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled for January 9, 2026. The training “Supervision with Children” was rescheduled and completed on October 24, 2025. The training “Communication & Professionalism” has been rescheduled for January 27, 2026. This item is in compliance. Stipulation #5 The facility’s revised supervision policies and procedures were due by November 7, 2025. Today you stated the revised policy was submitted to Ms. Davis on December 5, 2025. This stipulation is pending. Stipulation #6 Effective communication and professionalism policies and procedures must be developed and submitted within two weeks of the required training being completed. This stipulation is pending completion. Stipulation #7 Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. The policy has not been sent to the facility for revisions pending a decision from DCDEE regarding owner input. This stipulation is pending. Stipulation #8 On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. The policy has not been sent to the facility for revisions pending a decision from DCDEE regarding owner input. This stipulation is pending. Stipulation #9 Within two weeks of the requirements of the above stipulations being met, a staff meeting must be conducted. This stipulation is pending. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. QRIS: Choosing a Pathway to the Stars - The new rules related to the star rated license system (QRIS) have been approved. The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition has begun and the following informational opportunities are available to you: •You can review the rule roll out module in the DCDEE e-learning Moodle platform and •If you were unable to attend the recent webinars regarding Choosing a Pathway to the Stars, the sessions were recorded and will be posted on the QRIS Modernization page. •In September, child care consultants hosted in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. If you were unable to attend, reach out to me so we can review the information. •Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within 12 months based on the pathway chosen. We understand this is a big change and are committed to ensuring all providers have a good understanding of the new opportunities to make informed decisions on which pathway best suits the needs of the facility. We look forward to seeing you at these upcoming informational settings and working with you on your pathway to the stars! Other Information: Both administrators reported completing Administration 1 & 2 from Stanley Community College and are awaiting their official transcripts to submit to WORKS. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09 .1801 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 12/16/2025 Number Present: 39 Completed Date: 12/16/2025 Age: From 0 To 5 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Probationary License issued by the DCDEE to this facility on May 16, 2025. This facility currently operates with a Probationary license issued May 16, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. Prior to the visit, the facility had an eighteen-month compliance history score of 86%. Don Grossman, Interim Director, and Patrice Williams, Assistance Director, were present and available for consultation today. Sixty-five (65) children are enrolled and thirty-nine (39) children ages infant through 6 years of age were present in spaces 4-8 and 10-11. Children were observed participating in free play indoors or engaging in personal care routines such as toileting and morning snack. Lunch for today consisted of whole grain pasta, meat sauce, apples, pears, and milk. Adequate supervision and staff/child ratios were monitored and found in compliance. Children were being cared for in a nurturing and caring manner. One new staff member has been hired since the last monitoring visit and his file was reviewed today. The following violations were observed. Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Upon arrival, a child one year of age, in space 4 (yellow) did not have his hands washed before sitting down for morning snack. 15A NCAC 18A .2803(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two (2) diaper creams in space 8 (jungle) were not discarded or returned to the parents after the course of the treatment. .0803(12) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 30, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: When no longer needed by the child, or when the child withdraws from the program, all medications should be returned to the child’s parent/guardian or disposed of after an attempt to reach parent/guardian within 72 hours of completion of treatment. Today you stated that staff are required to check all medication boxes on Fridays; however, two diaper creams in jungle were not returned or discarded within 72 hours after the course of the treatment ended. You stated that the lead teacher will have a verbal warning. Today I suggested administration checking behind the staff every two weeks. According to Center for Disease Control and Prevention, Clean hands save lives. Handwashing is like a "do-it-yourself" vaccine—it involves five simple and effective steps (Wet, Lather, Scrub, Rinse, Dry) you can take to reduce the spread of diarrheal and respiratory illness so you can stay healthy. Regular handwashing, particularly before and after certain activities, is one of the best ways to remove germs, avoid getting sick, and prevent the spread of germs to others. It's quick, it's simple, and it can keep us all from getting sick. Handwashing is a win for everyone, except the germs. Administrative Action – Probationary I monitored for compliance with the CAP as follows: Stipulation #1 The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation Unannounced visits were conducted on: May 30, 2025 - No violations were cited July 10, 2025 - No violations were cited August 25, 2025 - No violations were cited September 3, 2025 – ten (10) violations were cited regarding nutrition, general safety, equipment, administration of medications, emergency medical care plan, staff records, in-service training, and program records. October 13, 2025 – two (2) violations were cited regarding staff records and general safety. November 24, 2025 - No violations were cited. December 16, 2025 – two (2) violations were cited regarding handwashing and medications. Stipulation #2 On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first two trainings sessions were scheduled on August 1, 2025, and October 17, 2025. The training was conducted on August 1, 2025. All staff were present except two individuals. On August 25, 2025, Mr. Grossman contacted Ms. Garner to schedule a make-up session. The first training was conducted on August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. The second training was scheduled for October 17, 2025; however, the facility emailed Ms. Garner that all staff were unable to attend on that date. A new training date was scheduled for October 24, 2025, which was completed on that date. This stipulation is still in process of completion. Stipulation #3 On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. This item is in compliance and has been completed as required. Stipulation #4 Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled for January 9, 2026. The training “Supervision with Children” was rescheduled and completed on October 24, 2025. The training “Communication & Professionalism” has been rescheduled for January 27, 2026. This item is in compliance. Stipulation #5 The facility’s revised supervision policies and procedures were due by November 7, 2025. Today you stated the revised policy was submitted to Ms. Davis on December 5, 2025. This stipulation is pending. Stipulation #6 Effective communication and professionalism policies and procedures must be developed and submitted within two weeks of the required training being completed. This stipulation is pending completion. Stipulation #7 Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. The policy has not been sent to the facility for revisions pending a decision from DCDEE regarding owner input. This stipulation is pending. Stipulation #8 On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. The policy has not been sent to the facility for revisions pending a decision from DCDEE regarding owner input. This stipulation is pending. Stipulation #9 Within two weeks of the requirements of the above stipulations being met, a staff meeting must be conducted. This stipulation is pending. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. QRIS: Choosing a Pathway to the Stars - The new rules related to the star rated license system (QRIS) have been approved. The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition has begun and the following informational opportunities are available to you: •You can review the rule roll out module in the DCDEE e-learning Moodle platform and •If you were unable to attend the recent webinars regarding Choosing a Pathway to the Stars, the sessions were recorded and will be posted on the QRIS Modernization page. •In September, child care consultants hosted in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. If you were unable to attend, reach out to me so we can review the information. •Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within 12 months based on the pathway chosen. We understand this is a big change and are committed to ensuring all providers have a good understanding of the new opportunities to make informed decisions on which pathway best suits the needs of the facility. We look forward to seeing you at these upcoming informational settings and working with you on your pathway to the stars! Other Information: Both administrators reported completing Administration 1 & 2 from Stanley Community College and are awaiting their official transcripts to submit to WORKS. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09 .1803 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 12/16/2025 Number Present: 39 Completed Date: 12/16/2025 Age: From 0 To 5 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Probationary License issued by the DCDEE to this facility on May 16, 2025. This facility currently operates with a Probationary license issued May 16, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. Prior to the visit, the facility had an eighteen-month compliance history score of 86%. Don Grossman, Interim Director, and Patrice Williams, Assistance Director, were present and available for consultation today. Sixty-five (65) children are enrolled and thirty-nine (39) children ages infant through 6 years of age were present in spaces 4-8 and 10-11. Children were observed participating in free play indoors or engaging in personal care routines such as toileting and morning snack. Lunch for today consisted of whole grain pasta, meat sauce, apples, pears, and milk. Adequate supervision and staff/child ratios were monitored and found in compliance. Children were being cared for in a nurturing and caring manner. One new staff member has been hired since the last monitoring visit and his file was reviewed today. The following violations were observed. Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Upon arrival, a child one year of age, in space 4 (yellow) did not have his hands washed before sitting down for morning snack. 15A NCAC 18A .2803(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two (2) diaper creams in space 8 (jungle) were not discarded or returned to the parents after the course of the treatment. .0803(12) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 30, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: When no longer needed by the child, or when the child withdraws from the program, all medications should be returned to the child’s parent/guardian or disposed of after an attempt to reach parent/guardian within 72 hours of completion of treatment. Today you stated that staff are required to check all medication boxes on Fridays; however, two diaper creams in jungle were not returned or discarded within 72 hours after the course of the treatment ended. You stated that the lead teacher will have a verbal warning. Today I suggested administration checking behind the staff every two weeks. According to Center for Disease Control and Prevention, Clean hands save lives. Handwashing is like a "do-it-yourself" vaccine—it involves five simple and effective steps (Wet, Lather, Scrub, Rinse, Dry) you can take to reduce the spread of diarrheal and respiratory illness so you can stay healthy. Regular handwashing, particularly before and after certain activities, is one of the best ways to remove germs, avoid getting sick, and prevent the spread of germs to others. It's quick, it's simple, and it can keep us all from getting sick. Handwashing is a win for everyone, except the germs. Administrative Action – Probationary I monitored for compliance with the CAP as follows: Stipulation #1 The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation Unannounced visits were conducted on: May 30, 2025 - No violations were cited July 10, 2025 - No violations were cited August 25, 2025 - No violations were cited September 3, 2025 – ten (10) violations were cited regarding nutrition, general safety, equipment, administration of medications, emergency medical care plan, staff records, in-service training, and program records. October 13, 2025 – two (2) violations were cited regarding staff records and general safety. November 24, 2025 - No violations were cited. December 16, 2025 – two (2) violations were cited regarding handwashing and medications. Stipulation #2 On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first two trainings sessions were scheduled on August 1, 2025, and October 17, 2025. The training was conducted on August 1, 2025. All staff were present except two individuals. On August 25, 2025, Mr. Grossman contacted Ms. Garner to schedule a make-up session. The first training was conducted on August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. The second training was scheduled for October 17, 2025; however, the facility emailed Ms. Garner that all staff were unable to attend on that date. A new training date was scheduled for October 24, 2025, which was completed on that date. This stipulation is still in process of completion. Stipulation #3 On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. This item is in compliance and has been completed as required. Stipulation #4 Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled for January 9, 2026. The training “Supervision with Children” was rescheduled and completed on October 24, 2025. The training “Communication & Professionalism” has been rescheduled for January 27, 2026. This item is in compliance. Stipulation #5 The facility’s revised supervision policies and procedures were due by November 7, 2025. Today you stated the revised policy was submitted to Ms. Davis on December 5, 2025. This stipulation is pending. Stipulation #6 Effective communication and professionalism policies and procedures must be developed and submitted within two weeks of the required training being completed. This stipulation is pending completion. Stipulation #7 Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. The policy has not been sent to the facility for revisions pending a decision from DCDEE regarding owner input. This stipulation is pending. Stipulation #8 On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. The policy has not been sent to the facility for revisions pending a decision from DCDEE regarding owner input. This stipulation is pending. Stipulation #9 Within two weeks of the requirements of the above stipulations being met, a staff meeting must be conducted. This stipulation is pending. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. QRIS: Choosing a Pathway to the Stars - The new rules related to the star rated license system (QRIS) have been approved. The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition has begun and the following informational opportunities are available to you: •You can review the rule roll out module in the DCDEE e-learning Moodle platform and •If you were unable to attend the recent webinars regarding Choosing a Pathway to the Stars, the sessions were recorded and will be posted on the QRIS Modernization page. •In September, child care consultants hosted in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. If you were unable to attend, reach out to me so we can review the information. •Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within 12 months based on the pathway chosen. We understand this is a big change and are committed to ensuring all providers have a good understanding of the new opportunities to make informed decisions on which pathway best suits the needs of the facility. We look forward to seeing you at these upcoming informational settings and working with you on your pathway to the stars! Other Information: Both administrators reported completing Administration 1 & 2 from Stanley Community College and are awaiting their official transcripts to submit to WORKS. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09 .2318 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 12/16/2025 Number Present: 39 Completed Date: 12/16/2025 Age: From 0 To 5 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Probationary License issued by the DCDEE to this facility on May 16, 2025. This facility currently operates with a Probationary license issued May 16, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. Prior to the visit, the facility had an eighteen-month compliance history score of 86%. Don Grossman, Interim Director, and Patrice Williams, Assistance Director, were present and available for consultation today. Sixty-five (65) children are enrolled and thirty-nine (39) children ages infant through 6 years of age were present in spaces 4-8 and 10-11. Children were observed participating in free play indoors or engaging in personal care routines such as toileting and morning snack. Lunch for today consisted of whole grain pasta, meat sauce, apples, pears, and milk. Adequate supervision and staff/child ratios were monitored and found in compliance. Children were being cared for in a nurturing and caring manner. One new staff member has been hired since the last monitoring visit and his file was reviewed today. The following violations were observed. Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Upon arrival, a child one year of age, in space 4 (yellow) did not have his hands washed before sitting down for morning snack. 15A NCAC 18A .2803(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two (2) diaper creams in space 8 (jungle) were not discarded or returned to the parents after the course of the treatment. .0803(12) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 30, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: When no longer needed by the child, or when the child withdraws from the program, all medications should be returned to the child’s parent/guardian or disposed of after an attempt to reach parent/guardian within 72 hours of completion of treatment. Today you stated that staff are required to check all medication boxes on Fridays; however, two diaper creams in jungle were not returned or discarded within 72 hours after the course of the treatment ended. You stated that the lead teacher will have a verbal warning. Today I suggested administration checking behind the staff every two weeks. According to Center for Disease Control and Prevention, Clean hands save lives. Handwashing is like a "do-it-yourself" vaccine—it involves five simple and effective steps (Wet, Lather, Scrub, Rinse, Dry) you can take to reduce the spread of diarrheal and respiratory illness so you can stay healthy. Regular handwashing, particularly before and after certain activities, is one of the best ways to remove germs, avoid getting sick, and prevent the spread of germs to others. It's quick, it's simple, and it can keep us all from getting sick. Handwashing is a win for everyone, except the germs. Administrative Action – Probationary I monitored for compliance with the CAP as follows: Stipulation #1 The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation Unannounced visits were conducted on: May 30, 2025 - No violations were cited July 10, 2025 - No violations were cited August 25, 2025 - No violations were cited September 3, 2025 – ten (10) violations were cited regarding nutrition, general safety, equipment, administration of medications, emergency medical care plan, staff records, in-service training, and program records. October 13, 2025 – two (2) violations were cited regarding staff records and general safety. November 24, 2025 - No violations were cited. December 16, 2025 – two (2) violations were cited regarding handwashing and medications. Stipulation #2 On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first two trainings sessions were scheduled on August 1, 2025, and October 17, 2025. The training was conducted on August 1, 2025. All staff were present except two individuals. On August 25, 2025, Mr. Grossman contacted Ms. Garner to schedule a make-up session. The first training was conducted on August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. The second training was scheduled for October 17, 2025; however, the facility emailed Ms. Garner that all staff were unable to attend on that date. A new training date was scheduled for October 24, 2025, which was completed on that date. This stipulation is still in process of completion. Stipulation #3 On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. This item is in compliance and has been completed as required. Stipulation #4 Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled for January 9, 2026. The training “Supervision with Children” was rescheduled and completed on October 24, 2025. The training “Communication & Professionalism” has been rescheduled for January 27, 2026. This item is in compliance. Stipulation #5 The facility’s revised supervision policies and procedures were due by November 7, 2025. Today you stated the revised policy was submitted to Ms. Davis on December 5, 2025. This stipulation is pending. Stipulation #6 Effective communication and professionalism policies and procedures must be developed and submitted within two weeks of the required training being completed. This stipulation is pending completion. Stipulation #7 Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. The policy has not been sent to the facility for revisions pending a decision from DCDEE regarding owner input. This stipulation is pending. Stipulation #8 On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. The policy has not been sent to the facility for revisions pending a decision from DCDEE regarding owner input. This stipulation is pending. Stipulation #9 Within two weeks of the requirements of the above stipulations being met, a staff meeting must be conducted. This stipulation is pending. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. QRIS: Choosing a Pathway to the Stars - The new rules related to the star rated license system (QRIS) have been approved. The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition has begun and the following informational opportunities are available to you: •You can review the rule roll out module in the DCDEE e-learning Moodle platform and •If you were unable to attend the recent webinars regarding Choosing a Pathway to the Stars, the sessions were recorded and will be posted on the QRIS Modernization page. •In September, child care consultants hosted in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. If you were unable to attend, reach out to me so we can review the information. •Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within 12 months based on the pathway chosen. We understand this is a big change and are committed to ensuring all providers have a good understanding of the new opportunities to make informed decisions on which pathway best suits the needs of the facility. We look forward to seeing you at these upcoming informational settings and working with you on your pathway to the stars! Other Information: Both administrators reported completing Administration 1 & 2 from Stanley Community College and are awaiting their official transcripts to submit to WORKS. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09 .2703 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 12/16/2025 Number Present: 39 Completed Date: 12/16/2025 Age: From 0 To 5 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Probationary License issued by the DCDEE to this facility on May 16, 2025. This facility currently operates with a Probationary license issued May 16, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. Prior to the visit, the facility had an eighteen-month compliance history score of 86%. Don Grossman, Interim Director, and Patrice Williams, Assistance Director, were present and available for consultation today. Sixty-five (65) children are enrolled and thirty-nine (39) children ages infant through 6 years of age were present in spaces 4-8 and 10-11. Children were observed participating in free play indoors or engaging in personal care routines such as toileting and morning snack. Lunch for today consisted of whole grain pasta, meat sauce, apples, pears, and milk. Adequate supervision and staff/child ratios were monitored and found in compliance. Children were being cared for in a nurturing and caring manner. One new staff member has been hired since the last monitoring visit and his file was reviewed today. The following violations were observed. Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Upon arrival, a child one year of age, in space 4 (yellow) did not have his hands washed before sitting down for morning snack. 15A NCAC 18A .2803(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two (2) diaper creams in space 8 (jungle) were not discarded or returned to the parents after the course of the treatment. .0803(12) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 30, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: When no longer needed by the child, or when the child withdraws from the program, all medications should be returned to the child’s parent/guardian or disposed of after an attempt to reach parent/guardian within 72 hours of completion of treatment. Today you stated that staff are required to check all medication boxes on Fridays; however, two diaper creams in jungle were not returned or discarded within 72 hours after the course of the treatment ended. You stated that the lead teacher will have a verbal warning. Today I suggested administration checking behind the staff every two weeks. According to Center for Disease Control and Prevention, Clean hands save lives. Handwashing is like a "do-it-yourself" vaccine—it involves five simple and effective steps (Wet, Lather, Scrub, Rinse, Dry) you can take to reduce the spread of diarrheal and respiratory illness so you can stay healthy. Regular handwashing, particularly before and after certain activities, is one of the best ways to remove germs, avoid getting sick, and prevent the spread of germs to others. It's quick, it's simple, and it can keep us all from getting sick. Handwashing is a win for everyone, except the germs. Administrative Action – Probationary I monitored for compliance with the CAP as follows: Stipulation #1 The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation Unannounced visits were conducted on: May 30, 2025 - No violations were cited July 10, 2025 - No violations were cited August 25, 2025 - No violations were cited September 3, 2025 – ten (10) violations were cited regarding nutrition, general safety, equipment, administration of medications, emergency medical care plan, staff records, in-service training, and program records. October 13, 2025 – two (2) violations were cited regarding staff records and general safety. November 24, 2025 - No violations were cited. December 16, 2025 – two (2) violations were cited regarding handwashing and medications. Stipulation #2 On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first two trainings sessions were scheduled on August 1, 2025, and October 17, 2025. The training was conducted on August 1, 2025. All staff were present except two individuals. On August 25, 2025, Mr. Grossman contacted Ms. Garner to schedule a make-up session. The first training was conducted on August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. The second training was scheduled for October 17, 2025; however, the facility emailed Ms. Garner that all staff were unable to attend on that date. A new training date was scheduled for October 24, 2025, which was completed on that date. This stipulation is still in process of completion. Stipulation #3 On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. This item is in compliance and has been completed as required. Stipulation #4 Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled for January 9, 2026. The training “Supervision with Children” was rescheduled and completed on October 24, 2025. The training “Communication & Professionalism” has been rescheduled for January 27, 2026. This item is in compliance. Stipulation #5 The facility’s revised supervision policies and procedures were due by November 7, 2025. Today you stated the revised policy was submitted to Ms. Davis on December 5, 2025. This stipulation is pending. Stipulation #6 Effective communication and professionalism policies and procedures must be developed and submitted within two weeks of the required training being completed. This stipulation is pending completion. Stipulation #7 Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. The policy has not been sent to the facility for revisions pending a decision from DCDEE regarding owner input. This stipulation is pending. Stipulation #8 On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. The policy has not been sent to the facility for revisions pending a decision from DCDEE regarding owner input. This stipulation is pending. Stipulation #9 Within two weeks of the requirements of the above stipulations being met, a staff meeting must be conducted. This stipulation is pending. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. QRIS: Choosing a Pathway to the Stars - The new rules related to the star rated license system (QRIS) have been approved. The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition has begun and the following informational opportunities are available to you: •You can review the rule roll out module in the DCDEE e-learning Moodle platform and •If you were unable to attend the recent webinars regarding Choosing a Pathway to the Stars, the sessions were recorded and will be posted on the QRIS Modernization page. •In September, child care consultants hosted in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. If you were unable to attend, reach out to me so we can review the information. •Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within 12 months based on the pathway chosen. We understand this is a big change and are committed to ensuring all providers have a good understanding of the new opportunities to make informed decisions on which pathway best suits the needs of the facility. We look forward to seeing you at these upcoming informational settings and working with you on your pathway to the stars! Other Information: Both administrators reported completing Administration 1 & 2 from Stanley Community College and are awaiting their official transcripts to submit to WORKS. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09. 0701 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 12/16/2025 Number Present: 39 Completed Date: 12/16/2025 Age: From 0 To 5 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Probationary License issued by the DCDEE to this facility on May 16, 2025. This facility currently operates with a Probationary license issued May 16, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. Prior to the visit, the facility had an eighteen-month compliance history score of 86%. Don Grossman, Interim Director, and Patrice Williams, Assistance Director, were present and available for consultation today. Sixty-five (65) children are enrolled and thirty-nine (39) children ages infant through 6 years of age were present in spaces 4-8 and 10-11. Children were observed participating in free play indoors or engaging in personal care routines such as toileting and morning snack. Lunch for today consisted of whole grain pasta, meat sauce, apples, pears, and milk. Adequate supervision and staff/child ratios were monitored and found in compliance. Children were being cared for in a nurturing and caring manner. One new staff member has been hired since the last monitoring visit and his file was reviewed today. The following violations were observed. Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Upon arrival, a child one year of age, in space 4 (yellow) did not have his hands washed before sitting down for morning snack. 15A NCAC 18A .2803(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two (2) diaper creams in space 8 (jungle) were not discarded or returned to the parents after the course of the treatment. .0803(12) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 30, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: When no longer needed by the child, or when the child withdraws from the program, all medications should be returned to the child’s parent/guardian or disposed of after an attempt to reach parent/guardian within 72 hours of completion of treatment. Today you stated that staff are required to check all medication boxes on Fridays; however, two diaper creams in jungle were not returned or discarded within 72 hours after the course of the treatment ended. You stated that the lead teacher will have a verbal warning. Today I suggested administration checking behind the staff every two weeks. According to Center for Disease Control and Prevention, Clean hands save lives. Handwashing is like a "do-it-yourself" vaccine—it involves five simple and effective steps (Wet, Lather, Scrub, Rinse, Dry) you can take to reduce the spread of diarrheal and respiratory illness so you can stay healthy. Regular handwashing, particularly before and after certain activities, is one of the best ways to remove germs, avoid getting sick, and prevent the spread of germs to others. It's quick, it's simple, and it can keep us all from getting sick. Handwashing is a win for everyone, except the germs. Administrative Action – Probationary I monitored for compliance with the CAP as follows: Stipulation #1 The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation Unannounced visits were conducted on: May 30, 2025 - No violations were cited July 10, 2025 - No violations were cited August 25, 2025 - No violations were cited September 3, 2025 – ten (10) violations were cited regarding nutrition, general safety, equipment, administration of medications, emergency medical care plan, staff records, in-service training, and program records. October 13, 2025 – two (2) violations were cited regarding staff records and general safety. November 24, 2025 - No violations were cited. December 16, 2025 – two (2) violations were cited regarding handwashing and medications. Stipulation #2 On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first two trainings sessions were scheduled on August 1, 2025, and October 17, 2025. The training was conducted on August 1, 2025. All staff were present except two individuals. On August 25, 2025, Mr. Grossman contacted Ms. Garner to schedule a make-up session. The first training was conducted on August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. The second training was scheduled for October 17, 2025; however, the facility emailed Ms. Garner that all staff were unable to attend on that date. A new training date was scheduled for October 24, 2025, which was completed on that date. This stipulation is still in process of completion. Stipulation #3 On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. This item is in compliance and has been completed as required. Stipulation #4 Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled for January 9, 2026. The training “Supervision with Children” was rescheduled and completed on October 24, 2025. The training “Communication & Professionalism” has been rescheduled for January 27, 2026. This item is in compliance. Stipulation #5 The facility’s revised supervision policies and procedures were due by November 7, 2025. Today you stated the revised policy was submitted to Ms. Davis on December 5, 2025. This stipulation is pending. Stipulation #6 Effective communication and professionalism policies and procedures must be developed and submitted within two weeks of the required training being completed. This stipulation is pending completion. Stipulation #7 Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. The policy has not been sent to the facility for revisions pending a decision from DCDEE regarding owner input. This stipulation is pending. Stipulation #8 On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. The policy has not been sent to the facility for revisions pending a decision from DCDEE regarding owner input. This stipulation is pending. Stipulation #9 Within two weeks of the requirements of the above stipulations being met, a staff meeting must be conducted. This stipulation is pending. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. QRIS: Choosing a Pathway to the Stars - The new rules related to the star rated license system (QRIS) have been approved. The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition has begun and the following informational opportunities are available to you: •You can review the rule roll out module in the DCDEE e-learning Moodle platform and •If you were unable to attend the recent webinars regarding Choosing a Pathway to the Stars, the sessions were recorded and will be posted on the QRIS Modernization page. •In September, child care consultants hosted in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. If you were unable to attend, reach out to me so we can review the information. •Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within 12 months based on the pathway chosen. We understand this is a big change and are committed to ensuring all providers have a good understanding of the new opportunities to make informed decisions on which pathway best suits the needs of the facility. We look forward to seeing you at these upcoming informational settings and working with you on your pathway to the stars! Other Information: Both administrators reported completing Administration 1 & 2 from Stanley Community College and are awaiting their official transcripts to submit to WORKS. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    NC GS 110-90 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 12/16/2025 Number Present: 39 Completed Date: 12/16/2025 Age: From 0 To 5 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Probationary License issued by the DCDEE to this facility on May 16, 2025. This facility currently operates with a Probationary license issued May 16, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. Prior to the visit, the facility had an eighteen-month compliance history score of 86%. Don Grossman, Interim Director, and Patrice Williams, Assistance Director, were present and available for consultation today. Sixty-five (65) children are enrolled and thirty-nine (39) children ages infant through 6 years of age were present in spaces 4-8 and 10-11. Children were observed participating in free play indoors or engaging in personal care routines such as toileting and morning snack. Lunch for today consisted of whole grain pasta, meat sauce, apples, pears, and milk. Adequate supervision and staff/child ratios were monitored and found in compliance. Children were being cared for in a nurturing and caring manner. One new staff member has been hired since the last monitoring visit and his file was reviewed today. The following violations were observed. Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Upon arrival, a child one year of age, in space 4 (yellow) did not have his hands washed before sitting down for morning snack. 15A NCAC 18A .2803(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two (2) diaper creams in space 8 (jungle) were not discarded or returned to the parents after the course of the treatment. .0803(12) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 30, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: When no longer needed by the child, or when the child withdraws from the program, all medications should be returned to the child’s parent/guardian or disposed of after an attempt to reach parent/guardian within 72 hours of completion of treatment. Today you stated that staff are required to check all medication boxes on Fridays; however, two diaper creams in jungle were not returned or discarded within 72 hours after the course of the treatment ended. You stated that the lead teacher will have a verbal warning. Today I suggested administration checking behind the staff every two weeks. According to Center for Disease Control and Prevention, Clean hands save lives. Handwashing is like a "do-it-yourself" vaccine—it involves five simple and effective steps (Wet, Lather, Scrub, Rinse, Dry) you can take to reduce the spread of diarrheal and respiratory illness so you can stay healthy. Regular handwashing, particularly before and after certain activities, is one of the best ways to remove germs, avoid getting sick, and prevent the spread of germs to others. It's quick, it's simple, and it can keep us all from getting sick. Handwashing is a win for everyone, except the germs. Administrative Action – Probationary I monitored for compliance with the CAP as follows: Stipulation #1 The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation Unannounced visits were conducted on: May 30, 2025 - No violations were cited July 10, 2025 - No violations were cited August 25, 2025 - No violations were cited September 3, 2025 – ten (10) violations were cited regarding nutrition, general safety, equipment, administration of medications, emergency medical care plan, staff records, in-service training, and program records. October 13, 2025 – two (2) violations were cited regarding staff records and general safety. November 24, 2025 - No violations were cited. December 16, 2025 – two (2) violations were cited regarding handwashing and medications. Stipulation #2 On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first two trainings sessions were scheduled on August 1, 2025, and October 17, 2025. The training was conducted on August 1, 2025. All staff were present except two individuals. On August 25, 2025, Mr. Grossman contacted Ms. Garner to schedule a make-up session. The first training was conducted on August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. The second training was scheduled for October 17, 2025; however, the facility emailed Ms. Garner that all staff were unable to attend on that date. A new training date was scheduled for October 24, 2025, which was completed on that date. This stipulation is still in process of completion. Stipulation #3 On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. This item is in compliance and has been completed as required. Stipulation #4 Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled for January 9, 2026. The training “Supervision with Children” was rescheduled and completed on October 24, 2025. The training “Communication & Professionalism” has been rescheduled for January 27, 2026. This item is in compliance. Stipulation #5 The facility’s revised supervision policies and procedures were due by November 7, 2025. Today you stated the revised policy was submitted to Ms. Davis on December 5, 2025. This stipulation is pending. Stipulation #6 Effective communication and professionalism policies and procedures must be developed and submitted within two weeks of the required training being completed. This stipulation is pending completion. Stipulation #7 Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. The policy has not been sent to the facility for revisions pending a decision from DCDEE regarding owner input. This stipulation is pending. Stipulation #8 On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. The policy has not been sent to the facility for revisions pending a decision from DCDEE regarding owner input. This stipulation is pending. Stipulation #9 Within two weeks of the requirements of the above stipulations being met, a staff meeting must be conducted. This stipulation is pending. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. QRIS: Choosing a Pathway to the Stars - The new rules related to the star rated license system (QRIS) have been approved. The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition has begun and the following informational opportunities are available to you: •You can review the rule roll out module in the DCDEE e-learning Moodle platform and •If you were unable to attend the recent webinars regarding Choosing a Pathway to the Stars, the sessions were recorded and will be posted on the QRIS Modernization page. •In September, child care consultants hosted in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. If you were unable to attend, reach out to me so we can review the information. •Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within 12 months based on the pathway chosen. We understand this is a big change and are committed to ensuring all providers have a good understanding of the new opportunities to make informed decisions on which pathway best suits the needs of the facility. We look forward to seeing you at these upcoming informational settings and working with you on your pathway to the stars! Other Information: Both administrators reported completing Administration 1 & 2 from Stanley Community College and are awaiting their official transcripts to submit to WORKS. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

Nov 24, 2025 — Unannounced
No violations cited
Clean
Oct 13, 2025 — Admin Action Follow-Up Lic
18 violations cited
18 violations
  • Violation

    10A NCAC 09 .0302 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 10/13/2025 Number Present: 44 Completed Date: 10/13/2025 Age: From 0 To 6 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Probationary License issued by the DCDEE to this facility on May 16, 2025. This facility currently operates with a Probationary license issued May 16, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. Prior to the visit, the facility had an eighteen-month compliance history score of 86%. Don Grossman, Interim Director, and Patrice Williams, Assistance Director, were present and available for consultation today. Seventy-seven (77) children are enrolled and forty-four (44) children ages infant through 6 years of age were present in spaces 4-8 and 10-11. Children were observed participating in free play indoors or engaging in personal care routines such as diaper/toileting. Lunch for today was whole grain chicken nuggets, melon, carrots, and milk. Adequate supervision and staff/child ratios were monitored and found in compliance. Children were being cared for in a nurturing and caring manner. The following violations were observed. Violation Number Comment Rule 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags were stored on low shelves and drawers in space 8 (jungle) where children 2 years of age were present. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two (2) new staff members did not have a medical report on file. 10A NCAC 09 .0701(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 27, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: The main danger of plastic bags for young children is suffocation due to their thin film clinging to a child's face, which can restrict airflow. A secondary danger is the presence of harmful chemicals, such as phthalates and PFAS, in certain plastics that can disrupt a child's developing systems. Therefore, it's crucial to keep all plastic bags away from children and properly dispose of them. I reinforced the importance of administration checking all classrooms for the proper storage of items, including plastic bags. Medical reports are important for childcare staff because they ensure a safe and healthy environment for both children and themselves by informing health practices, risk management, and emergency preparedness. Today we discussed that medical reports are required by all staff before their first day of work. Always reference the staff file checklist for time sensitive deadlines on staff file paperwork. Administrative Action – Probationary License Follow-Up: The Administrative Action-Probationary License was issued on May 16, 2025. This Action was issued due to violations of childcare requirements regarding criminal record background checks, falsification, reporting of maltreatment, nurture/care/treatment of children, discipline, adequate/approved space, staff/child ratios, supervision, schedules/activity plans, children’s records, safe environment, safe sleep, safety, outdoor premises, health standards, medication, record retention, staff applications, health and safety trainings, orientation, nutrition, transportation, and sanitation. A Corrective Action Plan (CAP) is required and includes nine (9) stipulations. Today it was observed that the Administrative Action, Cover Letter and CAP were posted. As we discussed today, these items must remain posted until your closure letter is received. Administrative Action Follow-Up: I monitored for compliance with the CAP as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation ***An unannounced visit was conducted on May 30, 2025. Violations were not cited. An unannounced visit was conducted on July 10, 2025. Violations were not cited. An unannounced visit was conducted on August 25, 2025. Violations were not cited. An unannounced visit was conducted on September 3, 2025, and ten (10) violations were cited regarding nutrition, general safety, equipment, administration of medications, emergency medical care plan, staff records, in-service training, and program records. This stipulation is ongoing through the course of the probationary license. 2. Within one (1) week after this Notice is received, Kari Ray, administrator, shall contact Jennifer Garner, Lead Child Care Consultant, telephone number 910-824-1447, email jennifer.j.garner@dhhs.nc.gov, to arrange for a complete review of all child care requirements broken into four (4) training sessions, six (6) point items, five (5) point items, three (3) and four (4) point items, and one (1) and two (2) point items. These rule reviews must be completed before the end of the probationary period. Ms. Ray and all staff members, including full-time, part-time, substitute, and volunteer staff, shall participate in the mandatory trainings. No children shall be in care during the trainings. Documentation of the trainings shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. The documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. *** On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first training on the six (6) point items occurred on August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. The second training on the five (5) point items was scheduled for October 10, 2025; however, the facility emailed Ms. Garner that all staff were unable to attend on that date. A new training date has been scheduled for October 24, 2025. 3. Within one (1) week after this Notice is received, Ms. Ray shall contact April Lester, Child Care Consultant, PO Box 12948 Wilmington, NC 28405, telephone number 910-824-0954, email april.lester@dhhs.nc.gov, to arrange for a review of child care requirements regarding falsification. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall participate in this mandatory training. During the training, Ms. Lester shall review and discuss a Statement of Understanding acknowledging that all staff have read, understand, and will comply with child care requirements regarding falsification. At the conclusion of the training, staff members shall sign the statements. The original signed statements shall be maintained in each staff member’s personnel file at the child care facility for review by representatives of the Division of Child Development and Early Education upon request. ***On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. This stipulation is complete. 4. Within two (2) weeks after this Notice is received, Ms. Ray shall contact Mindy Davis, M.Ed., Early Care & Education Director, Smart Start of New Hanover County, email address mindy.davis@newhanoverkids.org, telephone number 910-815-3731 ext. 1010, to arrange for training that addresses strategies for the supervision of children, including typical behaviors for the ages and developmental stages of children in care and appropriate supervision strategies for the developmental stages of a child’s growth. In addition, Ms. Ray shall contact Ms. Davis during the same timeframe to arrange for training that will address effective communication and professionalism. No children shall be in care during these trainings. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, with responsibility for caring for children shall participate in the mandatory trainings. Documentation of the trainings shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled on January 9, 2026. This stipulation is in compliance. 5. Within two (2) weeks after the required training regarding supervision is completed, Ms. Ray shall revise the facility’s supervision policies and procedures to incorporate strategies learned in the training. The revised policies and procedures should describe, in detail, the steps the facility will take to ensure adequate supervision of children at all times. The policies and procedures shall include, but not be limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one (1) area to another • When children are transitioned from one (1) caregiver to another • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members implementation of the supervision policies and procedures • Procedures for periodic review of the supervision policies and procedures with all staff members, including the review of the policies and procedures in orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members non-compliance with policies and procedures The revised policies and procedures shall be submitted to Allison Davis, Investigations Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 910-800-0079, email Allison.Davis@dhhs.nc.gov, for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation; the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***This stipulation is still pending completion. 6. Within two (2) weeks after the required training regarding effective communication and professionalism is completed, Ms. Ray shall develop effective communication and professionalism policies and procedures to incorporate strategies learned in the training. The policies and procedures shall describe, in detail, the steps the facility will take to ensure staff’s understanding of effective communication and professionalism. The policies and procedures shall include, but not be limited to, the following: • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with children, other staff members, parents, and other persons who may be present at the facility • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with others while providing care for children off-premises • Unacceptable practices of communication • Strategies for de-escalating potential conflicts and conflict resolution • Steps that will be taken when a verbal or physical altercation occurs at the facility, including contacting law enforcement immediately, protecting the children who are present, and supervising the children that are present if an altercation occurs The policies and procedures shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***This stipulation is still pending completion. 7. Within four (4) weeks after this Notice is received, Ms. Ray shall develop a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use. The policy shall include, but not be limited to: • A plan for testing staff members when there are suspicions, concerns, or reports of substance use, including a timeframe for the staff member to submit to a drug test when requested • A requirement that staff members are not allowed to engage in the illegal use of substances or engage in illegal activities at any time, including while off premises and outside of facility work hours • A requirement that illegal substances and/or narcotics, alcohol, tobacco and/or vape pens are not permitted inside the facility or any other locations where enrolled children are in care • A plan for the use and storage of staff members’ personal belongings, including purses, backpacks, or other bags, cell phones, medications, and other possible hazardous items to ensure children do not have access to any hazardous items • Procedures for staff to report any illegal substances found on facility grounds or any impaired staff members to facility administration • Procedures for notifying law enforcement if illegal substances are found on the premises • Consequences for staff members who fail to comply with the facility’s policy • A procedure for regular review of the policy with all staff members including the review of the policy in the orientation of new staff members before they assume child care responsibilities The policy shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policy meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policy shall be immediately implemented, and a copy shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. This stipulation is still pending completion. 8. Within two (2) weeks after this Notice is received, Ms. Ray shall develop a written plan for observation and evaluation of each staff member’s performance while the Probationary License is in effect. The written plan, at a minimum, shall include routine observations of each staff member one (1) time per month while the Probationary License is in effect. The plan shall also include periodic observations after the conclusion of the Probationary License to ensure continual compliance with child care requirements and the facility’s policies/procedures related to supervision of children, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use. The plan shall include, but not be limited to the following: • Individuals who will complete the observations and evaluations with the requirement that observations are conducted by members of management • Development and implementation of a tool to use for the observations that include the date and times of each observation, name and signature of the person observed, signature of the observer, a summary of each observation, areas of noncompliance, and any corrective action taken The written plan shall be submitted to Ms. Davis for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the plan meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the plan shall be immediately implemented, and a copy of the plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. In addition, the observation records for each staff member shall be retained in their personnel file for the duration of their employment at the facility. ***On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. This stipulation is still pending completion. 9. Within two (2) weeks after notification from the Division that the stipulations have been met for the policies and procedures regarding supervision, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use, Ms. Ray shall conduct a staff meeting with all staff members to discuss the policies and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Within two weeks of the requirements of the above stipulations being met, Ms. Ray must conduct a staff meeting. This stipulation is still pending completion. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09 .0601 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 10/13/2025 Number Present: 44 Completed Date: 10/13/2025 Age: From 0 To 6 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Probationary License issued by the DCDEE to this facility on May 16, 2025. This facility currently operates with a Probationary license issued May 16, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. Prior to the visit, the facility had an eighteen-month compliance history score of 86%. Don Grossman, Interim Director, and Patrice Williams, Assistance Director, were present and available for consultation today. Seventy-seven (77) children are enrolled and forty-four (44) children ages infant through 6 years of age were present in spaces 4-8 and 10-11. Children were observed participating in free play indoors or engaging in personal care routines such as diaper/toileting. Lunch for today was whole grain chicken nuggets, melon, carrots, and milk. Adequate supervision and staff/child ratios were monitored and found in compliance. Children were being cared for in a nurturing and caring manner. The following violations were observed. Violation Number Comment Rule 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags were stored on low shelves and drawers in space 8 (jungle) where children 2 years of age were present. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two (2) new staff members did not have a medical report on file. 10A NCAC 09 .0701(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 27, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: The main danger of plastic bags for young children is suffocation due to their thin film clinging to a child's face, which can restrict airflow. A secondary danger is the presence of harmful chemicals, such as phthalates and PFAS, in certain plastics that can disrupt a child's developing systems. Therefore, it's crucial to keep all plastic bags away from children and properly dispose of them. I reinforced the importance of administration checking all classrooms for the proper storage of items, including plastic bags. Medical reports are important for childcare staff because they ensure a safe and healthy environment for both children and themselves by informing health practices, risk management, and emergency preparedness. Today we discussed that medical reports are required by all staff before their first day of work. Always reference the staff file checklist for time sensitive deadlines on staff file paperwork. Administrative Action – Probationary License Follow-Up: The Administrative Action-Probationary License was issued on May 16, 2025. This Action was issued due to violations of childcare requirements regarding criminal record background checks, falsification, reporting of maltreatment, nurture/care/treatment of children, discipline, adequate/approved space, staff/child ratios, supervision, schedules/activity plans, children’s records, safe environment, safe sleep, safety, outdoor premises, health standards, medication, record retention, staff applications, health and safety trainings, orientation, nutrition, transportation, and sanitation. A Corrective Action Plan (CAP) is required and includes nine (9) stipulations. Today it was observed that the Administrative Action, Cover Letter and CAP were posted. As we discussed today, these items must remain posted until your closure letter is received. Administrative Action Follow-Up: I monitored for compliance with the CAP as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation ***An unannounced visit was conducted on May 30, 2025. Violations were not cited. An unannounced visit was conducted on July 10, 2025. Violations were not cited. An unannounced visit was conducted on August 25, 2025. Violations were not cited. An unannounced visit was conducted on September 3, 2025, and ten (10) violations were cited regarding nutrition, general safety, equipment, administration of medications, emergency medical care plan, staff records, in-service training, and program records. This stipulation is ongoing through the course of the probationary license. 2. Within one (1) week after this Notice is received, Kari Ray, administrator, shall contact Jennifer Garner, Lead Child Care Consultant, telephone number 910-824-1447, email jennifer.j.garner@dhhs.nc.gov, to arrange for a complete review of all child care requirements broken into four (4) training sessions, six (6) point items, five (5) point items, three (3) and four (4) point items, and one (1) and two (2) point items. These rule reviews must be completed before the end of the probationary period. Ms. Ray and all staff members, including full-time, part-time, substitute, and volunteer staff, shall participate in the mandatory trainings. No children shall be in care during the trainings. Documentation of the trainings shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. The documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. *** On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first training on the six (6) point items occurred on August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. The second training on the five (5) point items was scheduled for October 10, 2025; however, the facility emailed Ms. Garner that all staff were unable to attend on that date. A new training date has been scheduled for October 24, 2025. 3. Within one (1) week after this Notice is received, Ms. Ray shall contact April Lester, Child Care Consultant, PO Box 12948 Wilmington, NC 28405, telephone number 910-824-0954, email april.lester@dhhs.nc.gov, to arrange for a review of child care requirements regarding falsification. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall participate in this mandatory training. During the training, Ms. Lester shall review and discuss a Statement of Understanding acknowledging that all staff have read, understand, and will comply with child care requirements regarding falsification. At the conclusion of the training, staff members shall sign the statements. The original signed statements shall be maintained in each staff member’s personnel file at the child care facility for review by representatives of the Division of Child Development and Early Education upon request. ***On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. This stipulation is complete. 4. Within two (2) weeks after this Notice is received, Ms. Ray shall contact Mindy Davis, M.Ed., Early Care & Education Director, Smart Start of New Hanover County, email address mindy.davis@newhanoverkids.org, telephone number 910-815-3731 ext. 1010, to arrange for training that addresses strategies for the supervision of children, including typical behaviors for the ages and developmental stages of children in care and appropriate supervision strategies for the developmental stages of a child’s growth. In addition, Ms. Ray shall contact Ms. Davis during the same timeframe to arrange for training that will address effective communication and professionalism. No children shall be in care during these trainings. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, with responsibility for caring for children shall participate in the mandatory trainings. Documentation of the trainings shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled on January 9, 2026. This stipulation is in compliance. 5. Within two (2) weeks after the required training regarding supervision is completed, Ms. Ray shall revise the facility’s supervision policies and procedures to incorporate strategies learned in the training. The revised policies and procedures should describe, in detail, the steps the facility will take to ensure adequate supervision of children at all times. The policies and procedures shall include, but not be limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one (1) area to another • When children are transitioned from one (1) caregiver to another • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members implementation of the supervision policies and procedures • Procedures for periodic review of the supervision policies and procedures with all staff members, including the review of the policies and procedures in orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members non-compliance with policies and procedures The revised policies and procedures shall be submitted to Allison Davis, Investigations Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 910-800-0079, email Allison.Davis@dhhs.nc.gov, for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation; the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***This stipulation is still pending completion. 6. Within two (2) weeks after the required training regarding effective communication and professionalism is completed, Ms. Ray shall develop effective communication and professionalism policies and procedures to incorporate strategies learned in the training. The policies and procedures shall describe, in detail, the steps the facility will take to ensure staff’s understanding of effective communication and professionalism. The policies and procedures shall include, but not be limited to, the following: • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with children, other staff members, parents, and other persons who may be present at the facility • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with others while providing care for children off-premises • Unacceptable practices of communication • Strategies for de-escalating potential conflicts and conflict resolution • Steps that will be taken when a verbal or physical altercation occurs at the facility, including contacting law enforcement immediately, protecting the children who are present, and supervising the children that are present if an altercation occurs The policies and procedures shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***This stipulation is still pending completion. 7. Within four (4) weeks after this Notice is received, Ms. Ray shall develop a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use. The policy shall include, but not be limited to: • A plan for testing staff members when there are suspicions, concerns, or reports of substance use, including a timeframe for the staff member to submit to a drug test when requested • A requirement that staff members are not allowed to engage in the illegal use of substances or engage in illegal activities at any time, including while off premises and outside of facility work hours • A requirement that illegal substances and/or narcotics, alcohol, tobacco and/or vape pens are not permitted inside the facility or any other locations where enrolled children are in care • A plan for the use and storage of staff members’ personal belongings, including purses, backpacks, or other bags, cell phones, medications, and other possible hazardous items to ensure children do not have access to any hazardous items • Procedures for staff to report any illegal substances found on facility grounds or any impaired staff members to facility administration • Procedures for notifying law enforcement if illegal substances are found on the premises • Consequences for staff members who fail to comply with the facility’s policy • A procedure for regular review of the policy with all staff members including the review of the policy in the orientation of new staff members before they assume child care responsibilities The policy shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policy meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policy shall be immediately implemented, and a copy shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. This stipulation is still pending completion. 8. Within two (2) weeks after this Notice is received, Ms. Ray shall develop a written plan for observation and evaluation of each staff member’s performance while the Probationary License is in effect. The written plan, at a minimum, shall include routine observations of each staff member one (1) time per month while the Probationary License is in effect. The plan shall also include periodic observations after the conclusion of the Probationary License to ensure continual compliance with child care requirements and the facility’s policies/procedures related to supervision of children, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use. The plan shall include, but not be limited to the following: • Individuals who will complete the observations and evaluations with the requirement that observations are conducted by members of management • Development and implementation of a tool to use for the observations that include the date and times of each observation, name and signature of the person observed, signature of the observer, a summary of each observation, areas of noncompliance, and any corrective action taken The written plan shall be submitted to Ms. Davis for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the plan meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the plan shall be immediately implemented, and a copy of the plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. In addition, the observation records for each staff member shall be retained in their personnel file for the duration of their employment at the facility. ***On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. This stipulation is still pending completion. 9. Within two (2) weeks after notification from the Division that the stipulations have been met for the policies and procedures regarding supervision, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use, Ms. Ray shall conduct a staff meeting with all staff members to discuss the policies and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Within two weeks of the requirements of the above stipulations being met, Ms. Ray must conduct a staff meeting. This stipulation is still pending completion. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09 .0604 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 10/13/2025 Number Present: 44 Completed Date: 10/13/2025 Age: From 0 To 6 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Probationary License issued by the DCDEE to this facility on May 16, 2025. This facility currently operates with a Probationary license issued May 16, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. Prior to the visit, the facility had an eighteen-month compliance history score of 86%. Don Grossman, Interim Director, and Patrice Williams, Assistance Director, were present and available for consultation today. Seventy-seven (77) children are enrolled and forty-four (44) children ages infant through 6 years of age were present in spaces 4-8 and 10-11. Children were observed participating in free play indoors or engaging in personal care routines such as diaper/toileting. Lunch for today was whole grain chicken nuggets, melon, carrots, and milk. Adequate supervision and staff/child ratios were monitored and found in compliance. Children were being cared for in a nurturing and caring manner. The following violations were observed. Violation Number Comment Rule 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags were stored on low shelves and drawers in space 8 (jungle) where children 2 years of age were present. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two (2) new staff members did not have a medical report on file. 10A NCAC 09 .0701(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 27, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: The main danger of plastic bags for young children is suffocation due to their thin film clinging to a child's face, which can restrict airflow. A secondary danger is the presence of harmful chemicals, such as phthalates and PFAS, in certain plastics that can disrupt a child's developing systems. Therefore, it's crucial to keep all plastic bags away from children and properly dispose of them. I reinforced the importance of administration checking all classrooms for the proper storage of items, including plastic bags. Medical reports are important for childcare staff because they ensure a safe and healthy environment for both children and themselves by informing health practices, risk management, and emergency preparedness. Today we discussed that medical reports are required by all staff before their first day of work. Always reference the staff file checklist for time sensitive deadlines on staff file paperwork. Administrative Action – Probationary License Follow-Up: The Administrative Action-Probationary License was issued on May 16, 2025. This Action was issued due to violations of childcare requirements regarding criminal record background checks, falsification, reporting of maltreatment, nurture/care/treatment of children, discipline, adequate/approved space, staff/child ratios, supervision, schedules/activity plans, children’s records, safe environment, safe sleep, safety, outdoor premises, health standards, medication, record retention, staff applications, health and safety trainings, orientation, nutrition, transportation, and sanitation. A Corrective Action Plan (CAP) is required and includes nine (9) stipulations. Today it was observed that the Administrative Action, Cover Letter and CAP were posted. As we discussed today, these items must remain posted until your closure letter is received. Administrative Action Follow-Up: I monitored for compliance with the CAP as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation ***An unannounced visit was conducted on May 30, 2025. Violations were not cited. An unannounced visit was conducted on July 10, 2025. Violations were not cited. An unannounced visit was conducted on August 25, 2025. Violations were not cited. An unannounced visit was conducted on September 3, 2025, and ten (10) violations were cited regarding nutrition, general safety, equipment, administration of medications, emergency medical care plan, staff records, in-service training, and program records. This stipulation is ongoing through the course of the probationary license. 2. Within one (1) week after this Notice is received, Kari Ray, administrator, shall contact Jennifer Garner, Lead Child Care Consultant, telephone number 910-824-1447, email jennifer.j.garner@dhhs.nc.gov, to arrange for a complete review of all child care requirements broken into four (4) training sessions, six (6) point items, five (5) point items, three (3) and four (4) point items, and one (1) and two (2) point items. These rule reviews must be completed before the end of the probationary period. Ms. Ray and all staff members, including full-time, part-time, substitute, and volunteer staff, shall participate in the mandatory trainings. No children shall be in care during the trainings. Documentation of the trainings shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. The documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. *** On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first training on the six (6) point items occurred on August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. The second training on the five (5) point items was scheduled for October 10, 2025; however, the facility emailed Ms. Garner that all staff were unable to attend on that date. A new training date has been scheduled for October 24, 2025. 3. Within one (1) week after this Notice is received, Ms. Ray shall contact April Lester, Child Care Consultant, PO Box 12948 Wilmington, NC 28405, telephone number 910-824-0954, email april.lester@dhhs.nc.gov, to arrange for a review of child care requirements regarding falsification. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall participate in this mandatory training. During the training, Ms. Lester shall review and discuss a Statement of Understanding acknowledging that all staff have read, understand, and will comply with child care requirements regarding falsification. At the conclusion of the training, staff members shall sign the statements. The original signed statements shall be maintained in each staff member’s personnel file at the child care facility for review by representatives of the Division of Child Development and Early Education upon request. ***On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. This stipulation is complete. 4. Within two (2) weeks after this Notice is received, Ms. Ray shall contact Mindy Davis, M.Ed., Early Care & Education Director, Smart Start of New Hanover County, email address mindy.davis@newhanoverkids.org, telephone number 910-815-3731 ext. 1010, to arrange for training that addresses strategies for the supervision of children, including typical behaviors for the ages and developmental stages of children in care and appropriate supervision strategies for the developmental stages of a child’s growth. In addition, Ms. Ray shall contact Ms. Davis during the same timeframe to arrange for training that will address effective communication and professionalism. No children shall be in care during these trainings. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, with responsibility for caring for children shall participate in the mandatory trainings. Documentation of the trainings shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled on January 9, 2026. This stipulation is in compliance. 5. Within two (2) weeks after the required training regarding supervision is completed, Ms. Ray shall revise the facility’s supervision policies and procedures to incorporate strategies learned in the training. The revised policies and procedures should describe, in detail, the steps the facility will take to ensure adequate supervision of children at all times. The policies and procedures shall include, but not be limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one (1) area to another • When children are transitioned from one (1) caregiver to another • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members implementation of the supervision policies and procedures • Procedures for periodic review of the supervision policies and procedures with all staff members, including the review of the policies and procedures in orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members non-compliance with policies and procedures The revised policies and procedures shall be submitted to Allison Davis, Investigations Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 910-800-0079, email Allison.Davis@dhhs.nc.gov, for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation; the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***This stipulation is still pending completion. 6. Within two (2) weeks after the required training regarding effective communication and professionalism is completed, Ms. Ray shall develop effective communication and professionalism policies and procedures to incorporate strategies learned in the training. The policies and procedures shall describe, in detail, the steps the facility will take to ensure staff’s understanding of effective communication and professionalism. The policies and procedures shall include, but not be limited to, the following: • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with children, other staff members, parents, and other persons who may be present at the facility • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with others while providing care for children off-premises • Unacceptable practices of communication • Strategies for de-escalating potential conflicts and conflict resolution • Steps that will be taken when a verbal or physical altercation occurs at the facility, including contacting law enforcement immediately, protecting the children who are present, and supervising the children that are present if an altercation occurs The policies and procedures shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***This stipulation is still pending completion. 7. Within four (4) weeks after this Notice is received, Ms. Ray shall develop a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use. The policy shall include, but not be limited to: • A plan for testing staff members when there are suspicions, concerns, or reports of substance use, including a timeframe for the staff member to submit to a drug test when requested • A requirement that staff members are not allowed to engage in the illegal use of substances or engage in illegal activities at any time, including while off premises and outside of facility work hours • A requirement that illegal substances and/or narcotics, alcohol, tobacco and/or vape pens are not permitted inside the facility or any other locations where enrolled children are in care • A plan for the use and storage of staff members’ personal belongings, including purses, backpacks, or other bags, cell phones, medications, and other possible hazardous items to ensure children do not have access to any hazardous items • Procedures for staff to report any illegal substances found on facility grounds or any impaired staff members to facility administration • Procedures for notifying law enforcement if illegal substances are found on the premises • Consequences for staff members who fail to comply with the facility’s policy • A procedure for regular review of the policy with all staff members including the review of the policy in the orientation of new staff members before they assume child care responsibilities The policy shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policy meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policy shall be immediately implemented, and a copy shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. This stipulation is still pending completion. 8. Within two (2) weeks after this Notice is received, Ms. Ray shall develop a written plan for observation and evaluation of each staff member’s performance while the Probationary License is in effect. The written plan, at a minimum, shall include routine observations of each staff member one (1) time per month while the Probationary License is in effect. The plan shall also include periodic observations after the conclusion of the Probationary License to ensure continual compliance with child care requirements and the facility’s policies/procedures related to supervision of children, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use. The plan shall include, but not be limited to the following: • Individuals who will complete the observations and evaluations with the requirement that observations are conducted by members of management • Development and implementation of a tool to use for the observations that include the date and times of each observation, name and signature of the person observed, signature of the observer, a summary of each observation, areas of noncompliance, and any corrective action taken The written plan shall be submitted to Ms. Davis for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the plan meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the plan shall be immediately implemented, and a copy of the plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. In addition, the observation records for each staff member shall be retained in their personnel file for the duration of their employment at the facility. ***On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. This stipulation is still pending completion. 9. Within two (2) weeks after notification from the Division that the stipulations have been met for the policies and procedures regarding supervision, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use, Ms. Ray shall conduct a staff meeting with all staff members to discuss the policies and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Within two weeks of the requirements of the above stipulations being met, Ms. Ray must conduct a staff meeting. This stipulation is still pending completion. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09 .0605 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 10/13/2025 Number Present: 44 Completed Date: 10/13/2025 Age: From 0 To 6 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Probationary License issued by the DCDEE to this facility on May 16, 2025. This facility currently operates with a Probationary license issued May 16, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. Prior to the visit, the facility had an eighteen-month compliance history score of 86%. Don Grossman, Interim Director, and Patrice Williams, Assistance Director, were present and available for consultation today. Seventy-seven (77) children are enrolled and forty-four (44) children ages infant through 6 years of age were present in spaces 4-8 and 10-11. Children were observed participating in free play indoors or engaging in personal care routines such as diaper/toileting. Lunch for today was whole grain chicken nuggets, melon, carrots, and milk. Adequate supervision and staff/child ratios were monitored and found in compliance. Children were being cared for in a nurturing and caring manner. The following violations were observed. Violation Number Comment Rule 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags were stored on low shelves and drawers in space 8 (jungle) where children 2 years of age were present. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two (2) new staff members did not have a medical report on file. 10A NCAC 09 .0701(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 27, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: The main danger of plastic bags for young children is suffocation due to their thin film clinging to a child's face, which can restrict airflow. A secondary danger is the presence of harmful chemicals, such as phthalates and PFAS, in certain plastics that can disrupt a child's developing systems. Therefore, it's crucial to keep all plastic bags away from children and properly dispose of them. I reinforced the importance of administration checking all classrooms for the proper storage of items, including plastic bags. Medical reports are important for childcare staff because they ensure a safe and healthy environment for both children and themselves by informing health practices, risk management, and emergency preparedness. Today we discussed that medical reports are required by all staff before their first day of work. Always reference the staff file checklist for time sensitive deadlines on staff file paperwork. Administrative Action – Probationary License Follow-Up: The Administrative Action-Probationary License was issued on May 16, 2025. This Action was issued due to violations of childcare requirements regarding criminal record background checks, falsification, reporting of maltreatment, nurture/care/treatment of children, discipline, adequate/approved space, staff/child ratios, supervision, schedules/activity plans, children’s records, safe environment, safe sleep, safety, outdoor premises, health standards, medication, record retention, staff applications, health and safety trainings, orientation, nutrition, transportation, and sanitation. A Corrective Action Plan (CAP) is required and includes nine (9) stipulations. Today it was observed that the Administrative Action, Cover Letter and CAP were posted. As we discussed today, these items must remain posted until your closure letter is received. Administrative Action Follow-Up: I monitored for compliance with the CAP as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation ***An unannounced visit was conducted on May 30, 2025. Violations were not cited. An unannounced visit was conducted on July 10, 2025. Violations were not cited. An unannounced visit was conducted on August 25, 2025. Violations were not cited. An unannounced visit was conducted on September 3, 2025, and ten (10) violations were cited regarding nutrition, general safety, equipment, administration of medications, emergency medical care plan, staff records, in-service training, and program records. This stipulation is ongoing through the course of the probationary license. 2. Within one (1) week after this Notice is received, Kari Ray, administrator, shall contact Jennifer Garner, Lead Child Care Consultant, telephone number 910-824-1447, email jennifer.j.garner@dhhs.nc.gov, to arrange for a complete review of all child care requirements broken into four (4) training sessions, six (6) point items, five (5) point items, three (3) and four (4) point items, and one (1) and two (2) point items. These rule reviews must be completed before the end of the probationary period. Ms. Ray and all staff members, including full-time, part-time, substitute, and volunteer staff, shall participate in the mandatory trainings. No children shall be in care during the trainings. Documentation of the trainings shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. The documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. *** On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first training on the six (6) point items occurred on August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. The second training on the five (5) point items was scheduled for October 10, 2025; however, the facility emailed Ms. Garner that all staff were unable to attend on that date. A new training date has been scheduled for October 24, 2025. 3. Within one (1) week after this Notice is received, Ms. Ray shall contact April Lester, Child Care Consultant, PO Box 12948 Wilmington, NC 28405, telephone number 910-824-0954, email april.lester@dhhs.nc.gov, to arrange for a review of child care requirements regarding falsification. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall participate in this mandatory training. During the training, Ms. Lester shall review and discuss a Statement of Understanding acknowledging that all staff have read, understand, and will comply with child care requirements regarding falsification. At the conclusion of the training, staff members shall sign the statements. The original signed statements shall be maintained in each staff member’s personnel file at the child care facility for review by representatives of the Division of Child Development and Early Education upon request. ***On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. This stipulation is complete. 4. Within two (2) weeks after this Notice is received, Ms. Ray shall contact Mindy Davis, M.Ed., Early Care & Education Director, Smart Start of New Hanover County, email address mindy.davis@newhanoverkids.org, telephone number 910-815-3731 ext. 1010, to arrange for training that addresses strategies for the supervision of children, including typical behaviors for the ages and developmental stages of children in care and appropriate supervision strategies for the developmental stages of a child’s growth. In addition, Ms. Ray shall contact Ms. Davis during the same timeframe to arrange for training that will address effective communication and professionalism. No children shall be in care during these trainings. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, with responsibility for caring for children shall participate in the mandatory trainings. Documentation of the trainings shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled on January 9, 2026. This stipulation is in compliance. 5. Within two (2) weeks after the required training regarding supervision is completed, Ms. Ray shall revise the facility’s supervision policies and procedures to incorporate strategies learned in the training. The revised policies and procedures should describe, in detail, the steps the facility will take to ensure adequate supervision of children at all times. The policies and procedures shall include, but not be limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one (1) area to another • When children are transitioned from one (1) caregiver to another • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members implementation of the supervision policies and procedures • Procedures for periodic review of the supervision policies and procedures with all staff members, including the review of the policies and procedures in orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members non-compliance with policies and procedures The revised policies and procedures shall be submitted to Allison Davis, Investigations Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 910-800-0079, email Allison.Davis@dhhs.nc.gov, for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation; the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***This stipulation is still pending completion. 6. Within two (2) weeks after the required training regarding effective communication and professionalism is completed, Ms. Ray shall develop effective communication and professionalism policies and procedures to incorporate strategies learned in the training. The policies and procedures shall describe, in detail, the steps the facility will take to ensure staff’s understanding of effective communication and professionalism. The policies and procedures shall include, but not be limited to, the following: • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with children, other staff members, parents, and other persons who may be present at the facility • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with others while providing care for children off-premises • Unacceptable practices of communication • Strategies for de-escalating potential conflicts and conflict resolution • Steps that will be taken when a verbal or physical altercation occurs at the facility, including contacting law enforcement immediately, protecting the children who are present, and supervising the children that are present if an altercation occurs The policies and procedures shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***This stipulation is still pending completion. 7. Within four (4) weeks after this Notice is received, Ms. Ray shall develop a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use. The policy shall include, but not be limited to: • A plan for testing staff members when there are suspicions, concerns, or reports of substance use, including a timeframe for the staff member to submit to a drug test when requested • A requirement that staff members are not allowed to engage in the illegal use of substances or engage in illegal activities at any time, including while off premises and outside of facility work hours • A requirement that illegal substances and/or narcotics, alcohol, tobacco and/or vape pens are not permitted inside the facility or any other locations where enrolled children are in care • A plan for the use and storage of staff members’ personal belongings, including purses, backpacks, or other bags, cell phones, medications, and other possible hazardous items to ensure children do not have access to any hazardous items • Procedures for staff to report any illegal substances found on facility grounds or any impaired staff members to facility administration • Procedures for notifying law enforcement if illegal substances are found on the premises • Consequences for staff members who fail to comply with the facility’s policy • A procedure for regular review of the policy with all staff members including the review of the policy in the orientation of new staff members before they assume child care responsibilities The policy shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policy meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policy shall be immediately implemented, and a copy shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. This stipulation is still pending completion. 8. Within two (2) weeks after this Notice is received, Ms. Ray shall develop a written plan for observation and evaluation of each staff member’s performance while the Probationary License is in effect. The written plan, at a minimum, shall include routine observations of each staff member one (1) time per month while the Probationary License is in effect. The plan shall also include periodic observations after the conclusion of the Probationary License to ensure continual compliance with child care requirements and the facility’s policies/procedures related to supervision of children, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use. The plan shall include, but not be limited to the following: • Individuals who will complete the observations and evaluations with the requirement that observations are conducted by members of management • Development and implementation of a tool to use for the observations that include the date and times of each observation, name and signature of the person observed, signature of the observer, a summary of each observation, areas of noncompliance, and any corrective action taken The written plan shall be submitted to Ms. Davis for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the plan meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the plan shall be immediately implemented, and a copy of the plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. In addition, the observation records for each staff member shall be retained in their personnel file for the duration of their employment at the facility. ***On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. This stipulation is still pending completion. 9. Within two (2) weeks after notification from the Division that the stipulations have been met for the policies and procedures regarding supervision, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use, Ms. Ray shall conduct a staff meeting with all staff members to discuss the policies and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Within two weeks of the requirements of the above stipulations being met, Ms. Ray must conduct a staff meeting. This stipulation is still pending completion. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09 .0606 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 10/13/2025 Number Present: 44 Completed Date: 10/13/2025 Age: From 0 To 6 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Probationary License issued by the DCDEE to this facility on May 16, 2025. This facility currently operates with a Probationary license issued May 16, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. Prior to the visit, the facility had an eighteen-month compliance history score of 86%. Don Grossman, Interim Director, and Patrice Williams, Assistance Director, were present and available for consultation today. Seventy-seven (77) children are enrolled and forty-four (44) children ages infant through 6 years of age were present in spaces 4-8 and 10-11. Children were observed participating in free play indoors or engaging in personal care routines such as diaper/toileting. Lunch for today was whole grain chicken nuggets, melon, carrots, and milk. Adequate supervision and staff/child ratios were monitored and found in compliance. Children were being cared for in a nurturing and caring manner. The following violations were observed. Violation Number Comment Rule 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags were stored on low shelves and drawers in space 8 (jungle) where children 2 years of age were present. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two (2) new staff members did not have a medical report on file. 10A NCAC 09 .0701(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 27, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: The main danger of plastic bags for young children is suffocation due to their thin film clinging to a child's face, which can restrict airflow. A secondary danger is the presence of harmful chemicals, such as phthalates and PFAS, in certain plastics that can disrupt a child's developing systems. Therefore, it's crucial to keep all plastic bags away from children and properly dispose of them. I reinforced the importance of administration checking all classrooms for the proper storage of items, including plastic bags. Medical reports are important for childcare staff because they ensure a safe and healthy environment for both children and themselves by informing health practices, risk management, and emergency preparedness. Today we discussed that medical reports are required by all staff before their first day of work. Always reference the staff file checklist for time sensitive deadlines on staff file paperwork. Administrative Action – Probationary License Follow-Up: The Administrative Action-Probationary License was issued on May 16, 2025. This Action was issued due to violations of childcare requirements regarding criminal record background checks, falsification, reporting of maltreatment, nurture/care/treatment of children, discipline, adequate/approved space, staff/child ratios, supervision, schedules/activity plans, children’s records, safe environment, safe sleep, safety, outdoor premises, health standards, medication, record retention, staff applications, health and safety trainings, orientation, nutrition, transportation, and sanitation. A Corrective Action Plan (CAP) is required and includes nine (9) stipulations. Today it was observed that the Administrative Action, Cover Letter and CAP were posted. As we discussed today, these items must remain posted until your closure letter is received. Administrative Action Follow-Up: I monitored for compliance with the CAP as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation ***An unannounced visit was conducted on May 30, 2025. Violations were not cited. An unannounced visit was conducted on July 10, 2025. Violations were not cited. An unannounced visit was conducted on August 25, 2025. Violations were not cited. An unannounced visit was conducted on September 3, 2025, and ten (10) violations were cited regarding nutrition, general safety, equipment, administration of medications, emergency medical care plan, staff records, in-service training, and program records. This stipulation is ongoing through the course of the probationary license. 2. Within one (1) week after this Notice is received, Kari Ray, administrator, shall contact Jennifer Garner, Lead Child Care Consultant, telephone number 910-824-1447, email jennifer.j.garner@dhhs.nc.gov, to arrange for a complete review of all child care requirements broken into four (4) training sessions, six (6) point items, five (5) point items, three (3) and four (4) point items, and one (1) and two (2) point items. These rule reviews must be completed before the end of the probationary period. Ms. Ray and all staff members, including full-time, part-time, substitute, and volunteer staff, shall participate in the mandatory trainings. No children shall be in care during the trainings. Documentation of the trainings shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. The documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. *** On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first training on the six (6) point items occurred on August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. The second training on the five (5) point items was scheduled for October 10, 2025; however, the facility emailed Ms. Garner that all staff were unable to attend on that date. A new training date has been scheduled for October 24, 2025. 3. Within one (1) week after this Notice is received, Ms. Ray shall contact April Lester, Child Care Consultant, PO Box 12948 Wilmington, NC 28405, telephone number 910-824-0954, email april.lester@dhhs.nc.gov, to arrange for a review of child care requirements regarding falsification. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall participate in this mandatory training. During the training, Ms. Lester shall review and discuss a Statement of Understanding acknowledging that all staff have read, understand, and will comply with child care requirements regarding falsification. At the conclusion of the training, staff members shall sign the statements. The original signed statements shall be maintained in each staff member’s personnel file at the child care facility for review by representatives of the Division of Child Development and Early Education upon request. ***On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. This stipulation is complete. 4. Within two (2) weeks after this Notice is received, Ms. Ray shall contact Mindy Davis, M.Ed., Early Care & Education Director, Smart Start of New Hanover County, email address mindy.davis@newhanoverkids.org, telephone number 910-815-3731 ext. 1010, to arrange for training that addresses strategies for the supervision of children, including typical behaviors for the ages and developmental stages of children in care and appropriate supervision strategies for the developmental stages of a child’s growth. In addition, Ms. Ray shall contact Ms. Davis during the same timeframe to arrange for training that will address effective communication and professionalism. No children shall be in care during these trainings. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, with responsibility for caring for children shall participate in the mandatory trainings. Documentation of the trainings shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled on January 9, 2026. This stipulation is in compliance. 5. Within two (2) weeks after the required training regarding supervision is completed, Ms. Ray shall revise the facility’s supervision policies and procedures to incorporate strategies learned in the training. The revised policies and procedures should describe, in detail, the steps the facility will take to ensure adequate supervision of children at all times. The policies and procedures shall include, but not be limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one (1) area to another • When children are transitioned from one (1) caregiver to another • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members implementation of the supervision policies and procedures • Procedures for periodic review of the supervision policies and procedures with all staff members, including the review of the policies and procedures in orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members non-compliance with policies and procedures The revised policies and procedures shall be submitted to Allison Davis, Investigations Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 910-800-0079, email Allison.Davis@dhhs.nc.gov, for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation; the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***This stipulation is still pending completion. 6. Within two (2) weeks after the required training regarding effective communication and professionalism is completed, Ms. Ray shall develop effective communication and professionalism policies and procedures to incorporate strategies learned in the training. The policies and procedures shall describe, in detail, the steps the facility will take to ensure staff’s understanding of effective communication and professionalism. The policies and procedures shall include, but not be limited to, the following: • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with children, other staff members, parents, and other persons who may be present at the facility • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with others while providing care for children off-premises • Unacceptable practices of communication • Strategies for de-escalating potential conflicts and conflict resolution • Steps that will be taken when a verbal or physical altercation occurs at the facility, including contacting law enforcement immediately, protecting the children who are present, and supervising the children that are present if an altercation occurs The policies and procedures shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***This stipulation is still pending completion. 7. Within four (4) weeks after this Notice is received, Ms. Ray shall develop a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use. The policy shall include, but not be limited to: • A plan for testing staff members when there are suspicions, concerns, or reports of substance use, including a timeframe for the staff member to submit to a drug test when requested • A requirement that staff members are not allowed to engage in the illegal use of substances or engage in illegal activities at any time, including while off premises and outside of facility work hours • A requirement that illegal substances and/or narcotics, alcohol, tobacco and/or vape pens are not permitted inside the facility or any other locations where enrolled children are in care • A plan for the use and storage of staff members’ personal belongings, including purses, backpacks, or other bags, cell phones, medications, and other possible hazardous items to ensure children do not have access to any hazardous items • Procedures for staff to report any illegal substances found on facility grounds or any impaired staff members to facility administration • Procedures for notifying law enforcement if illegal substances are found on the premises • Consequences for staff members who fail to comply with the facility’s policy • A procedure for regular review of the policy with all staff members including the review of the policy in the orientation of new staff members before they assume child care responsibilities The policy shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policy meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policy shall be immediately implemented, and a copy shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. This stipulation is still pending completion. 8. Within two (2) weeks after this Notice is received, Ms. Ray shall develop a written plan for observation and evaluation of each staff member’s performance while the Probationary License is in effect. The written plan, at a minimum, shall include routine observations of each staff member one (1) time per month while the Probationary License is in effect. The plan shall also include periodic observations after the conclusion of the Probationary License to ensure continual compliance with child care requirements and the facility’s policies/procedures related to supervision of children, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use. The plan shall include, but not be limited to the following: • Individuals who will complete the observations and evaluations with the requirement that observations are conducted by members of management • Development and implementation of a tool to use for the observations that include the date and times of each observation, name and signature of the person observed, signature of the observer, a summary of each observation, areas of noncompliance, and any corrective action taken The written plan shall be submitted to Ms. Davis for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the plan meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the plan shall be immediately implemented, and a copy of the plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. In addition, the observation records for each staff member shall be retained in their personnel file for the duration of their employment at the facility. ***On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. This stipulation is still pending completion. 9. Within two (2) weeks after notification from the Division that the stipulations have been met for the policies and procedures regarding supervision, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use, Ms. Ray shall conduct a staff meeting with all staff members to discuss the policies and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Within two weeks of the requirements of the above stipulations being met, Ms. Ray must conduct a staff meeting. This stipulation is still pending completion. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09 .0701 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 10/13/2025 Number Present: 44 Completed Date: 10/13/2025 Age: From 0 To 6 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Probationary License issued by the DCDEE to this facility on May 16, 2025. This facility currently operates with a Probationary license issued May 16, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. Prior to the visit, the facility had an eighteen-month compliance history score of 86%. Don Grossman, Interim Director, and Patrice Williams, Assistance Director, were present and available for consultation today. Seventy-seven (77) children are enrolled and forty-four (44) children ages infant through 6 years of age were present in spaces 4-8 and 10-11. Children were observed participating in free play indoors or engaging in personal care routines such as diaper/toileting. Lunch for today was whole grain chicken nuggets, melon, carrots, and milk. Adequate supervision and staff/child ratios were monitored and found in compliance. Children were being cared for in a nurturing and caring manner. The following violations were observed. Violation Number Comment Rule 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags were stored on low shelves and drawers in space 8 (jungle) where children 2 years of age were present. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two (2) new staff members did not have a medical report on file. 10A NCAC 09 .0701(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 27, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: The main danger of plastic bags for young children is suffocation due to their thin film clinging to a child's face, which can restrict airflow. A secondary danger is the presence of harmful chemicals, such as phthalates and PFAS, in certain plastics that can disrupt a child's developing systems. Therefore, it's crucial to keep all plastic bags away from children and properly dispose of them. I reinforced the importance of administration checking all classrooms for the proper storage of items, including plastic bags. Medical reports are important for childcare staff because they ensure a safe and healthy environment for both children and themselves by informing health practices, risk management, and emergency preparedness. Today we discussed that medical reports are required by all staff before their first day of work. Always reference the staff file checklist for time sensitive deadlines on staff file paperwork. Administrative Action – Probationary License Follow-Up: The Administrative Action-Probationary License was issued on May 16, 2025. This Action was issued due to violations of childcare requirements regarding criminal record background checks, falsification, reporting of maltreatment, nurture/care/treatment of children, discipline, adequate/approved space, staff/child ratios, supervision, schedules/activity plans, children’s records, safe environment, safe sleep, safety, outdoor premises, health standards, medication, record retention, staff applications, health and safety trainings, orientation, nutrition, transportation, and sanitation. A Corrective Action Plan (CAP) is required and includes nine (9) stipulations. Today it was observed that the Administrative Action, Cover Letter and CAP were posted. As we discussed today, these items must remain posted until your closure letter is received. Administrative Action Follow-Up: I monitored for compliance with the CAP as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation ***An unannounced visit was conducted on May 30, 2025. Violations were not cited. An unannounced visit was conducted on July 10, 2025. Violations were not cited. An unannounced visit was conducted on August 25, 2025. Violations were not cited. An unannounced visit was conducted on September 3, 2025, and ten (10) violations were cited regarding nutrition, general safety, equipment, administration of medications, emergency medical care plan, staff records, in-service training, and program records. This stipulation is ongoing through the course of the probationary license. 2. Within one (1) week after this Notice is received, Kari Ray, administrator, shall contact Jennifer Garner, Lead Child Care Consultant, telephone number 910-824-1447, email jennifer.j.garner@dhhs.nc.gov, to arrange for a complete review of all child care requirements broken into four (4) training sessions, six (6) point items, five (5) point items, three (3) and four (4) point items, and one (1) and two (2) point items. These rule reviews must be completed before the end of the probationary period. Ms. Ray and all staff members, including full-time, part-time, substitute, and volunteer staff, shall participate in the mandatory trainings. No children shall be in care during the trainings. Documentation of the trainings shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. The documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. *** On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first training on the six (6) point items occurred on August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. The second training on the five (5) point items was scheduled for October 10, 2025; however, the facility emailed Ms. Garner that all staff were unable to attend on that date. A new training date has been scheduled for October 24, 2025. 3. Within one (1) week after this Notice is received, Ms. Ray shall contact April Lester, Child Care Consultant, PO Box 12948 Wilmington, NC 28405, telephone number 910-824-0954, email april.lester@dhhs.nc.gov, to arrange for a review of child care requirements regarding falsification. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall participate in this mandatory training. During the training, Ms. Lester shall review and discuss a Statement of Understanding acknowledging that all staff have read, understand, and will comply with child care requirements regarding falsification. At the conclusion of the training, staff members shall sign the statements. The original signed statements shall be maintained in each staff member’s personnel file at the child care facility for review by representatives of the Division of Child Development and Early Education upon request. ***On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. This stipulation is complete. 4. Within two (2) weeks after this Notice is received, Ms. Ray shall contact Mindy Davis, M.Ed., Early Care & Education Director, Smart Start of New Hanover County, email address mindy.davis@newhanoverkids.org, telephone number 910-815-3731 ext. 1010, to arrange for training that addresses strategies for the supervision of children, including typical behaviors for the ages and developmental stages of children in care and appropriate supervision strategies for the developmental stages of a child’s growth. In addition, Ms. Ray shall contact Ms. Davis during the same timeframe to arrange for training that will address effective communication and professionalism. No children shall be in care during these trainings. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, with responsibility for caring for children shall participate in the mandatory trainings. Documentation of the trainings shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled on January 9, 2026. This stipulation is in compliance. 5. Within two (2) weeks after the required training regarding supervision is completed, Ms. Ray shall revise the facility’s supervision policies and procedures to incorporate strategies learned in the training. The revised policies and procedures should describe, in detail, the steps the facility will take to ensure adequate supervision of children at all times. The policies and procedures shall include, but not be limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one (1) area to another • When children are transitioned from one (1) caregiver to another • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members implementation of the supervision policies and procedures • Procedures for periodic review of the supervision policies and procedures with all staff members, including the review of the policies and procedures in orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members non-compliance with policies and procedures The revised policies and procedures shall be submitted to Allison Davis, Investigations Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 910-800-0079, email Allison.Davis@dhhs.nc.gov, for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation; the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***This stipulation is still pending completion. 6. Within two (2) weeks after the required training regarding effective communication and professionalism is completed, Ms. Ray shall develop effective communication and professionalism policies and procedures to incorporate strategies learned in the training. The policies and procedures shall describe, in detail, the steps the facility will take to ensure staff’s understanding of effective communication and professionalism. The policies and procedures shall include, but not be limited to, the following: • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with children, other staff members, parents, and other persons who may be present at the facility • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with others while providing care for children off-premises • Unacceptable practices of communication • Strategies for de-escalating potential conflicts and conflict resolution • Steps that will be taken when a verbal or physical altercation occurs at the facility, including contacting law enforcement immediately, protecting the children who are present, and supervising the children that are present if an altercation occurs The policies and procedures shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***This stipulation is still pending completion. 7. Within four (4) weeks after this Notice is received, Ms. Ray shall develop a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use. The policy shall include, but not be limited to: • A plan for testing staff members when there are suspicions, concerns, or reports of substance use, including a timeframe for the staff member to submit to a drug test when requested • A requirement that staff members are not allowed to engage in the illegal use of substances or engage in illegal activities at any time, including while off premises and outside of facility work hours • A requirement that illegal substances and/or narcotics, alcohol, tobacco and/or vape pens are not permitted inside the facility or any other locations where enrolled children are in care • A plan for the use and storage of staff members’ personal belongings, including purses, backpacks, or other bags, cell phones, medications, and other possible hazardous items to ensure children do not have access to any hazardous items • Procedures for staff to report any illegal substances found on facility grounds or any impaired staff members to facility administration • Procedures for notifying law enforcement if illegal substances are found on the premises • Consequences for staff members who fail to comply with the facility’s policy • A procedure for regular review of the policy with all staff members including the review of the policy in the orientation of new staff members before they assume child care responsibilities The policy shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policy meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policy shall be immediately implemented, and a copy shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. This stipulation is still pending completion. 8. Within two (2) weeks after this Notice is received, Ms. Ray shall develop a written plan for observation and evaluation of each staff member’s performance while the Probationary License is in effect. The written plan, at a minimum, shall include routine observations of each staff member one (1) time per month while the Probationary License is in effect. The plan shall also include periodic observations after the conclusion of the Probationary License to ensure continual compliance with child care requirements and the facility’s policies/procedures related to supervision of children, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use. The plan shall include, but not be limited to the following: • Individuals who will complete the observations and evaluations with the requirement that observations are conducted by members of management • Development and implementation of a tool to use for the observations that include the date and times of each observation, name and signature of the person observed, signature of the observer, a summary of each observation, areas of noncompliance, and any corrective action taken The written plan shall be submitted to Ms. Davis for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the plan meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the plan shall be immediately implemented, and a copy of the plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. In addition, the observation records for each staff member shall be retained in their personnel file for the duration of their employment at the facility. ***On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. This stipulation is still pending completion. 9. Within two (2) weeks after notification from the Division that the stipulations have been met for the policies and procedures regarding supervision, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use, Ms. Ray shall conduct a staff meeting with all staff members to discuss the policies and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Within two weeks of the requirements of the above stipulations being met, Ms. Ray must conduct a staff meeting. This stipulation is still pending completion. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09 .0713 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 10/13/2025 Number Present: 44 Completed Date: 10/13/2025 Age: From 0 To 6 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Probationary License issued by the DCDEE to this facility on May 16, 2025. This facility currently operates with a Probationary license issued May 16, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. Prior to the visit, the facility had an eighteen-month compliance history score of 86%. Don Grossman, Interim Director, and Patrice Williams, Assistance Director, were present and available for consultation today. Seventy-seven (77) children are enrolled and forty-four (44) children ages infant through 6 years of age were present in spaces 4-8 and 10-11. Children were observed participating in free play indoors or engaging in personal care routines such as diaper/toileting. Lunch for today was whole grain chicken nuggets, melon, carrots, and milk. Adequate supervision and staff/child ratios were monitored and found in compliance. Children were being cared for in a nurturing and caring manner. The following violations were observed. Violation Number Comment Rule 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags were stored on low shelves and drawers in space 8 (jungle) where children 2 years of age were present. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two (2) new staff members did not have a medical report on file. 10A NCAC 09 .0701(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 27, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: The main danger of plastic bags for young children is suffocation due to their thin film clinging to a child's face, which can restrict airflow. A secondary danger is the presence of harmful chemicals, such as phthalates and PFAS, in certain plastics that can disrupt a child's developing systems. Therefore, it's crucial to keep all plastic bags away from children and properly dispose of them. I reinforced the importance of administration checking all classrooms for the proper storage of items, including plastic bags. Medical reports are important for childcare staff because they ensure a safe and healthy environment for both children and themselves by informing health practices, risk management, and emergency preparedness. Today we discussed that medical reports are required by all staff before their first day of work. Always reference the staff file checklist for time sensitive deadlines on staff file paperwork. Administrative Action – Probationary License Follow-Up: The Administrative Action-Probationary License was issued on May 16, 2025. This Action was issued due to violations of childcare requirements regarding criminal record background checks, falsification, reporting of maltreatment, nurture/care/treatment of children, discipline, adequate/approved space, staff/child ratios, supervision, schedules/activity plans, children’s records, safe environment, safe sleep, safety, outdoor premises, health standards, medication, record retention, staff applications, health and safety trainings, orientation, nutrition, transportation, and sanitation. A Corrective Action Plan (CAP) is required and includes nine (9) stipulations. Today it was observed that the Administrative Action, Cover Letter and CAP were posted. As we discussed today, these items must remain posted until your closure letter is received. Administrative Action Follow-Up: I monitored for compliance with the CAP as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation ***An unannounced visit was conducted on May 30, 2025. Violations were not cited. An unannounced visit was conducted on July 10, 2025. Violations were not cited. An unannounced visit was conducted on August 25, 2025. Violations were not cited. An unannounced visit was conducted on September 3, 2025, and ten (10) violations were cited regarding nutrition, general safety, equipment, administration of medications, emergency medical care plan, staff records, in-service training, and program records. This stipulation is ongoing through the course of the probationary license. 2. Within one (1) week after this Notice is received, Kari Ray, administrator, shall contact Jennifer Garner, Lead Child Care Consultant, telephone number 910-824-1447, email jennifer.j.garner@dhhs.nc.gov, to arrange for a complete review of all child care requirements broken into four (4) training sessions, six (6) point items, five (5) point items, three (3) and four (4) point items, and one (1) and two (2) point items. These rule reviews must be completed before the end of the probationary period. Ms. Ray and all staff members, including full-time, part-time, substitute, and volunteer staff, shall participate in the mandatory trainings. No children shall be in care during the trainings. Documentation of the trainings shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. The documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. *** On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first training on the six (6) point items occurred on August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. The second training on the five (5) point items was scheduled for October 10, 2025; however, the facility emailed Ms. Garner that all staff were unable to attend on that date. A new training date has been scheduled for October 24, 2025. 3. Within one (1) week after this Notice is received, Ms. Ray shall contact April Lester, Child Care Consultant, PO Box 12948 Wilmington, NC 28405, telephone number 910-824-0954, email april.lester@dhhs.nc.gov, to arrange for a review of child care requirements regarding falsification. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall participate in this mandatory training. During the training, Ms. Lester shall review and discuss a Statement of Understanding acknowledging that all staff have read, understand, and will comply with child care requirements regarding falsification. At the conclusion of the training, staff members shall sign the statements. The original signed statements shall be maintained in each staff member’s personnel file at the child care facility for review by representatives of the Division of Child Development and Early Education upon request. ***On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. This stipulation is complete. 4. Within two (2) weeks after this Notice is received, Ms. Ray shall contact Mindy Davis, M.Ed., Early Care & Education Director, Smart Start of New Hanover County, email address mindy.davis@newhanoverkids.org, telephone number 910-815-3731 ext. 1010, to arrange for training that addresses strategies for the supervision of children, including typical behaviors for the ages and developmental stages of children in care and appropriate supervision strategies for the developmental stages of a child’s growth. In addition, Ms. Ray shall contact Ms. Davis during the same timeframe to arrange for training that will address effective communication and professionalism. No children shall be in care during these trainings. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, with responsibility for caring for children shall participate in the mandatory trainings. Documentation of the trainings shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled on January 9, 2026. This stipulation is in compliance. 5. Within two (2) weeks after the required training regarding supervision is completed, Ms. Ray shall revise the facility’s supervision policies and procedures to incorporate strategies learned in the training. The revised policies and procedures should describe, in detail, the steps the facility will take to ensure adequate supervision of children at all times. The policies and procedures shall include, but not be limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one (1) area to another • When children are transitioned from one (1) caregiver to another • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members implementation of the supervision policies and procedures • Procedures for periodic review of the supervision policies and procedures with all staff members, including the review of the policies and procedures in orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members non-compliance with policies and procedures The revised policies and procedures shall be submitted to Allison Davis, Investigations Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 910-800-0079, email Allison.Davis@dhhs.nc.gov, for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation; the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***This stipulation is still pending completion. 6. Within two (2) weeks after the required training regarding effective communication and professionalism is completed, Ms. Ray shall develop effective communication and professionalism policies and procedures to incorporate strategies learned in the training. The policies and procedures shall describe, in detail, the steps the facility will take to ensure staff’s understanding of effective communication and professionalism. The policies and procedures shall include, but not be limited to, the following: • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with children, other staff members, parents, and other persons who may be present at the facility • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with others while providing care for children off-premises • Unacceptable practices of communication • Strategies for de-escalating potential conflicts and conflict resolution • Steps that will be taken when a verbal or physical altercation occurs at the facility, including contacting law enforcement immediately, protecting the children who are present, and supervising the children that are present if an altercation occurs The policies and procedures shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***This stipulation is still pending completion. 7. Within four (4) weeks after this Notice is received, Ms. Ray shall develop a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use. The policy shall include, but not be limited to: • A plan for testing staff members when there are suspicions, concerns, or reports of substance use, including a timeframe for the staff member to submit to a drug test when requested • A requirement that staff members are not allowed to engage in the illegal use of substances or engage in illegal activities at any time, including while off premises and outside of facility work hours • A requirement that illegal substances and/or narcotics, alcohol, tobacco and/or vape pens are not permitted inside the facility or any other locations where enrolled children are in care • A plan for the use and storage of staff members’ personal belongings, including purses, backpacks, or other bags, cell phones, medications, and other possible hazardous items to ensure children do not have access to any hazardous items • Procedures for staff to report any illegal substances found on facility grounds or any impaired staff members to facility administration • Procedures for notifying law enforcement if illegal substances are found on the premises • Consequences for staff members who fail to comply with the facility’s policy • A procedure for regular review of the policy with all staff members including the review of the policy in the orientation of new staff members before they assume child care responsibilities The policy shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policy meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policy shall be immediately implemented, and a copy shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. This stipulation is still pending completion. 8. Within two (2) weeks after this Notice is received, Ms. Ray shall develop a written plan for observation and evaluation of each staff member’s performance while the Probationary License is in effect. The written plan, at a minimum, shall include routine observations of each staff member one (1) time per month while the Probationary License is in effect. The plan shall also include periodic observations after the conclusion of the Probationary License to ensure continual compliance with child care requirements and the facility’s policies/procedures related to supervision of children, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use. The plan shall include, but not be limited to the following: • Individuals who will complete the observations and evaluations with the requirement that observations are conducted by members of management • Development and implementation of a tool to use for the observations that include the date and times of each observation, name and signature of the person observed, signature of the observer, a summary of each observation, areas of noncompliance, and any corrective action taken The written plan shall be submitted to Ms. Davis for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the plan meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the plan shall be immediately implemented, and a copy of the plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. In addition, the observation records for each staff member shall be retained in their personnel file for the duration of their employment at the facility. ***On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. This stipulation is still pending completion. 9. Within two (2) weeks after notification from the Division that the stipulations have been met for the policies and procedures regarding supervision, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use, Ms. Ray shall conduct a staff meeting with all staff members to discuss the policies and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Within two weeks of the requirements of the above stipulations being met, Ms. Ray must conduct a staff meeting. This stipulation is still pending completion. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09 .0803 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 10/13/2025 Number Present: 44 Completed Date: 10/13/2025 Age: From 0 To 6 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Probationary License issued by the DCDEE to this facility on May 16, 2025. This facility currently operates with a Probationary license issued May 16, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. Prior to the visit, the facility had an eighteen-month compliance history score of 86%. Don Grossman, Interim Director, and Patrice Williams, Assistance Director, were present and available for consultation today. Seventy-seven (77) children are enrolled and forty-four (44) children ages infant through 6 years of age were present in spaces 4-8 and 10-11. Children were observed participating in free play indoors or engaging in personal care routines such as diaper/toileting. Lunch for today was whole grain chicken nuggets, melon, carrots, and milk. Adequate supervision and staff/child ratios were monitored and found in compliance. Children were being cared for in a nurturing and caring manner. The following violations were observed. Violation Number Comment Rule 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags were stored on low shelves and drawers in space 8 (jungle) where children 2 years of age were present. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two (2) new staff members did not have a medical report on file. 10A NCAC 09 .0701(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 27, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: The main danger of plastic bags for young children is suffocation due to their thin film clinging to a child's face, which can restrict airflow. A secondary danger is the presence of harmful chemicals, such as phthalates and PFAS, in certain plastics that can disrupt a child's developing systems. Therefore, it's crucial to keep all plastic bags away from children and properly dispose of them. I reinforced the importance of administration checking all classrooms for the proper storage of items, including plastic bags. Medical reports are important for childcare staff because they ensure a safe and healthy environment for both children and themselves by informing health practices, risk management, and emergency preparedness. Today we discussed that medical reports are required by all staff before their first day of work. Always reference the staff file checklist for time sensitive deadlines on staff file paperwork. Administrative Action – Probationary License Follow-Up: The Administrative Action-Probationary License was issued on May 16, 2025. This Action was issued due to violations of childcare requirements regarding criminal record background checks, falsification, reporting of maltreatment, nurture/care/treatment of children, discipline, adequate/approved space, staff/child ratios, supervision, schedules/activity plans, children’s records, safe environment, safe sleep, safety, outdoor premises, health standards, medication, record retention, staff applications, health and safety trainings, orientation, nutrition, transportation, and sanitation. A Corrective Action Plan (CAP) is required and includes nine (9) stipulations. Today it was observed that the Administrative Action, Cover Letter and CAP were posted. As we discussed today, these items must remain posted until your closure letter is received. Administrative Action Follow-Up: I monitored for compliance with the CAP as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation ***An unannounced visit was conducted on May 30, 2025. Violations were not cited. An unannounced visit was conducted on July 10, 2025. Violations were not cited. An unannounced visit was conducted on August 25, 2025. Violations were not cited. An unannounced visit was conducted on September 3, 2025, and ten (10) violations were cited regarding nutrition, general safety, equipment, administration of medications, emergency medical care plan, staff records, in-service training, and program records. This stipulation is ongoing through the course of the probationary license. 2. Within one (1) week after this Notice is received, Kari Ray, administrator, shall contact Jennifer Garner, Lead Child Care Consultant, telephone number 910-824-1447, email jennifer.j.garner@dhhs.nc.gov, to arrange for a complete review of all child care requirements broken into four (4) training sessions, six (6) point items, five (5) point items, three (3) and four (4) point items, and one (1) and two (2) point items. These rule reviews must be completed before the end of the probationary period. Ms. Ray and all staff members, including full-time, part-time, substitute, and volunteer staff, shall participate in the mandatory trainings. No children shall be in care during the trainings. Documentation of the trainings shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. The documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. *** On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first training on the six (6) point items occurred on August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. The second training on the five (5) point items was scheduled for October 10, 2025; however, the facility emailed Ms. Garner that all staff were unable to attend on that date. A new training date has been scheduled for October 24, 2025. 3. Within one (1) week after this Notice is received, Ms. Ray shall contact April Lester, Child Care Consultant, PO Box 12948 Wilmington, NC 28405, telephone number 910-824-0954, email april.lester@dhhs.nc.gov, to arrange for a review of child care requirements regarding falsification. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall participate in this mandatory training. During the training, Ms. Lester shall review and discuss a Statement of Understanding acknowledging that all staff have read, understand, and will comply with child care requirements regarding falsification. At the conclusion of the training, staff members shall sign the statements. The original signed statements shall be maintained in each staff member’s personnel file at the child care facility for review by representatives of the Division of Child Development and Early Education upon request. ***On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. This stipulation is complete. 4. Within two (2) weeks after this Notice is received, Ms. Ray shall contact Mindy Davis, M.Ed., Early Care & Education Director, Smart Start of New Hanover County, email address mindy.davis@newhanoverkids.org, telephone number 910-815-3731 ext. 1010, to arrange for training that addresses strategies for the supervision of children, including typical behaviors for the ages and developmental stages of children in care and appropriate supervision strategies for the developmental stages of a child’s growth. In addition, Ms. Ray shall contact Ms. Davis during the same timeframe to arrange for training that will address effective communication and professionalism. No children shall be in care during these trainings. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, with responsibility for caring for children shall participate in the mandatory trainings. Documentation of the trainings shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled on January 9, 2026. This stipulation is in compliance. 5. Within two (2) weeks after the required training regarding supervision is completed, Ms. Ray shall revise the facility’s supervision policies and procedures to incorporate strategies learned in the training. The revised policies and procedures should describe, in detail, the steps the facility will take to ensure adequate supervision of children at all times. The policies and procedures shall include, but not be limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one (1) area to another • When children are transitioned from one (1) caregiver to another • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members implementation of the supervision policies and procedures • Procedures for periodic review of the supervision policies and procedures with all staff members, including the review of the policies and procedures in orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members non-compliance with policies and procedures The revised policies and procedures shall be submitted to Allison Davis, Investigations Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 910-800-0079, email Allison.Davis@dhhs.nc.gov, for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation; the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***This stipulation is still pending completion. 6. Within two (2) weeks after the required training regarding effective communication and professionalism is completed, Ms. Ray shall develop effective communication and professionalism policies and procedures to incorporate strategies learned in the training. The policies and procedures shall describe, in detail, the steps the facility will take to ensure staff’s understanding of effective communication and professionalism. The policies and procedures shall include, but not be limited to, the following: • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with children, other staff members, parents, and other persons who may be present at the facility • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with others while providing care for children off-premises • Unacceptable practices of communication • Strategies for de-escalating potential conflicts and conflict resolution • Steps that will be taken when a verbal or physical altercation occurs at the facility, including contacting law enforcement immediately, protecting the children who are present, and supervising the children that are present if an altercation occurs The policies and procedures shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***This stipulation is still pending completion. 7. Within four (4) weeks after this Notice is received, Ms. Ray shall develop a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use. The policy shall include, but not be limited to: • A plan for testing staff members when there are suspicions, concerns, or reports of substance use, including a timeframe for the staff member to submit to a drug test when requested • A requirement that staff members are not allowed to engage in the illegal use of substances or engage in illegal activities at any time, including while off premises and outside of facility work hours • A requirement that illegal substances and/or narcotics, alcohol, tobacco and/or vape pens are not permitted inside the facility or any other locations where enrolled children are in care • A plan for the use and storage of staff members’ personal belongings, including purses, backpacks, or other bags, cell phones, medications, and other possible hazardous items to ensure children do not have access to any hazardous items • Procedures for staff to report any illegal substances found on facility grounds or any impaired staff members to facility administration • Procedures for notifying law enforcement if illegal substances are found on the premises • Consequences for staff members who fail to comply with the facility’s policy • A procedure for regular review of the policy with all staff members including the review of the policy in the orientation of new staff members before they assume child care responsibilities The policy shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policy meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policy shall be immediately implemented, and a copy shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. This stipulation is still pending completion. 8. Within two (2) weeks after this Notice is received, Ms. Ray shall develop a written plan for observation and evaluation of each staff member’s performance while the Probationary License is in effect. The written plan, at a minimum, shall include routine observations of each staff member one (1) time per month while the Probationary License is in effect. The plan shall also include periodic observations after the conclusion of the Probationary License to ensure continual compliance with child care requirements and the facility’s policies/procedures related to supervision of children, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use. The plan shall include, but not be limited to the following: • Individuals who will complete the observations and evaluations with the requirement that observations are conducted by members of management • Development and implementation of a tool to use for the observations that include the date and times of each observation, name and signature of the person observed, signature of the observer, a summary of each observation, areas of noncompliance, and any corrective action taken The written plan shall be submitted to Ms. Davis for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the plan meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the plan shall be immediately implemented, and a copy of the plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. In addition, the observation records for each staff member shall be retained in their personnel file for the duration of their employment at the facility. ***On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. This stipulation is still pending completion. 9. Within two (2) weeks after notification from the Division that the stipulations have been met for the policies and procedures regarding supervision, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use, Ms. Ray shall conduct a staff meeting with all staff members to discuss the policies and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Within two weeks of the requirements of the above stipulations being met, Ms. Ray must conduct a staff meeting. This stipulation is still pending completion. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09 .0901 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 10/13/2025 Number Present: 44 Completed Date: 10/13/2025 Age: From 0 To 6 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Probationary License issued by the DCDEE to this facility on May 16, 2025. This facility currently operates with a Probationary license issued May 16, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. Prior to the visit, the facility had an eighteen-month compliance history score of 86%. Don Grossman, Interim Director, and Patrice Williams, Assistance Director, were present and available for consultation today. Seventy-seven (77) children are enrolled and forty-four (44) children ages infant through 6 years of age were present in spaces 4-8 and 10-11. Children were observed participating in free play indoors or engaging in personal care routines such as diaper/toileting. Lunch for today was whole grain chicken nuggets, melon, carrots, and milk. Adequate supervision and staff/child ratios were monitored and found in compliance. Children were being cared for in a nurturing and caring manner. The following violations were observed. Violation Number Comment Rule 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags were stored on low shelves and drawers in space 8 (jungle) where children 2 years of age were present. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two (2) new staff members did not have a medical report on file. 10A NCAC 09 .0701(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 27, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: The main danger of plastic bags for young children is suffocation due to their thin film clinging to a child's face, which can restrict airflow. A secondary danger is the presence of harmful chemicals, such as phthalates and PFAS, in certain plastics that can disrupt a child's developing systems. Therefore, it's crucial to keep all plastic bags away from children and properly dispose of them. I reinforced the importance of administration checking all classrooms for the proper storage of items, including plastic bags. Medical reports are important for childcare staff because they ensure a safe and healthy environment for both children and themselves by informing health practices, risk management, and emergency preparedness. Today we discussed that medical reports are required by all staff before their first day of work. Always reference the staff file checklist for time sensitive deadlines on staff file paperwork. Administrative Action – Probationary License Follow-Up: The Administrative Action-Probationary License was issued on May 16, 2025. This Action was issued due to violations of childcare requirements regarding criminal record background checks, falsification, reporting of maltreatment, nurture/care/treatment of children, discipline, adequate/approved space, staff/child ratios, supervision, schedules/activity plans, children’s records, safe environment, safe sleep, safety, outdoor premises, health standards, medication, record retention, staff applications, health and safety trainings, orientation, nutrition, transportation, and sanitation. A Corrective Action Plan (CAP) is required and includes nine (9) stipulations. Today it was observed that the Administrative Action, Cover Letter and CAP were posted. As we discussed today, these items must remain posted until your closure letter is received. Administrative Action Follow-Up: I monitored for compliance with the CAP as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation ***An unannounced visit was conducted on May 30, 2025. Violations were not cited. An unannounced visit was conducted on July 10, 2025. Violations were not cited. An unannounced visit was conducted on August 25, 2025. Violations were not cited. An unannounced visit was conducted on September 3, 2025, and ten (10) violations were cited regarding nutrition, general safety, equipment, administration of medications, emergency medical care plan, staff records, in-service training, and program records. This stipulation is ongoing through the course of the probationary license. 2. Within one (1) week after this Notice is received, Kari Ray, administrator, shall contact Jennifer Garner, Lead Child Care Consultant, telephone number 910-824-1447, email jennifer.j.garner@dhhs.nc.gov, to arrange for a complete review of all child care requirements broken into four (4) training sessions, six (6) point items, five (5) point items, three (3) and four (4) point items, and one (1) and two (2) point items. These rule reviews must be completed before the end of the probationary period. Ms. Ray and all staff members, including full-time, part-time, substitute, and volunteer staff, shall participate in the mandatory trainings. No children shall be in care during the trainings. Documentation of the trainings shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. The documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. *** On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first training on the six (6) point items occurred on August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. The second training on the five (5) point items was scheduled for October 10, 2025; however, the facility emailed Ms. Garner that all staff were unable to attend on that date. A new training date has been scheduled for October 24, 2025. 3. Within one (1) week after this Notice is received, Ms. Ray shall contact April Lester, Child Care Consultant, PO Box 12948 Wilmington, NC 28405, telephone number 910-824-0954, email april.lester@dhhs.nc.gov, to arrange for a review of child care requirements regarding falsification. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall participate in this mandatory training. During the training, Ms. Lester shall review and discuss a Statement of Understanding acknowledging that all staff have read, understand, and will comply with child care requirements regarding falsification. At the conclusion of the training, staff members shall sign the statements. The original signed statements shall be maintained in each staff member’s personnel file at the child care facility for review by representatives of the Division of Child Development and Early Education upon request. ***On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. This stipulation is complete. 4. Within two (2) weeks after this Notice is received, Ms. Ray shall contact Mindy Davis, M.Ed., Early Care & Education Director, Smart Start of New Hanover County, email address mindy.davis@newhanoverkids.org, telephone number 910-815-3731 ext. 1010, to arrange for training that addresses strategies for the supervision of children, including typical behaviors for the ages and developmental stages of children in care and appropriate supervision strategies for the developmental stages of a child’s growth. In addition, Ms. Ray shall contact Ms. Davis during the same timeframe to arrange for training that will address effective communication and professionalism. No children shall be in care during these trainings. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, with responsibility for caring for children shall participate in the mandatory trainings. Documentation of the trainings shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled on January 9, 2026. This stipulation is in compliance. 5. Within two (2) weeks after the required training regarding supervision is completed, Ms. Ray shall revise the facility’s supervision policies and procedures to incorporate strategies learned in the training. The revised policies and procedures should describe, in detail, the steps the facility will take to ensure adequate supervision of children at all times. The policies and procedures shall include, but not be limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one (1) area to another • When children are transitioned from one (1) caregiver to another • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members implementation of the supervision policies and procedures • Procedures for periodic review of the supervision policies and procedures with all staff members, including the review of the policies and procedures in orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members non-compliance with policies and procedures The revised policies and procedures shall be submitted to Allison Davis, Investigations Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 910-800-0079, email Allison.Davis@dhhs.nc.gov, for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation; the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***This stipulation is still pending completion. 6. Within two (2) weeks after the required training regarding effective communication and professionalism is completed, Ms. Ray shall develop effective communication and professionalism policies and procedures to incorporate strategies learned in the training. The policies and procedures shall describe, in detail, the steps the facility will take to ensure staff’s understanding of effective communication and professionalism. The policies and procedures shall include, but not be limited to, the following: • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with children, other staff members, parents, and other persons who may be present at the facility • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with others while providing care for children off-premises • Unacceptable practices of communication • Strategies for de-escalating potential conflicts and conflict resolution • Steps that will be taken when a verbal or physical altercation occurs at the facility, including contacting law enforcement immediately, protecting the children who are present, and supervising the children that are present if an altercation occurs The policies and procedures shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***This stipulation is still pending completion. 7. Within four (4) weeks after this Notice is received, Ms. Ray shall develop a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use. The policy shall include, but not be limited to: • A plan for testing staff members when there are suspicions, concerns, or reports of substance use, including a timeframe for the staff member to submit to a drug test when requested • A requirement that staff members are not allowed to engage in the illegal use of substances or engage in illegal activities at any time, including while off premises and outside of facility work hours • A requirement that illegal substances and/or narcotics, alcohol, tobacco and/or vape pens are not permitted inside the facility or any other locations where enrolled children are in care • A plan for the use and storage of staff members’ personal belongings, including purses, backpacks, or other bags, cell phones, medications, and other possible hazardous items to ensure children do not have access to any hazardous items • Procedures for staff to report any illegal substances found on facility grounds or any impaired staff members to facility administration • Procedures for notifying law enforcement if illegal substances are found on the premises • Consequences for staff members who fail to comply with the facility’s policy • A procedure for regular review of the policy with all staff members including the review of the policy in the orientation of new staff members before they assume child care responsibilities The policy shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policy meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policy shall be immediately implemented, and a copy shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. This stipulation is still pending completion. 8. Within two (2) weeks after this Notice is received, Ms. Ray shall develop a written plan for observation and evaluation of each staff member’s performance while the Probationary License is in effect. The written plan, at a minimum, shall include routine observations of each staff member one (1) time per month while the Probationary License is in effect. The plan shall also include periodic observations after the conclusion of the Probationary License to ensure continual compliance with child care requirements and the facility’s policies/procedures related to supervision of children, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use. The plan shall include, but not be limited to the following: • Individuals who will complete the observations and evaluations with the requirement that observations are conducted by members of management • Development and implementation of a tool to use for the observations that include the date and times of each observation, name and signature of the person observed, signature of the observer, a summary of each observation, areas of noncompliance, and any corrective action taken The written plan shall be submitted to Ms. Davis for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the plan meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the plan shall be immediately implemented, and a copy of the plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. In addition, the observation records for each staff member shall be retained in their personnel file for the duration of their employment at the facility. ***On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. This stipulation is still pending completion. 9. Within two (2) weeks after notification from the Division that the stipulations have been met for the policies and procedures regarding supervision, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use, Ms. Ray shall conduct a staff meeting with all staff members to discuss the policies and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Within two weeks of the requirements of the above stipulations being met, Ms. Ray must conduct a staff meeting. This stipulation is still pending completion. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09 .1003 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 10/13/2025 Number Present: 44 Completed Date: 10/13/2025 Age: From 0 To 6 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Probationary License issued by the DCDEE to this facility on May 16, 2025. This facility currently operates with a Probationary license issued May 16, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. Prior to the visit, the facility had an eighteen-month compliance history score of 86%. Don Grossman, Interim Director, and Patrice Williams, Assistance Director, were present and available for consultation today. Seventy-seven (77) children are enrolled and forty-four (44) children ages infant through 6 years of age were present in spaces 4-8 and 10-11. Children were observed participating in free play indoors or engaging in personal care routines such as diaper/toileting. Lunch for today was whole grain chicken nuggets, melon, carrots, and milk. Adequate supervision and staff/child ratios were monitored and found in compliance. Children were being cared for in a nurturing and caring manner. The following violations were observed. Violation Number Comment Rule 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags were stored on low shelves and drawers in space 8 (jungle) where children 2 years of age were present. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two (2) new staff members did not have a medical report on file. 10A NCAC 09 .0701(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 27, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: The main danger of plastic bags for young children is suffocation due to their thin film clinging to a child's face, which can restrict airflow. A secondary danger is the presence of harmful chemicals, such as phthalates and PFAS, in certain plastics that can disrupt a child's developing systems. Therefore, it's crucial to keep all plastic bags away from children and properly dispose of them. I reinforced the importance of administration checking all classrooms for the proper storage of items, including plastic bags. Medical reports are important for childcare staff because they ensure a safe and healthy environment for both children and themselves by informing health practices, risk management, and emergency preparedness. Today we discussed that medical reports are required by all staff before their first day of work. Always reference the staff file checklist for time sensitive deadlines on staff file paperwork. Administrative Action – Probationary License Follow-Up: The Administrative Action-Probationary License was issued on May 16, 2025. This Action was issued due to violations of childcare requirements regarding criminal record background checks, falsification, reporting of maltreatment, nurture/care/treatment of children, discipline, adequate/approved space, staff/child ratios, supervision, schedules/activity plans, children’s records, safe environment, safe sleep, safety, outdoor premises, health standards, medication, record retention, staff applications, health and safety trainings, orientation, nutrition, transportation, and sanitation. A Corrective Action Plan (CAP) is required and includes nine (9) stipulations. Today it was observed that the Administrative Action, Cover Letter and CAP were posted. As we discussed today, these items must remain posted until your closure letter is received. Administrative Action Follow-Up: I monitored for compliance with the CAP as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation ***An unannounced visit was conducted on May 30, 2025. Violations were not cited. An unannounced visit was conducted on July 10, 2025. Violations were not cited. An unannounced visit was conducted on August 25, 2025. Violations were not cited. An unannounced visit was conducted on September 3, 2025, and ten (10) violations were cited regarding nutrition, general safety, equipment, administration of medications, emergency medical care plan, staff records, in-service training, and program records. This stipulation is ongoing through the course of the probationary license. 2. Within one (1) week after this Notice is received, Kari Ray, administrator, shall contact Jennifer Garner, Lead Child Care Consultant, telephone number 910-824-1447, email jennifer.j.garner@dhhs.nc.gov, to arrange for a complete review of all child care requirements broken into four (4) training sessions, six (6) point items, five (5) point items, three (3) and four (4) point items, and one (1) and two (2) point items. These rule reviews must be completed before the end of the probationary period. Ms. Ray and all staff members, including full-time, part-time, substitute, and volunteer staff, shall participate in the mandatory trainings. No children shall be in care during the trainings. Documentation of the trainings shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. The documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. *** On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first training on the six (6) point items occurred on August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. The second training on the five (5) point items was scheduled for October 10, 2025; however, the facility emailed Ms. Garner that all staff were unable to attend on that date. A new training date has been scheduled for October 24, 2025. 3. Within one (1) week after this Notice is received, Ms. Ray shall contact April Lester, Child Care Consultant, PO Box 12948 Wilmington, NC 28405, telephone number 910-824-0954, email april.lester@dhhs.nc.gov, to arrange for a review of child care requirements regarding falsification. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall participate in this mandatory training. During the training, Ms. Lester shall review and discuss a Statement of Understanding acknowledging that all staff have read, understand, and will comply with child care requirements regarding falsification. At the conclusion of the training, staff members shall sign the statements. The original signed statements shall be maintained in each staff member’s personnel file at the child care facility for review by representatives of the Division of Child Development and Early Education upon request. ***On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. This stipulation is complete. 4. Within two (2) weeks after this Notice is received, Ms. Ray shall contact Mindy Davis, M.Ed., Early Care & Education Director, Smart Start of New Hanover County, email address mindy.davis@newhanoverkids.org, telephone number 910-815-3731 ext. 1010, to arrange for training that addresses strategies for the supervision of children, including typical behaviors for the ages and developmental stages of children in care and appropriate supervision strategies for the developmental stages of a child’s growth. In addition, Ms. Ray shall contact Ms. Davis during the same timeframe to arrange for training that will address effective communication and professionalism. No children shall be in care during these trainings. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, with responsibility for caring for children shall participate in the mandatory trainings. Documentation of the trainings shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled on January 9, 2026. This stipulation is in compliance. 5. Within two (2) weeks after the required training regarding supervision is completed, Ms. Ray shall revise the facility’s supervision policies and procedures to incorporate strategies learned in the training. The revised policies and procedures should describe, in detail, the steps the facility will take to ensure adequate supervision of children at all times. The policies and procedures shall include, but not be limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one (1) area to another • When children are transitioned from one (1) caregiver to another • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members implementation of the supervision policies and procedures • Procedures for periodic review of the supervision policies and procedures with all staff members, including the review of the policies and procedures in orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members non-compliance with policies and procedures The revised policies and procedures shall be submitted to Allison Davis, Investigations Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 910-800-0079, email Allison.Davis@dhhs.nc.gov, for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation; the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***This stipulation is still pending completion. 6. Within two (2) weeks after the required training regarding effective communication and professionalism is completed, Ms. Ray shall develop effective communication and professionalism policies and procedures to incorporate strategies learned in the training. The policies and procedures shall describe, in detail, the steps the facility will take to ensure staff’s understanding of effective communication and professionalism. The policies and procedures shall include, but not be limited to, the following: • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with children, other staff members, parents, and other persons who may be present at the facility • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with others while providing care for children off-premises • Unacceptable practices of communication • Strategies for de-escalating potential conflicts and conflict resolution • Steps that will be taken when a verbal or physical altercation occurs at the facility, including contacting law enforcement immediately, protecting the children who are present, and supervising the children that are present if an altercation occurs The policies and procedures shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***This stipulation is still pending completion. 7. Within four (4) weeks after this Notice is received, Ms. Ray shall develop a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use. The policy shall include, but not be limited to: • A plan for testing staff members when there are suspicions, concerns, or reports of substance use, including a timeframe for the staff member to submit to a drug test when requested • A requirement that staff members are not allowed to engage in the illegal use of substances or engage in illegal activities at any time, including while off premises and outside of facility work hours • A requirement that illegal substances and/or narcotics, alcohol, tobacco and/or vape pens are not permitted inside the facility or any other locations where enrolled children are in care • A plan for the use and storage of staff members’ personal belongings, including purses, backpacks, or other bags, cell phones, medications, and other possible hazardous items to ensure children do not have access to any hazardous items • Procedures for staff to report any illegal substances found on facility grounds or any impaired staff members to facility administration • Procedures for notifying law enforcement if illegal substances are found on the premises • Consequences for staff members who fail to comply with the facility’s policy • A procedure for regular review of the policy with all staff members including the review of the policy in the orientation of new staff members before they assume child care responsibilities The policy shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policy meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policy shall be immediately implemented, and a copy shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. This stipulation is still pending completion. 8. Within two (2) weeks after this Notice is received, Ms. Ray shall develop a written plan for observation and evaluation of each staff member’s performance while the Probationary License is in effect. The written plan, at a minimum, shall include routine observations of each staff member one (1) time per month while the Probationary License is in effect. The plan shall also include periodic observations after the conclusion of the Probationary License to ensure continual compliance with child care requirements and the facility’s policies/procedures related to supervision of children, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use. The plan shall include, but not be limited to the following: • Individuals who will complete the observations and evaluations with the requirement that observations are conducted by members of management • Development and implementation of a tool to use for the observations that include the date and times of each observation, name and signature of the person observed, signature of the observer, a summary of each observation, areas of noncompliance, and any corrective action taken The written plan shall be submitted to Ms. Davis for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the plan meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the plan shall be immediately implemented, and a copy of the plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. In addition, the observation records for each staff member shall be retained in their personnel file for the duration of their employment at the facility. ***On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. This stipulation is still pending completion. 9. Within two (2) weeks after notification from the Division that the stipulations have been met for the policies and procedures regarding supervision, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use, Ms. Ray shall conduct a staff meeting with all staff members to discuss the policies and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Within two weeks of the requirements of the above stipulations being met, Ms. Ray must conduct a staff meeting. This stipulation is still pending completion. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09 .1101 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 10/13/2025 Number Present: 44 Completed Date: 10/13/2025 Age: From 0 To 6 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Probationary License issued by the DCDEE to this facility on May 16, 2025. This facility currently operates with a Probationary license issued May 16, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. Prior to the visit, the facility had an eighteen-month compliance history score of 86%. Don Grossman, Interim Director, and Patrice Williams, Assistance Director, were present and available for consultation today. Seventy-seven (77) children are enrolled and forty-four (44) children ages infant through 6 years of age were present in spaces 4-8 and 10-11. Children were observed participating in free play indoors or engaging in personal care routines such as diaper/toileting. Lunch for today was whole grain chicken nuggets, melon, carrots, and milk. Adequate supervision and staff/child ratios were monitored and found in compliance. Children were being cared for in a nurturing and caring manner. The following violations were observed. Violation Number Comment Rule 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags were stored on low shelves and drawers in space 8 (jungle) where children 2 years of age were present. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two (2) new staff members did not have a medical report on file. 10A NCAC 09 .0701(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 27, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: The main danger of plastic bags for young children is suffocation due to their thin film clinging to a child's face, which can restrict airflow. A secondary danger is the presence of harmful chemicals, such as phthalates and PFAS, in certain plastics that can disrupt a child's developing systems. Therefore, it's crucial to keep all plastic bags away from children and properly dispose of them. I reinforced the importance of administration checking all classrooms for the proper storage of items, including plastic bags. Medical reports are important for childcare staff because they ensure a safe and healthy environment for both children and themselves by informing health practices, risk management, and emergency preparedness. Today we discussed that medical reports are required by all staff before their first day of work. Always reference the staff file checklist for time sensitive deadlines on staff file paperwork. Administrative Action – Probationary License Follow-Up: The Administrative Action-Probationary License was issued on May 16, 2025. This Action was issued due to violations of childcare requirements regarding criminal record background checks, falsification, reporting of maltreatment, nurture/care/treatment of children, discipline, adequate/approved space, staff/child ratios, supervision, schedules/activity plans, children’s records, safe environment, safe sleep, safety, outdoor premises, health standards, medication, record retention, staff applications, health and safety trainings, orientation, nutrition, transportation, and sanitation. A Corrective Action Plan (CAP) is required and includes nine (9) stipulations. Today it was observed that the Administrative Action, Cover Letter and CAP were posted. As we discussed today, these items must remain posted until your closure letter is received. Administrative Action Follow-Up: I monitored for compliance with the CAP as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation ***An unannounced visit was conducted on May 30, 2025. Violations were not cited. An unannounced visit was conducted on July 10, 2025. Violations were not cited. An unannounced visit was conducted on August 25, 2025. Violations were not cited. An unannounced visit was conducted on September 3, 2025, and ten (10) violations were cited regarding nutrition, general safety, equipment, administration of medications, emergency medical care plan, staff records, in-service training, and program records. This stipulation is ongoing through the course of the probationary license. 2. Within one (1) week after this Notice is received, Kari Ray, administrator, shall contact Jennifer Garner, Lead Child Care Consultant, telephone number 910-824-1447, email jennifer.j.garner@dhhs.nc.gov, to arrange for a complete review of all child care requirements broken into four (4) training sessions, six (6) point items, five (5) point items, three (3) and four (4) point items, and one (1) and two (2) point items. These rule reviews must be completed before the end of the probationary period. Ms. Ray and all staff members, including full-time, part-time, substitute, and volunteer staff, shall participate in the mandatory trainings. No children shall be in care during the trainings. Documentation of the trainings shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. The documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. *** On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first training on the six (6) point items occurred on August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. The second training on the five (5) point items was scheduled for October 10, 2025; however, the facility emailed Ms. Garner that all staff were unable to attend on that date. A new training date has been scheduled for October 24, 2025. 3. Within one (1) week after this Notice is received, Ms. Ray shall contact April Lester, Child Care Consultant, PO Box 12948 Wilmington, NC 28405, telephone number 910-824-0954, email april.lester@dhhs.nc.gov, to arrange for a review of child care requirements regarding falsification. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall participate in this mandatory training. During the training, Ms. Lester shall review and discuss a Statement of Understanding acknowledging that all staff have read, understand, and will comply with child care requirements regarding falsification. At the conclusion of the training, staff members shall sign the statements. The original signed statements shall be maintained in each staff member’s personnel file at the child care facility for review by representatives of the Division of Child Development and Early Education upon request. ***On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. This stipulation is complete. 4. Within two (2) weeks after this Notice is received, Ms. Ray shall contact Mindy Davis, M.Ed., Early Care & Education Director, Smart Start of New Hanover County, email address mindy.davis@newhanoverkids.org, telephone number 910-815-3731 ext. 1010, to arrange for training that addresses strategies for the supervision of children, including typical behaviors for the ages and developmental stages of children in care and appropriate supervision strategies for the developmental stages of a child’s growth. In addition, Ms. Ray shall contact Ms. Davis during the same timeframe to arrange for training that will address effective communication and professionalism. No children shall be in care during these trainings. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, with responsibility for caring for children shall participate in the mandatory trainings. Documentation of the trainings shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled on January 9, 2026. This stipulation is in compliance. 5. Within two (2) weeks after the required training regarding supervision is completed, Ms. Ray shall revise the facility’s supervision policies and procedures to incorporate strategies learned in the training. The revised policies and procedures should describe, in detail, the steps the facility will take to ensure adequate supervision of children at all times. The policies and procedures shall include, but not be limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one (1) area to another • When children are transitioned from one (1) caregiver to another • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members implementation of the supervision policies and procedures • Procedures for periodic review of the supervision policies and procedures with all staff members, including the review of the policies and procedures in orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members non-compliance with policies and procedures The revised policies and procedures shall be submitted to Allison Davis, Investigations Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 910-800-0079, email Allison.Davis@dhhs.nc.gov, for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation; the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***This stipulation is still pending completion. 6. Within two (2) weeks after the required training regarding effective communication and professionalism is completed, Ms. Ray shall develop effective communication and professionalism policies and procedures to incorporate strategies learned in the training. The policies and procedures shall describe, in detail, the steps the facility will take to ensure staff’s understanding of effective communication and professionalism. The policies and procedures shall include, but not be limited to, the following: • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with children, other staff members, parents, and other persons who may be present at the facility • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with others while providing care for children off-premises • Unacceptable practices of communication • Strategies for de-escalating potential conflicts and conflict resolution • Steps that will be taken when a verbal or physical altercation occurs at the facility, including contacting law enforcement immediately, protecting the children who are present, and supervising the children that are present if an altercation occurs The policies and procedures shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***This stipulation is still pending completion. 7. Within four (4) weeks after this Notice is received, Ms. Ray shall develop a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use. The policy shall include, but not be limited to: • A plan for testing staff members when there are suspicions, concerns, or reports of substance use, including a timeframe for the staff member to submit to a drug test when requested • A requirement that staff members are not allowed to engage in the illegal use of substances or engage in illegal activities at any time, including while off premises and outside of facility work hours • A requirement that illegal substances and/or narcotics, alcohol, tobacco and/or vape pens are not permitted inside the facility or any other locations where enrolled children are in care • A plan for the use and storage of staff members’ personal belongings, including purses, backpacks, or other bags, cell phones, medications, and other possible hazardous items to ensure children do not have access to any hazardous items • Procedures for staff to report any illegal substances found on facility grounds or any impaired staff members to facility administration • Procedures for notifying law enforcement if illegal substances are found on the premises • Consequences for staff members who fail to comply with the facility’s policy • A procedure for regular review of the policy with all staff members including the review of the policy in the orientation of new staff members before they assume child care responsibilities The policy shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policy meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policy shall be immediately implemented, and a copy shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. This stipulation is still pending completion. 8. Within two (2) weeks after this Notice is received, Ms. Ray shall develop a written plan for observation and evaluation of each staff member’s performance while the Probationary License is in effect. The written plan, at a minimum, shall include routine observations of each staff member one (1) time per month while the Probationary License is in effect. The plan shall also include periodic observations after the conclusion of the Probationary License to ensure continual compliance with child care requirements and the facility’s policies/procedures related to supervision of children, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use. The plan shall include, but not be limited to the following: • Individuals who will complete the observations and evaluations with the requirement that observations are conducted by members of management • Development and implementation of a tool to use for the observations that include the date and times of each observation, name and signature of the person observed, signature of the observer, a summary of each observation, areas of noncompliance, and any corrective action taken The written plan shall be submitted to Ms. Davis for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the plan meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the plan shall be immediately implemented, and a copy of the plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. In addition, the observation records for each staff member shall be retained in their personnel file for the duration of their employment at the facility. ***On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. This stipulation is still pending completion. 9. Within two (2) weeks after notification from the Division that the stipulations have been met for the policies and procedures regarding supervision, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use, Ms. Ray shall conduct a staff meeting with all staff members to discuss the policies and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Within two weeks of the requirements of the above stipulations being met, Ms. Ray must conduct a staff meeting. This stipulation is still pending completion. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09 .1102 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 10/13/2025 Number Present: 44 Completed Date: 10/13/2025 Age: From 0 To 6 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Probationary License issued by the DCDEE to this facility on May 16, 2025. This facility currently operates with a Probationary license issued May 16, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. Prior to the visit, the facility had an eighteen-month compliance history score of 86%. Don Grossman, Interim Director, and Patrice Williams, Assistance Director, were present and available for consultation today. Seventy-seven (77) children are enrolled and forty-four (44) children ages infant through 6 years of age were present in spaces 4-8 and 10-11. Children were observed participating in free play indoors or engaging in personal care routines such as diaper/toileting. Lunch for today was whole grain chicken nuggets, melon, carrots, and milk. Adequate supervision and staff/child ratios were monitored and found in compliance. Children were being cared for in a nurturing and caring manner. The following violations were observed. Violation Number Comment Rule 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags were stored on low shelves and drawers in space 8 (jungle) where children 2 years of age were present. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two (2) new staff members did not have a medical report on file. 10A NCAC 09 .0701(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 27, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: The main danger of plastic bags for young children is suffocation due to their thin film clinging to a child's face, which can restrict airflow. A secondary danger is the presence of harmful chemicals, such as phthalates and PFAS, in certain plastics that can disrupt a child's developing systems. Therefore, it's crucial to keep all plastic bags away from children and properly dispose of them. I reinforced the importance of administration checking all classrooms for the proper storage of items, including plastic bags. Medical reports are important for childcare staff because they ensure a safe and healthy environment for both children and themselves by informing health practices, risk management, and emergency preparedness. Today we discussed that medical reports are required by all staff before their first day of work. Always reference the staff file checklist for time sensitive deadlines on staff file paperwork. Administrative Action – Probationary License Follow-Up: The Administrative Action-Probationary License was issued on May 16, 2025. This Action was issued due to violations of childcare requirements regarding criminal record background checks, falsification, reporting of maltreatment, nurture/care/treatment of children, discipline, adequate/approved space, staff/child ratios, supervision, schedules/activity plans, children’s records, safe environment, safe sleep, safety, outdoor premises, health standards, medication, record retention, staff applications, health and safety trainings, orientation, nutrition, transportation, and sanitation. A Corrective Action Plan (CAP) is required and includes nine (9) stipulations. Today it was observed that the Administrative Action, Cover Letter and CAP were posted. As we discussed today, these items must remain posted until your closure letter is received. Administrative Action Follow-Up: I monitored for compliance with the CAP as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation ***An unannounced visit was conducted on May 30, 2025. Violations were not cited. An unannounced visit was conducted on July 10, 2025. Violations were not cited. An unannounced visit was conducted on August 25, 2025. Violations were not cited. An unannounced visit was conducted on September 3, 2025, and ten (10) violations were cited regarding nutrition, general safety, equipment, administration of medications, emergency medical care plan, staff records, in-service training, and program records. This stipulation is ongoing through the course of the probationary license. 2. Within one (1) week after this Notice is received, Kari Ray, administrator, shall contact Jennifer Garner, Lead Child Care Consultant, telephone number 910-824-1447, email jennifer.j.garner@dhhs.nc.gov, to arrange for a complete review of all child care requirements broken into four (4) training sessions, six (6) point items, five (5) point items, three (3) and four (4) point items, and one (1) and two (2) point items. These rule reviews must be completed before the end of the probationary period. Ms. Ray and all staff members, including full-time, part-time, substitute, and volunteer staff, shall participate in the mandatory trainings. No children shall be in care during the trainings. Documentation of the trainings shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. The documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. *** On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first training on the six (6) point items occurred on August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. The second training on the five (5) point items was scheduled for October 10, 2025; however, the facility emailed Ms. Garner that all staff were unable to attend on that date. A new training date has been scheduled for October 24, 2025. 3. Within one (1) week after this Notice is received, Ms. Ray shall contact April Lester, Child Care Consultant, PO Box 12948 Wilmington, NC 28405, telephone number 910-824-0954, email april.lester@dhhs.nc.gov, to arrange for a review of child care requirements regarding falsification. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall participate in this mandatory training. During the training, Ms. Lester shall review and discuss a Statement of Understanding acknowledging that all staff have read, understand, and will comply with child care requirements regarding falsification. At the conclusion of the training, staff members shall sign the statements. The original signed statements shall be maintained in each staff member’s personnel file at the child care facility for review by representatives of the Division of Child Development and Early Education upon request. ***On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. This stipulation is complete. 4. Within two (2) weeks after this Notice is received, Ms. Ray shall contact Mindy Davis, M.Ed., Early Care & Education Director, Smart Start of New Hanover County, email address mindy.davis@newhanoverkids.org, telephone number 910-815-3731 ext. 1010, to arrange for training that addresses strategies for the supervision of children, including typical behaviors for the ages and developmental stages of children in care and appropriate supervision strategies for the developmental stages of a child’s growth. In addition, Ms. Ray shall contact Ms. Davis during the same timeframe to arrange for training that will address effective communication and professionalism. No children shall be in care during these trainings. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, with responsibility for caring for children shall participate in the mandatory trainings. Documentation of the trainings shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled on January 9, 2026. This stipulation is in compliance. 5. Within two (2) weeks after the required training regarding supervision is completed, Ms. Ray shall revise the facility’s supervision policies and procedures to incorporate strategies learned in the training. The revised policies and procedures should describe, in detail, the steps the facility will take to ensure adequate supervision of children at all times. The policies and procedures shall include, but not be limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one (1) area to another • When children are transitioned from one (1) caregiver to another • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members implementation of the supervision policies and procedures • Procedures for periodic review of the supervision policies and procedures with all staff members, including the review of the policies and procedures in orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members non-compliance with policies and procedures The revised policies and procedures shall be submitted to Allison Davis, Investigations Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 910-800-0079, email Allison.Davis@dhhs.nc.gov, for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation; the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***This stipulation is still pending completion. 6. Within two (2) weeks after the required training regarding effective communication and professionalism is completed, Ms. Ray shall develop effective communication and professionalism policies and procedures to incorporate strategies learned in the training. The policies and procedures shall describe, in detail, the steps the facility will take to ensure staff’s understanding of effective communication and professionalism. The policies and procedures shall include, but not be limited to, the following: • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with children, other staff members, parents, and other persons who may be present at the facility • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with others while providing care for children off-premises • Unacceptable practices of communication • Strategies for de-escalating potential conflicts and conflict resolution • Steps that will be taken when a verbal or physical altercation occurs at the facility, including contacting law enforcement immediately, protecting the children who are present, and supervising the children that are present if an altercation occurs The policies and procedures shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***This stipulation is still pending completion. 7. Within four (4) weeks after this Notice is received, Ms. Ray shall develop a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use. The policy shall include, but not be limited to: • A plan for testing staff members when there are suspicions, concerns, or reports of substance use, including a timeframe for the staff member to submit to a drug test when requested • A requirement that staff members are not allowed to engage in the illegal use of substances or engage in illegal activities at any time, including while off premises and outside of facility work hours • A requirement that illegal substances and/or narcotics, alcohol, tobacco and/or vape pens are not permitted inside the facility or any other locations where enrolled children are in care • A plan for the use and storage of staff members’ personal belongings, including purses, backpacks, or other bags, cell phones, medications, and other possible hazardous items to ensure children do not have access to any hazardous items • Procedures for staff to report any illegal substances found on facility grounds or any impaired staff members to facility administration • Procedures for notifying law enforcement if illegal substances are found on the premises • Consequences for staff members who fail to comply with the facility’s policy • A procedure for regular review of the policy with all staff members including the review of the policy in the orientation of new staff members before they assume child care responsibilities The policy shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policy meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policy shall be immediately implemented, and a copy shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. This stipulation is still pending completion. 8. Within two (2) weeks after this Notice is received, Ms. Ray shall develop a written plan for observation and evaluation of each staff member’s performance while the Probationary License is in effect. The written plan, at a minimum, shall include routine observations of each staff member one (1) time per month while the Probationary License is in effect. The plan shall also include periodic observations after the conclusion of the Probationary License to ensure continual compliance with child care requirements and the facility’s policies/procedures related to supervision of children, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use. The plan shall include, but not be limited to the following: • Individuals who will complete the observations and evaluations with the requirement that observations are conducted by members of management • Development and implementation of a tool to use for the observations that include the date and times of each observation, name and signature of the person observed, signature of the observer, a summary of each observation, areas of noncompliance, and any corrective action taken The written plan shall be submitted to Ms. Davis for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the plan meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the plan shall be immediately implemented, and a copy of the plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. In addition, the observation records for each staff member shall be retained in their personnel file for the duration of their employment at the facility. ***On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. This stipulation is still pending completion. 9. Within two (2) weeks after notification from the Division that the stipulations have been met for the policies and procedures regarding supervision, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use, Ms. Ray shall conduct a staff meeting with all staff members to discuss the policies and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Within two weeks of the requirements of the above stipulations being met, Ms. Ray must conduct a staff meeting. This stipulation is still pending completion. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09 .1801 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 10/13/2025 Number Present: 44 Completed Date: 10/13/2025 Age: From 0 To 6 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Probationary License issued by the DCDEE to this facility on May 16, 2025. This facility currently operates with a Probationary license issued May 16, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. Prior to the visit, the facility had an eighteen-month compliance history score of 86%. Don Grossman, Interim Director, and Patrice Williams, Assistance Director, were present and available for consultation today. Seventy-seven (77) children are enrolled and forty-four (44) children ages infant through 6 years of age were present in spaces 4-8 and 10-11. Children were observed participating in free play indoors or engaging in personal care routines such as diaper/toileting. Lunch for today was whole grain chicken nuggets, melon, carrots, and milk. Adequate supervision and staff/child ratios were monitored and found in compliance. Children were being cared for in a nurturing and caring manner. The following violations were observed. Violation Number Comment Rule 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags were stored on low shelves and drawers in space 8 (jungle) where children 2 years of age were present. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two (2) new staff members did not have a medical report on file. 10A NCAC 09 .0701(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 27, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: The main danger of plastic bags for young children is suffocation due to their thin film clinging to a child's face, which can restrict airflow. A secondary danger is the presence of harmful chemicals, such as phthalates and PFAS, in certain plastics that can disrupt a child's developing systems. Therefore, it's crucial to keep all plastic bags away from children and properly dispose of them. I reinforced the importance of administration checking all classrooms for the proper storage of items, including plastic bags. Medical reports are important for childcare staff because they ensure a safe and healthy environment for both children and themselves by informing health practices, risk management, and emergency preparedness. Today we discussed that medical reports are required by all staff before their first day of work. Always reference the staff file checklist for time sensitive deadlines on staff file paperwork. Administrative Action – Probationary License Follow-Up: The Administrative Action-Probationary License was issued on May 16, 2025. This Action was issued due to violations of childcare requirements regarding criminal record background checks, falsification, reporting of maltreatment, nurture/care/treatment of children, discipline, adequate/approved space, staff/child ratios, supervision, schedules/activity plans, children’s records, safe environment, safe sleep, safety, outdoor premises, health standards, medication, record retention, staff applications, health and safety trainings, orientation, nutrition, transportation, and sanitation. A Corrective Action Plan (CAP) is required and includes nine (9) stipulations. Today it was observed that the Administrative Action, Cover Letter and CAP were posted. As we discussed today, these items must remain posted until your closure letter is received. Administrative Action Follow-Up: I monitored for compliance with the CAP as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation ***An unannounced visit was conducted on May 30, 2025. Violations were not cited. An unannounced visit was conducted on July 10, 2025. Violations were not cited. An unannounced visit was conducted on August 25, 2025. Violations were not cited. An unannounced visit was conducted on September 3, 2025, and ten (10) violations were cited regarding nutrition, general safety, equipment, administration of medications, emergency medical care plan, staff records, in-service training, and program records. This stipulation is ongoing through the course of the probationary license. 2. Within one (1) week after this Notice is received, Kari Ray, administrator, shall contact Jennifer Garner, Lead Child Care Consultant, telephone number 910-824-1447, email jennifer.j.garner@dhhs.nc.gov, to arrange for a complete review of all child care requirements broken into four (4) training sessions, six (6) point items, five (5) point items, three (3) and four (4) point items, and one (1) and two (2) point items. These rule reviews must be completed before the end of the probationary period. Ms. Ray and all staff members, including full-time, part-time, substitute, and volunteer staff, shall participate in the mandatory trainings. No children shall be in care during the trainings. Documentation of the trainings shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. The documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. *** On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first training on the six (6) point items occurred on August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. The second training on the five (5) point items was scheduled for October 10, 2025; however, the facility emailed Ms. Garner that all staff were unable to attend on that date. A new training date has been scheduled for October 24, 2025. 3. Within one (1) week after this Notice is received, Ms. Ray shall contact April Lester, Child Care Consultant, PO Box 12948 Wilmington, NC 28405, telephone number 910-824-0954, email april.lester@dhhs.nc.gov, to arrange for a review of child care requirements regarding falsification. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall participate in this mandatory training. During the training, Ms. Lester shall review and discuss a Statement of Understanding acknowledging that all staff have read, understand, and will comply with child care requirements regarding falsification. At the conclusion of the training, staff members shall sign the statements. The original signed statements shall be maintained in each staff member’s personnel file at the child care facility for review by representatives of the Division of Child Development and Early Education upon request. ***On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. This stipulation is complete. 4. Within two (2) weeks after this Notice is received, Ms. Ray shall contact Mindy Davis, M.Ed., Early Care & Education Director, Smart Start of New Hanover County, email address mindy.davis@newhanoverkids.org, telephone number 910-815-3731 ext. 1010, to arrange for training that addresses strategies for the supervision of children, including typical behaviors for the ages and developmental stages of children in care and appropriate supervision strategies for the developmental stages of a child’s growth. In addition, Ms. Ray shall contact Ms. Davis during the same timeframe to arrange for training that will address effective communication and professionalism. No children shall be in care during these trainings. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, with responsibility for caring for children shall participate in the mandatory trainings. Documentation of the trainings shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled on January 9, 2026. This stipulation is in compliance. 5. Within two (2) weeks after the required training regarding supervision is completed, Ms. Ray shall revise the facility’s supervision policies and procedures to incorporate strategies learned in the training. The revised policies and procedures should describe, in detail, the steps the facility will take to ensure adequate supervision of children at all times. The policies and procedures shall include, but not be limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one (1) area to another • When children are transitioned from one (1) caregiver to another • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members implementation of the supervision policies and procedures • Procedures for periodic review of the supervision policies and procedures with all staff members, including the review of the policies and procedures in orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members non-compliance with policies and procedures The revised policies and procedures shall be submitted to Allison Davis, Investigations Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 910-800-0079, email Allison.Davis@dhhs.nc.gov, for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation; the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***This stipulation is still pending completion. 6. Within two (2) weeks after the required training regarding effective communication and professionalism is completed, Ms. Ray shall develop effective communication and professionalism policies and procedures to incorporate strategies learned in the training. The policies and procedures shall describe, in detail, the steps the facility will take to ensure staff’s understanding of effective communication and professionalism. The policies and procedures shall include, but not be limited to, the following: • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with children, other staff members, parents, and other persons who may be present at the facility • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with others while providing care for children off-premises • Unacceptable practices of communication • Strategies for de-escalating potential conflicts and conflict resolution • Steps that will be taken when a verbal or physical altercation occurs at the facility, including contacting law enforcement immediately, protecting the children who are present, and supervising the children that are present if an altercation occurs The policies and procedures shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***This stipulation is still pending completion. 7. Within four (4) weeks after this Notice is received, Ms. Ray shall develop a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use. The policy shall include, but not be limited to: • A plan for testing staff members when there are suspicions, concerns, or reports of substance use, including a timeframe for the staff member to submit to a drug test when requested • A requirement that staff members are not allowed to engage in the illegal use of substances or engage in illegal activities at any time, including while off premises and outside of facility work hours • A requirement that illegal substances and/or narcotics, alcohol, tobacco and/or vape pens are not permitted inside the facility or any other locations where enrolled children are in care • A plan for the use and storage of staff members’ personal belongings, including purses, backpacks, or other bags, cell phones, medications, and other possible hazardous items to ensure children do not have access to any hazardous items • Procedures for staff to report any illegal substances found on facility grounds or any impaired staff members to facility administration • Procedures for notifying law enforcement if illegal substances are found on the premises • Consequences for staff members who fail to comply with the facility’s policy • A procedure for regular review of the policy with all staff members including the review of the policy in the orientation of new staff members before they assume child care responsibilities The policy shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policy meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policy shall be immediately implemented, and a copy shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. This stipulation is still pending completion. 8. Within two (2) weeks after this Notice is received, Ms. Ray shall develop a written plan for observation and evaluation of each staff member’s performance while the Probationary License is in effect. The written plan, at a minimum, shall include routine observations of each staff member one (1) time per month while the Probationary License is in effect. The plan shall also include periodic observations after the conclusion of the Probationary License to ensure continual compliance with child care requirements and the facility’s policies/procedures related to supervision of children, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use. The plan shall include, but not be limited to the following: • Individuals who will complete the observations and evaluations with the requirement that observations are conducted by members of management • Development and implementation of a tool to use for the observations that include the date and times of each observation, name and signature of the person observed, signature of the observer, a summary of each observation, areas of noncompliance, and any corrective action taken The written plan shall be submitted to Ms. Davis for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the plan meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the plan shall be immediately implemented, and a copy of the plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. In addition, the observation records for each staff member shall be retained in their personnel file for the duration of their employment at the facility. ***On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. This stipulation is still pending completion. 9. Within two (2) weeks after notification from the Division that the stipulations have been met for the policies and procedures regarding supervision, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use, Ms. Ray shall conduct a staff meeting with all staff members to discuss the policies and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Within two weeks of the requirements of the above stipulations being met, Ms. Ray must conduct a staff meeting. This stipulation is still pending completion. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09 .1803 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 10/13/2025 Number Present: 44 Completed Date: 10/13/2025 Age: From 0 To 6 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Probationary License issued by the DCDEE to this facility on May 16, 2025. This facility currently operates with a Probationary license issued May 16, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. Prior to the visit, the facility had an eighteen-month compliance history score of 86%. Don Grossman, Interim Director, and Patrice Williams, Assistance Director, were present and available for consultation today. Seventy-seven (77) children are enrolled and forty-four (44) children ages infant through 6 years of age were present in spaces 4-8 and 10-11. Children were observed participating in free play indoors or engaging in personal care routines such as diaper/toileting. Lunch for today was whole grain chicken nuggets, melon, carrots, and milk. Adequate supervision and staff/child ratios were monitored and found in compliance. Children were being cared for in a nurturing and caring manner. The following violations were observed. Violation Number Comment Rule 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags were stored on low shelves and drawers in space 8 (jungle) where children 2 years of age were present. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two (2) new staff members did not have a medical report on file. 10A NCAC 09 .0701(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 27, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: The main danger of plastic bags for young children is suffocation due to their thin film clinging to a child's face, which can restrict airflow. A secondary danger is the presence of harmful chemicals, such as phthalates and PFAS, in certain plastics that can disrupt a child's developing systems. Therefore, it's crucial to keep all plastic bags away from children and properly dispose of them. I reinforced the importance of administration checking all classrooms for the proper storage of items, including plastic bags. Medical reports are important for childcare staff because they ensure a safe and healthy environment for both children and themselves by informing health practices, risk management, and emergency preparedness. Today we discussed that medical reports are required by all staff before their first day of work. Always reference the staff file checklist for time sensitive deadlines on staff file paperwork. Administrative Action – Probationary License Follow-Up: The Administrative Action-Probationary License was issued on May 16, 2025. This Action was issued due to violations of childcare requirements regarding criminal record background checks, falsification, reporting of maltreatment, nurture/care/treatment of children, discipline, adequate/approved space, staff/child ratios, supervision, schedules/activity plans, children’s records, safe environment, safe sleep, safety, outdoor premises, health standards, medication, record retention, staff applications, health and safety trainings, orientation, nutrition, transportation, and sanitation. A Corrective Action Plan (CAP) is required and includes nine (9) stipulations. Today it was observed that the Administrative Action, Cover Letter and CAP were posted. As we discussed today, these items must remain posted until your closure letter is received. Administrative Action Follow-Up: I monitored for compliance with the CAP as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation ***An unannounced visit was conducted on May 30, 2025. Violations were not cited. An unannounced visit was conducted on July 10, 2025. Violations were not cited. An unannounced visit was conducted on August 25, 2025. Violations were not cited. An unannounced visit was conducted on September 3, 2025, and ten (10) violations were cited regarding nutrition, general safety, equipment, administration of medications, emergency medical care plan, staff records, in-service training, and program records. This stipulation is ongoing through the course of the probationary license. 2. Within one (1) week after this Notice is received, Kari Ray, administrator, shall contact Jennifer Garner, Lead Child Care Consultant, telephone number 910-824-1447, email jennifer.j.garner@dhhs.nc.gov, to arrange for a complete review of all child care requirements broken into four (4) training sessions, six (6) point items, five (5) point items, three (3) and four (4) point items, and one (1) and two (2) point items. These rule reviews must be completed before the end of the probationary period. Ms. Ray and all staff members, including full-time, part-time, substitute, and volunteer staff, shall participate in the mandatory trainings. No children shall be in care during the trainings. Documentation of the trainings shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. The documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. *** On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first training on the six (6) point items occurred on August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. The second training on the five (5) point items was scheduled for October 10, 2025; however, the facility emailed Ms. Garner that all staff were unable to attend on that date. A new training date has been scheduled for October 24, 2025. 3. Within one (1) week after this Notice is received, Ms. Ray shall contact April Lester, Child Care Consultant, PO Box 12948 Wilmington, NC 28405, telephone number 910-824-0954, email april.lester@dhhs.nc.gov, to arrange for a review of child care requirements regarding falsification. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall participate in this mandatory training. During the training, Ms. Lester shall review and discuss a Statement of Understanding acknowledging that all staff have read, understand, and will comply with child care requirements regarding falsification. At the conclusion of the training, staff members shall sign the statements. The original signed statements shall be maintained in each staff member’s personnel file at the child care facility for review by representatives of the Division of Child Development and Early Education upon request. ***On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. This stipulation is complete. 4. Within two (2) weeks after this Notice is received, Ms. Ray shall contact Mindy Davis, M.Ed., Early Care & Education Director, Smart Start of New Hanover County, email address mindy.davis@newhanoverkids.org, telephone number 910-815-3731 ext. 1010, to arrange for training that addresses strategies for the supervision of children, including typical behaviors for the ages and developmental stages of children in care and appropriate supervision strategies for the developmental stages of a child’s growth. In addition, Ms. Ray shall contact Ms. Davis during the same timeframe to arrange for training that will address effective communication and professionalism. No children shall be in care during these trainings. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, with responsibility for caring for children shall participate in the mandatory trainings. Documentation of the trainings shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled on January 9, 2026. This stipulation is in compliance. 5. Within two (2) weeks after the required training regarding supervision is completed, Ms. Ray shall revise the facility’s supervision policies and procedures to incorporate strategies learned in the training. The revised policies and procedures should describe, in detail, the steps the facility will take to ensure adequate supervision of children at all times. The policies and procedures shall include, but not be limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one (1) area to another • When children are transitioned from one (1) caregiver to another • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members implementation of the supervision policies and procedures • Procedures for periodic review of the supervision policies and procedures with all staff members, including the review of the policies and procedures in orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members non-compliance with policies and procedures The revised policies and procedures shall be submitted to Allison Davis, Investigations Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 910-800-0079, email Allison.Davis@dhhs.nc.gov, for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation; the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***This stipulation is still pending completion. 6. Within two (2) weeks after the required training regarding effective communication and professionalism is completed, Ms. Ray shall develop effective communication and professionalism policies and procedures to incorporate strategies learned in the training. The policies and procedures shall describe, in detail, the steps the facility will take to ensure staff’s understanding of effective communication and professionalism. The policies and procedures shall include, but not be limited to, the following: • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with children, other staff members, parents, and other persons who may be present at the facility • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with others while providing care for children off-premises • Unacceptable practices of communication • Strategies for de-escalating potential conflicts and conflict resolution • Steps that will be taken when a verbal or physical altercation occurs at the facility, including contacting law enforcement immediately, protecting the children who are present, and supervising the children that are present if an altercation occurs The policies and procedures shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***This stipulation is still pending completion. 7. Within four (4) weeks after this Notice is received, Ms. Ray shall develop a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use. The policy shall include, but not be limited to: • A plan for testing staff members when there are suspicions, concerns, or reports of substance use, including a timeframe for the staff member to submit to a drug test when requested • A requirement that staff members are not allowed to engage in the illegal use of substances or engage in illegal activities at any time, including while off premises and outside of facility work hours • A requirement that illegal substances and/or narcotics, alcohol, tobacco and/or vape pens are not permitted inside the facility or any other locations where enrolled children are in care • A plan for the use and storage of staff members’ personal belongings, including purses, backpacks, or other bags, cell phones, medications, and other possible hazardous items to ensure children do not have access to any hazardous items • Procedures for staff to report any illegal substances found on facility grounds or any impaired staff members to facility administration • Procedures for notifying law enforcement if illegal substances are found on the premises • Consequences for staff members who fail to comply with the facility’s policy • A procedure for regular review of the policy with all staff members including the review of the policy in the orientation of new staff members before they assume child care responsibilities The policy shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policy meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policy shall be immediately implemented, and a copy shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. This stipulation is still pending completion. 8. Within two (2) weeks after this Notice is received, Ms. Ray shall develop a written plan for observation and evaluation of each staff member’s performance while the Probationary License is in effect. The written plan, at a minimum, shall include routine observations of each staff member one (1) time per month while the Probationary License is in effect. The plan shall also include periodic observations after the conclusion of the Probationary License to ensure continual compliance with child care requirements and the facility’s policies/procedures related to supervision of children, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use. The plan shall include, but not be limited to the following: • Individuals who will complete the observations and evaluations with the requirement that observations are conducted by members of management • Development and implementation of a tool to use for the observations that include the date and times of each observation, name and signature of the person observed, signature of the observer, a summary of each observation, areas of noncompliance, and any corrective action taken The written plan shall be submitted to Ms. Davis for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the plan meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the plan shall be immediately implemented, and a copy of the plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. In addition, the observation records for each staff member shall be retained in their personnel file for the duration of their employment at the facility. ***On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. This stipulation is still pending completion. 9. Within two (2) weeks after notification from the Division that the stipulations have been met for the policies and procedures regarding supervision, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use, Ms. Ray shall conduct a staff meeting with all staff members to discuss the policies and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Within two weeks of the requirements of the above stipulations being met, Ms. Ray must conduct a staff meeting. This stipulation is still pending completion. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09 .2318 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 10/13/2025 Number Present: 44 Completed Date: 10/13/2025 Age: From 0 To 6 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Probationary License issued by the DCDEE to this facility on May 16, 2025. This facility currently operates with a Probationary license issued May 16, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. Prior to the visit, the facility had an eighteen-month compliance history score of 86%. Don Grossman, Interim Director, and Patrice Williams, Assistance Director, were present and available for consultation today. Seventy-seven (77) children are enrolled and forty-four (44) children ages infant through 6 years of age were present in spaces 4-8 and 10-11. Children were observed participating in free play indoors or engaging in personal care routines such as diaper/toileting. Lunch for today was whole grain chicken nuggets, melon, carrots, and milk. Adequate supervision and staff/child ratios were monitored and found in compliance. Children were being cared for in a nurturing and caring manner. The following violations were observed. Violation Number Comment Rule 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags were stored on low shelves and drawers in space 8 (jungle) where children 2 years of age were present. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two (2) new staff members did not have a medical report on file. 10A NCAC 09 .0701(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 27, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: The main danger of plastic bags for young children is suffocation due to their thin film clinging to a child's face, which can restrict airflow. A secondary danger is the presence of harmful chemicals, such as phthalates and PFAS, in certain plastics that can disrupt a child's developing systems. Therefore, it's crucial to keep all plastic bags away from children and properly dispose of them. I reinforced the importance of administration checking all classrooms for the proper storage of items, including plastic bags. Medical reports are important for childcare staff because they ensure a safe and healthy environment for both children and themselves by informing health practices, risk management, and emergency preparedness. Today we discussed that medical reports are required by all staff before their first day of work. Always reference the staff file checklist for time sensitive deadlines on staff file paperwork. Administrative Action – Probationary License Follow-Up: The Administrative Action-Probationary License was issued on May 16, 2025. This Action was issued due to violations of childcare requirements regarding criminal record background checks, falsification, reporting of maltreatment, nurture/care/treatment of children, discipline, adequate/approved space, staff/child ratios, supervision, schedules/activity plans, children’s records, safe environment, safe sleep, safety, outdoor premises, health standards, medication, record retention, staff applications, health and safety trainings, orientation, nutrition, transportation, and sanitation. A Corrective Action Plan (CAP) is required and includes nine (9) stipulations. Today it was observed that the Administrative Action, Cover Letter and CAP were posted. As we discussed today, these items must remain posted until your closure letter is received. Administrative Action Follow-Up: I monitored for compliance with the CAP as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation ***An unannounced visit was conducted on May 30, 2025. Violations were not cited. An unannounced visit was conducted on July 10, 2025. Violations were not cited. An unannounced visit was conducted on August 25, 2025. Violations were not cited. An unannounced visit was conducted on September 3, 2025, and ten (10) violations were cited regarding nutrition, general safety, equipment, administration of medications, emergency medical care plan, staff records, in-service training, and program records. This stipulation is ongoing through the course of the probationary license. 2. Within one (1) week after this Notice is received, Kari Ray, administrator, shall contact Jennifer Garner, Lead Child Care Consultant, telephone number 910-824-1447, email jennifer.j.garner@dhhs.nc.gov, to arrange for a complete review of all child care requirements broken into four (4) training sessions, six (6) point items, five (5) point items, three (3) and four (4) point items, and one (1) and two (2) point items. These rule reviews must be completed before the end of the probationary period. Ms. Ray and all staff members, including full-time, part-time, substitute, and volunteer staff, shall participate in the mandatory trainings. No children shall be in care during the trainings. Documentation of the trainings shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. The documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. *** On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first training on the six (6) point items occurred on August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. The second training on the five (5) point items was scheduled for October 10, 2025; however, the facility emailed Ms. Garner that all staff were unable to attend on that date. A new training date has been scheduled for October 24, 2025. 3. Within one (1) week after this Notice is received, Ms. Ray shall contact April Lester, Child Care Consultant, PO Box 12948 Wilmington, NC 28405, telephone number 910-824-0954, email april.lester@dhhs.nc.gov, to arrange for a review of child care requirements regarding falsification. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall participate in this mandatory training. During the training, Ms. Lester shall review and discuss a Statement of Understanding acknowledging that all staff have read, understand, and will comply with child care requirements regarding falsification. At the conclusion of the training, staff members shall sign the statements. The original signed statements shall be maintained in each staff member’s personnel file at the child care facility for review by representatives of the Division of Child Development and Early Education upon request. ***On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. This stipulation is complete. 4. Within two (2) weeks after this Notice is received, Ms. Ray shall contact Mindy Davis, M.Ed., Early Care & Education Director, Smart Start of New Hanover County, email address mindy.davis@newhanoverkids.org, telephone number 910-815-3731 ext. 1010, to arrange for training that addresses strategies for the supervision of children, including typical behaviors for the ages and developmental stages of children in care and appropriate supervision strategies for the developmental stages of a child’s growth. In addition, Ms. Ray shall contact Ms. Davis during the same timeframe to arrange for training that will address effective communication and professionalism. No children shall be in care during these trainings. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, with responsibility for caring for children shall participate in the mandatory trainings. Documentation of the trainings shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled on January 9, 2026. This stipulation is in compliance. 5. Within two (2) weeks after the required training regarding supervision is completed, Ms. Ray shall revise the facility’s supervision policies and procedures to incorporate strategies learned in the training. The revised policies and procedures should describe, in detail, the steps the facility will take to ensure adequate supervision of children at all times. The policies and procedures shall include, but not be limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one (1) area to another • When children are transitioned from one (1) caregiver to another • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members implementation of the supervision policies and procedures • Procedures for periodic review of the supervision policies and procedures with all staff members, including the review of the policies and procedures in orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members non-compliance with policies and procedures The revised policies and procedures shall be submitted to Allison Davis, Investigations Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 910-800-0079, email Allison.Davis@dhhs.nc.gov, for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation; the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***This stipulation is still pending completion. 6. Within two (2) weeks after the required training regarding effective communication and professionalism is completed, Ms. Ray shall develop effective communication and professionalism policies and procedures to incorporate strategies learned in the training. The policies and procedures shall describe, in detail, the steps the facility will take to ensure staff’s understanding of effective communication and professionalism. The policies and procedures shall include, but not be limited to, the following: • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with children, other staff members, parents, and other persons who may be present at the facility • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with others while providing care for children off-premises • Unacceptable practices of communication • Strategies for de-escalating potential conflicts and conflict resolution • Steps that will be taken when a verbal or physical altercation occurs at the facility, including contacting law enforcement immediately, protecting the children who are present, and supervising the children that are present if an altercation occurs The policies and procedures shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***This stipulation is still pending completion. 7. Within four (4) weeks after this Notice is received, Ms. Ray shall develop a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use. The policy shall include, but not be limited to: • A plan for testing staff members when there are suspicions, concerns, or reports of substance use, including a timeframe for the staff member to submit to a drug test when requested • A requirement that staff members are not allowed to engage in the illegal use of substances or engage in illegal activities at any time, including while off premises and outside of facility work hours • A requirement that illegal substances and/or narcotics, alcohol, tobacco and/or vape pens are not permitted inside the facility or any other locations where enrolled children are in care • A plan for the use and storage of staff members’ personal belongings, including purses, backpacks, or other bags, cell phones, medications, and other possible hazardous items to ensure children do not have access to any hazardous items • Procedures for staff to report any illegal substances found on facility grounds or any impaired staff members to facility administration • Procedures for notifying law enforcement if illegal substances are found on the premises • Consequences for staff members who fail to comply with the facility’s policy • A procedure for regular review of the policy with all staff members including the review of the policy in the orientation of new staff members before they assume child care responsibilities The policy shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policy meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policy shall be immediately implemented, and a copy shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. This stipulation is still pending completion. 8. Within two (2) weeks after this Notice is received, Ms. Ray shall develop a written plan for observation and evaluation of each staff member’s performance while the Probationary License is in effect. The written plan, at a minimum, shall include routine observations of each staff member one (1) time per month while the Probationary License is in effect. The plan shall also include periodic observations after the conclusion of the Probationary License to ensure continual compliance with child care requirements and the facility’s policies/procedures related to supervision of children, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use. The plan shall include, but not be limited to the following: • Individuals who will complete the observations and evaluations with the requirement that observations are conducted by members of management • Development and implementation of a tool to use for the observations that include the date and times of each observation, name and signature of the person observed, signature of the observer, a summary of each observation, areas of noncompliance, and any corrective action taken The written plan shall be submitted to Ms. Davis for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the plan meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the plan shall be immediately implemented, and a copy of the plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. In addition, the observation records for each staff member shall be retained in their personnel file for the duration of their employment at the facility. ***On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. This stipulation is still pending completion. 9. Within two (2) weeks after notification from the Division that the stipulations have been met for the policies and procedures regarding supervision, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use, Ms. Ray shall conduct a staff meeting with all staff members to discuss the policies and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Within two weeks of the requirements of the above stipulations being met, Ms. Ray must conduct a staff meeting. This stipulation is still pending completion. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09 .2703 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 10/13/2025 Number Present: 44 Completed Date: 10/13/2025 Age: From 0 To 6 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Probationary License issued by the DCDEE to this facility on May 16, 2025. This facility currently operates with a Probationary license issued May 16, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. Prior to the visit, the facility had an eighteen-month compliance history score of 86%. Don Grossman, Interim Director, and Patrice Williams, Assistance Director, were present and available for consultation today. Seventy-seven (77) children are enrolled and forty-four (44) children ages infant through 6 years of age were present in spaces 4-8 and 10-11. Children were observed participating in free play indoors or engaging in personal care routines such as diaper/toileting. Lunch for today was whole grain chicken nuggets, melon, carrots, and milk. Adequate supervision and staff/child ratios were monitored and found in compliance. Children were being cared for in a nurturing and caring manner. The following violations were observed. Violation Number Comment Rule 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags were stored on low shelves and drawers in space 8 (jungle) where children 2 years of age were present. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two (2) new staff members did not have a medical report on file. 10A NCAC 09 .0701(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 27, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: The main danger of plastic bags for young children is suffocation due to their thin film clinging to a child's face, which can restrict airflow. A secondary danger is the presence of harmful chemicals, such as phthalates and PFAS, in certain plastics that can disrupt a child's developing systems. Therefore, it's crucial to keep all plastic bags away from children and properly dispose of them. I reinforced the importance of administration checking all classrooms for the proper storage of items, including plastic bags. Medical reports are important for childcare staff because they ensure a safe and healthy environment for both children and themselves by informing health practices, risk management, and emergency preparedness. Today we discussed that medical reports are required by all staff before their first day of work. Always reference the staff file checklist for time sensitive deadlines on staff file paperwork. Administrative Action – Probationary License Follow-Up: The Administrative Action-Probationary License was issued on May 16, 2025. This Action was issued due to violations of childcare requirements regarding criminal record background checks, falsification, reporting of maltreatment, nurture/care/treatment of children, discipline, adequate/approved space, staff/child ratios, supervision, schedules/activity plans, children’s records, safe environment, safe sleep, safety, outdoor premises, health standards, medication, record retention, staff applications, health and safety trainings, orientation, nutrition, transportation, and sanitation. A Corrective Action Plan (CAP) is required and includes nine (9) stipulations. Today it was observed that the Administrative Action, Cover Letter and CAP were posted. As we discussed today, these items must remain posted until your closure letter is received. Administrative Action Follow-Up: I monitored for compliance with the CAP as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation ***An unannounced visit was conducted on May 30, 2025. Violations were not cited. An unannounced visit was conducted on July 10, 2025. Violations were not cited. An unannounced visit was conducted on August 25, 2025. Violations were not cited. An unannounced visit was conducted on September 3, 2025, and ten (10) violations were cited regarding nutrition, general safety, equipment, administration of medications, emergency medical care plan, staff records, in-service training, and program records. This stipulation is ongoing through the course of the probationary license. 2. Within one (1) week after this Notice is received, Kari Ray, administrator, shall contact Jennifer Garner, Lead Child Care Consultant, telephone number 910-824-1447, email jennifer.j.garner@dhhs.nc.gov, to arrange for a complete review of all child care requirements broken into four (4) training sessions, six (6) point items, five (5) point items, three (3) and four (4) point items, and one (1) and two (2) point items. These rule reviews must be completed before the end of the probationary period. Ms. Ray and all staff members, including full-time, part-time, substitute, and volunteer staff, shall participate in the mandatory trainings. No children shall be in care during the trainings. Documentation of the trainings shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. The documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. *** On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first training on the six (6) point items occurred on August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. The second training on the five (5) point items was scheduled for October 10, 2025; however, the facility emailed Ms. Garner that all staff were unable to attend on that date. A new training date has been scheduled for October 24, 2025. 3. Within one (1) week after this Notice is received, Ms. Ray shall contact April Lester, Child Care Consultant, PO Box 12948 Wilmington, NC 28405, telephone number 910-824-0954, email april.lester@dhhs.nc.gov, to arrange for a review of child care requirements regarding falsification. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall participate in this mandatory training. During the training, Ms. Lester shall review and discuss a Statement of Understanding acknowledging that all staff have read, understand, and will comply with child care requirements regarding falsification. At the conclusion of the training, staff members shall sign the statements. The original signed statements shall be maintained in each staff member’s personnel file at the child care facility for review by representatives of the Division of Child Development and Early Education upon request. ***On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. This stipulation is complete. 4. Within two (2) weeks after this Notice is received, Ms. Ray shall contact Mindy Davis, M.Ed., Early Care & Education Director, Smart Start of New Hanover County, email address mindy.davis@newhanoverkids.org, telephone number 910-815-3731 ext. 1010, to arrange for training that addresses strategies for the supervision of children, including typical behaviors for the ages and developmental stages of children in care and appropriate supervision strategies for the developmental stages of a child’s growth. In addition, Ms. Ray shall contact Ms. Davis during the same timeframe to arrange for training that will address effective communication and professionalism. No children shall be in care during these trainings. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, with responsibility for caring for children shall participate in the mandatory trainings. Documentation of the trainings shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled on January 9, 2026. This stipulation is in compliance. 5. Within two (2) weeks after the required training regarding supervision is completed, Ms. Ray shall revise the facility’s supervision policies and procedures to incorporate strategies learned in the training. The revised policies and procedures should describe, in detail, the steps the facility will take to ensure adequate supervision of children at all times. The policies and procedures shall include, but not be limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one (1) area to another • When children are transitioned from one (1) caregiver to another • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members implementation of the supervision policies and procedures • Procedures for periodic review of the supervision policies and procedures with all staff members, including the review of the policies and procedures in orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members non-compliance with policies and procedures The revised policies and procedures shall be submitted to Allison Davis, Investigations Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 910-800-0079, email Allison.Davis@dhhs.nc.gov, for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation; the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***This stipulation is still pending completion. 6. Within two (2) weeks after the required training regarding effective communication and professionalism is completed, Ms. Ray shall develop effective communication and professionalism policies and procedures to incorporate strategies learned in the training. The policies and procedures shall describe, in detail, the steps the facility will take to ensure staff’s understanding of effective communication and professionalism. The policies and procedures shall include, but not be limited to, the following: • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with children, other staff members, parents, and other persons who may be present at the facility • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with others while providing care for children off-premises • Unacceptable practices of communication • Strategies for de-escalating potential conflicts and conflict resolution • Steps that will be taken when a verbal or physical altercation occurs at the facility, including contacting law enforcement immediately, protecting the children who are present, and supervising the children that are present if an altercation occurs The policies and procedures shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***This stipulation is still pending completion. 7. Within four (4) weeks after this Notice is received, Ms. Ray shall develop a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use. The policy shall include, but not be limited to: • A plan for testing staff members when there are suspicions, concerns, or reports of substance use, including a timeframe for the staff member to submit to a drug test when requested • A requirement that staff members are not allowed to engage in the illegal use of substances or engage in illegal activities at any time, including while off premises and outside of facility work hours • A requirement that illegal substances and/or narcotics, alcohol, tobacco and/or vape pens are not permitted inside the facility or any other locations where enrolled children are in care • A plan for the use and storage of staff members’ personal belongings, including purses, backpacks, or other bags, cell phones, medications, and other possible hazardous items to ensure children do not have access to any hazardous items • Procedures for staff to report any illegal substances found on facility grounds or any impaired staff members to facility administration • Procedures for notifying law enforcement if illegal substances are found on the premises • Consequences for staff members who fail to comply with the facility’s policy • A procedure for regular review of the policy with all staff members including the review of the policy in the orientation of new staff members before they assume child care responsibilities The policy shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policy meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policy shall be immediately implemented, and a copy shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. This stipulation is still pending completion. 8. Within two (2) weeks after this Notice is received, Ms. Ray shall develop a written plan for observation and evaluation of each staff member’s performance while the Probationary License is in effect. The written plan, at a minimum, shall include routine observations of each staff member one (1) time per month while the Probationary License is in effect. The plan shall also include periodic observations after the conclusion of the Probationary License to ensure continual compliance with child care requirements and the facility’s policies/procedures related to supervision of children, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use. The plan shall include, but not be limited to the following: • Individuals who will complete the observations and evaluations with the requirement that observations are conducted by members of management • Development and implementation of a tool to use for the observations that include the date and times of each observation, name and signature of the person observed, signature of the observer, a summary of each observation, areas of noncompliance, and any corrective action taken The written plan shall be submitted to Ms. Davis for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the plan meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the plan shall be immediately implemented, and a copy of the plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. In addition, the observation records for each staff member shall be retained in their personnel file for the duration of their employment at the facility. ***On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. This stipulation is still pending completion. 9. Within two (2) weeks after notification from the Division that the stipulations have been met for the policies and procedures regarding supervision, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use, Ms. Ray shall conduct a staff meeting with all staff members to discuss the policies and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Within two weeks of the requirements of the above stipulations being met, Ms. Ray must conduct a staff meeting. This stipulation is still pending completion. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09. 0701 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 10/13/2025 Number Present: 44 Completed Date: 10/13/2025 Age: From 0 To 6 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Probationary License issued by the DCDEE to this facility on May 16, 2025. This facility currently operates with a Probationary license issued May 16, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. Prior to the visit, the facility had an eighteen-month compliance history score of 86%. Don Grossman, Interim Director, and Patrice Williams, Assistance Director, were present and available for consultation today. Seventy-seven (77) children are enrolled and forty-four (44) children ages infant through 6 years of age were present in spaces 4-8 and 10-11. Children were observed participating in free play indoors or engaging in personal care routines such as diaper/toileting. Lunch for today was whole grain chicken nuggets, melon, carrots, and milk. Adequate supervision and staff/child ratios were monitored and found in compliance. Children were being cared for in a nurturing and caring manner. The following violations were observed. Violation Number Comment Rule 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags were stored on low shelves and drawers in space 8 (jungle) where children 2 years of age were present. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two (2) new staff members did not have a medical report on file. 10A NCAC 09 .0701(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 27, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: The main danger of plastic bags for young children is suffocation due to their thin film clinging to a child's face, which can restrict airflow. A secondary danger is the presence of harmful chemicals, such as phthalates and PFAS, in certain plastics that can disrupt a child's developing systems. Therefore, it's crucial to keep all plastic bags away from children and properly dispose of them. I reinforced the importance of administration checking all classrooms for the proper storage of items, including plastic bags. Medical reports are important for childcare staff because they ensure a safe and healthy environment for both children and themselves by informing health practices, risk management, and emergency preparedness. Today we discussed that medical reports are required by all staff before their first day of work. Always reference the staff file checklist for time sensitive deadlines on staff file paperwork. Administrative Action – Probationary License Follow-Up: The Administrative Action-Probationary License was issued on May 16, 2025. This Action was issued due to violations of childcare requirements regarding criminal record background checks, falsification, reporting of maltreatment, nurture/care/treatment of children, discipline, adequate/approved space, staff/child ratios, supervision, schedules/activity plans, children’s records, safe environment, safe sleep, safety, outdoor premises, health standards, medication, record retention, staff applications, health and safety trainings, orientation, nutrition, transportation, and sanitation. A Corrective Action Plan (CAP) is required and includes nine (9) stipulations. Today it was observed that the Administrative Action, Cover Letter and CAP were posted. As we discussed today, these items must remain posted until your closure letter is received. Administrative Action Follow-Up: I monitored for compliance with the CAP as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation ***An unannounced visit was conducted on May 30, 2025. Violations were not cited. An unannounced visit was conducted on July 10, 2025. Violations were not cited. An unannounced visit was conducted on August 25, 2025. Violations were not cited. An unannounced visit was conducted on September 3, 2025, and ten (10) violations were cited regarding nutrition, general safety, equipment, administration of medications, emergency medical care plan, staff records, in-service training, and program records. This stipulation is ongoing through the course of the probationary license. 2. Within one (1) week after this Notice is received, Kari Ray, administrator, shall contact Jennifer Garner, Lead Child Care Consultant, telephone number 910-824-1447, email jennifer.j.garner@dhhs.nc.gov, to arrange for a complete review of all child care requirements broken into four (4) training sessions, six (6) point items, five (5) point items, three (3) and four (4) point items, and one (1) and two (2) point items. These rule reviews must be completed before the end of the probationary period. Ms. Ray and all staff members, including full-time, part-time, substitute, and volunteer staff, shall participate in the mandatory trainings. No children shall be in care during the trainings. Documentation of the trainings shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. The documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. *** On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first training on the six (6) point items occurred on August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. The second training on the five (5) point items was scheduled for October 10, 2025; however, the facility emailed Ms. Garner that all staff were unable to attend on that date. A new training date has been scheduled for October 24, 2025. 3. Within one (1) week after this Notice is received, Ms. Ray shall contact April Lester, Child Care Consultant, PO Box 12948 Wilmington, NC 28405, telephone number 910-824-0954, email april.lester@dhhs.nc.gov, to arrange for a review of child care requirements regarding falsification. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall participate in this mandatory training. During the training, Ms. Lester shall review and discuss a Statement of Understanding acknowledging that all staff have read, understand, and will comply with child care requirements regarding falsification. At the conclusion of the training, staff members shall sign the statements. The original signed statements shall be maintained in each staff member’s personnel file at the child care facility for review by representatives of the Division of Child Development and Early Education upon request. ***On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. This stipulation is complete. 4. Within two (2) weeks after this Notice is received, Ms. Ray shall contact Mindy Davis, M.Ed., Early Care & Education Director, Smart Start of New Hanover County, email address mindy.davis@newhanoverkids.org, telephone number 910-815-3731 ext. 1010, to arrange for training that addresses strategies for the supervision of children, including typical behaviors for the ages and developmental stages of children in care and appropriate supervision strategies for the developmental stages of a child’s growth. In addition, Ms. Ray shall contact Ms. Davis during the same timeframe to arrange for training that will address effective communication and professionalism. No children shall be in care during these trainings. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, with responsibility for caring for children shall participate in the mandatory trainings. Documentation of the trainings shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled on January 9, 2026. This stipulation is in compliance. 5. Within two (2) weeks after the required training regarding supervision is completed, Ms. Ray shall revise the facility’s supervision policies and procedures to incorporate strategies learned in the training. The revised policies and procedures should describe, in detail, the steps the facility will take to ensure adequate supervision of children at all times. The policies and procedures shall include, but not be limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one (1) area to another • When children are transitioned from one (1) caregiver to another • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members implementation of the supervision policies and procedures • Procedures for periodic review of the supervision policies and procedures with all staff members, including the review of the policies and procedures in orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members non-compliance with policies and procedures The revised policies and procedures shall be submitted to Allison Davis, Investigations Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 910-800-0079, email Allison.Davis@dhhs.nc.gov, for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation; the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***This stipulation is still pending completion. 6. Within two (2) weeks after the required training regarding effective communication and professionalism is completed, Ms. Ray shall develop effective communication and professionalism policies and procedures to incorporate strategies learned in the training. The policies and procedures shall describe, in detail, the steps the facility will take to ensure staff’s understanding of effective communication and professionalism. The policies and procedures shall include, but not be limited to, the following: • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with children, other staff members, parents, and other persons who may be present at the facility • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with others while providing care for children off-premises • Unacceptable practices of communication • Strategies for de-escalating potential conflicts and conflict resolution • Steps that will be taken when a verbal or physical altercation occurs at the facility, including contacting law enforcement immediately, protecting the children who are present, and supervising the children that are present if an altercation occurs The policies and procedures shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***This stipulation is still pending completion. 7. Within four (4) weeks after this Notice is received, Ms. Ray shall develop a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use. The policy shall include, but not be limited to: • A plan for testing staff members when there are suspicions, concerns, or reports of substance use, including a timeframe for the staff member to submit to a drug test when requested • A requirement that staff members are not allowed to engage in the illegal use of substances or engage in illegal activities at any time, including while off premises and outside of facility work hours • A requirement that illegal substances and/or narcotics, alcohol, tobacco and/or vape pens are not permitted inside the facility or any other locations where enrolled children are in care • A plan for the use and storage of staff members’ personal belongings, including purses, backpacks, or other bags, cell phones, medications, and other possible hazardous items to ensure children do not have access to any hazardous items • Procedures for staff to report any illegal substances found on facility grounds or any impaired staff members to facility administration • Procedures for notifying law enforcement if illegal substances are found on the premises • Consequences for staff members who fail to comply with the facility’s policy • A procedure for regular review of the policy with all staff members including the review of the policy in the orientation of new staff members before they assume child care responsibilities The policy shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policy meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policy shall be immediately implemented, and a copy shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. This stipulation is still pending completion. 8. Within two (2) weeks after this Notice is received, Ms. Ray shall develop a written plan for observation and evaluation of each staff member’s performance while the Probationary License is in effect. The written plan, at a minimum, shall include routine observations of each staff member one (1) time per month while the Probationary License is in effect. The plan shall also include periodic observations after the conclusion of the Probationary License to ensure continual compliance with child care requirements and the facility’s policies/procedures related to supervision of children, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use. The plan shall include, but not be limited to the following: • Individuals who will complete the observations and evaluations with the requirement that observations are conducted by members of management • Development and implementation of a tool to use for the observations that include the date and times of each observation, name and signature of the person observed, signature of the observer, a summary of each observation, areas of noncompliance, and any corrective action taken The written plan shall be submitted to Ms. Davis for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the plan meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the plan shall be immediately implemented, and a copy of the plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. In addition, the observation records for each staff member shall be retained in their personnel file for the duration of their employment at the facility. ***On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. This stipulation is still pending completion. 9. Within two (2) weeks after notification from the Division that the stipulations have been met for the policies and procedures regarding supervision, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use, Ms. Ray shall conduct a staff meeting with all staff members to discuss the policies and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Within two weeks of the requirements of the above stipulations being met, Ms. Ray must conduct a staff meeting. This stipulation is still pending completion. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    NC GS 110-90 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 10/13/2025 Number Present: 44 Completed Date: 10/13/2025 Age: From 0 To 6 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Probationary License issued by the DCDEE to this facility on May 16, 2025. This facility currently operates with a Probationary license issued May 16, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. Prior to the visit, the facility had an eighteen-month compliance history score of 86%. Don Grossman, Interim Director, and Patrice Williams, Assistance Director, were present and available for consultation today. Seventy-seven (77) children are enrolled and forty-four (44) children ages infant through 6 years of age were present in spaces 4-8 and 10-11. Children were observed participating in free play indoors or engaging in personal care routines such as diaper/toileting. Lunch for today was whole grain chicken nuggets, melon, carrots, and milk. Adequate supervision and staff/child ratios were monitored and found in compliance. Children were being cared for in a nurturing and caring manner. The following violations were observed. Violation Number Comment Rule 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags were stored on low shelves and drawers in space 8 (jungle) where children 2 years of age were present. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two (2) new staff members did not have a medical report on file. 10A NCAC 09 .0701(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 27, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: The main danger of plastic bags for young children is suffocation due to their thin film clinging to a child's face, which can restrict airflow. A secondary danger is the presence of harmful chemicals, such as phthalates and PFAS, in certain plastics that can disrupt a child's developing systems. Therefore, it's crucial to keep all plastic bags away from children and properly dispose of them. I reinforced the importance of administration checking all classrooms for the proper storage of items, including plastic bags. Medical reports are important for childcare staff because they ensure a safe and healthy environment for both children and themselves by informing health practices, risk management, and emergency preparedness. Today we discussed that medical reports are required by all staff before their first day of work. Always reference the staff file checklist for time sensitive deadlines on staff file paperwork. Administrative Action – Probationary License Follow-Up: The Administrative Action-Probationary License was issued on May 16, 2025. This Action was issued due to violations of childcare requirements regarding criminal record background checks, falsification, reporting of maltreatment, nurture/care/treatment of children, discipline, adequate/approved space, staff/child ratios, supervision, schedules/activity plans, children’s records, safe environment, safe sleep, safety, outdoor premises, health standards, medication, record retention, staff applications, health and safety trainings, orientation, nutrition, transportation, and sanitation. A Corrective Action Plan (CAP) is required and includes nine (9) stipulations. Today it was observed that the Administrative Action, Cover Letter and CAP were posted. As we discussed today, these items must remain posted until your closure letter is received. Administrative Action Follow-Up: I monitored for compliance with the CAP as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation ***An unannounced visit was conducted on May 30, 2025. Violations were not cited. An unannounced visit was conducted on July 10, 2025. Violations were not cited. An unannounced visit was conducted on August 25, 2025. Violations were not cited. An unannounced visit was conducted on September 3, 2025, and ten (10) violations were cited regarding nutrition, general safety, equipment, administration of medications, emergency medical care plan, staff records, in-service training, and program records. This stipulation is ongoing through the course of the probationary license. 2. Within one (1) week after this Notice is received, Kari Ray, administrator, shall contact Jennifer Garner, Lead Child Care Consultant, telephone number 910-824-1447, email jennifer.j.garner@dhhs.nc.gov, to arrange for a complete review of all child care requirements broken into four (4) training sessions, six (6) point items, five (5) point items, three (3) and four (4) point items, and one (1) and two (2) point items. These rule reviews must be completed before the end of the probationary period. Ms. Ray and all staff members, including full-time, part-time, substitute, and volunteer staff, shall participate in the mandatory trainings. No children shall be in care during the trainings. Documentation of the trainings shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. The documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. *** On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first training on the six (6) point items occurred on August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. The second training on the five (5) point items was scheduled for October 10, 2025; however, the facility emailed Ms. Garner that all staff were unable to attend on that date. A new training date has been scheduled for October 24, 2025. 3. Within one (1) week after this Notice is received, Ms. Ray shall contact April Lester, Child Care Consultant, PO Box 12948 Wilmington, NC 28405, telephone number 910-824-0954, email april.lester@dhhs.nc.gov, to arrange for a review of child care requirements regarding falsification. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall participate in this mandatory training. During the training, Ms. Lester shall review and discuss a Statement of Understanding acknowledging that all staff have read, understand, and will comply with child care requirements regarding falsification. At the conclusion of the training, staff members shall sign the statements. The original signed statements shall be maintained in each staff member’s personnel file at the child care facility for review by representatives of the Division of Child Development and Early Education upon request. ***On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff did not attend therefore, a second training occurred on September 15, 2025. This stipulation is complete. 4. Within two (2) weeks after this Notice is received, Ms. Ray shall contact Mindy Davis, M.Ed., Early Care & Education Director, Smart Start of New Hanover County, email address mindy.davis@newhanoverkids.org, telephone number 910-815-3731 ext. 1010, to arrange for training that addresses strategies for the supervision of children, including typical behaviors for the ages and developmental stages of children in care and appropriate supervision strategies for the developmental stages of a child’s growth. In addition, Ms. Ray shall contact Ms. Davis during the same timeframe to arrange for training that will address effective communication and professionalism. No children shall be in care during these trainings. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, with responsibility for caring for children shall participate in the mandatory trainings. Documentation of the trainings shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled on January 9, 2026. This stipulation is in compliance. 5. Within two (2) weeks after the required training regarding supervision is completed, Ms. Ray shall revise the facility’s supervision policies and procedures to incorporate strategies learned in the training. The revised policies and procedures should describe, in detail, the steps the facility will take to ensure adequate supervision of children at all times. The policies and procedures shall include, but not be limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one (1) area to another • When children are transitioned from one (1) caregiver to another • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members implementation of the supervision policies and procedures • Procedures for periodic review of the supervision policies and procedures with all staff members, including the review of the policies and procedures in orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members non-compliance with policies and procedures The revised policies and procedures shall be submitted to Allison Davis, Investigations Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 910-800-0079, email Allison.Davis@dhhs.nc.gov, for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation; the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***This stipulation is still pending completion. 6. Within two (2) weeks after the required training regarding effective communication and professionalism is completed, Ms. Ray shall develop effective communication and professionalism policies and procedures to incorporate strategies learned in the training. The policies and procedures shall describe, in detail, the steps the facility will take to ensure staff’s understanding of effective communication and professionalism. The policies and procedures shall include, but not be limited to, the following: • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with children, other staff members, parents, and other persons who may be present at the facility • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with others while providing care for children off-premises • Unacceptable practices of communication • Strategies for de-escalating potential conflicts and conflict resolution • Steps that will be taken when a verbal or physical altercation occurs at the facility, including contacting law enforcement immediately, protecting the children who are present, and supervising the children that are present if an altercation occurs The policies and procedures shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***This stipulation is still pending completion. 7. Within four (4) weeks after this Notice is received, Ms. Ray shall develop a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use. The policy shall include, but not be limited to: • A plan for testing staff members when there are suspicions, concerns, or reports of substance use, including a timeframe for the staff member to submit to a drug test when requested • A requirement that staff members are not allowed to engage in the illegal use of substances or engage in illegal activities at any time, including while off premises and outside of facility work hours • A requirement that illegal substances and/or narcotics, alcohol, tobacco and/or vape pens are not permitted inside the facility or any other locations where enrolled children are in care • A plan for the use and storage of staff members’ personal belongings, including purses, backpacks, or other bags, cell phones, medications, and other possible hazardous items to ensure children do not have access to any hazardous items • Procedures for staff to report any illegal substances found on facility grounds or any impaired staff members to facility administration • Procedures for notifying law enforcement if illegal substances are found on the premises • Consequences for staff members who fail to comply with the facility’s policy • A procedure for regular review of the policy with all staff members including the review of the policy in the orientation of new staff members before they assume child care responsibilities The policy shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policy meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policy shall be immediately implemented, and a copy shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. This stipulation is still pending completion. 8. Within two (2) weeks after this Notice is received, Ms. Ray shall develop a written plan for observation and evaluation of each staff member’s performance while the Probationary License is in effect. The written plan, at a minimum, shall include routine observations of each staff member one (1) time per month while the Probationary License is in effect. The plan shall also include periodic observations after the conclusion of the Probationary License to ensure continual compliance with child care requirements and the facility’s policies/procedures related to supervision of children, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use. The plan shall include, but not be limited to the following: • Individuals who will complete the observations and evaluations with the requirement that observations are conducted by members of management • Development and implementation of a tool to use for the observations that include the date and times of each observation, name and signature of the person observed, signature of the observer, a summary of each observation, areas of noncompliance, and any corrective action taken The written plan shall be submitted to Ms. Davis for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the plan meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the plan shall be immediately implemented, and a copy of the plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. In addition, the observation records for each staff member shall be retained in their personnel file for the duration of their employment at the facility. ***On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. This stipulation is still pending completion. 9. Within two (2) weeks after notification from the Division that the stipulations have been met for the policies and procedures regarding supervision, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use, Ms. Ray shall conduct a staff meeting with all staff members to discuss the policies and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. ***Within two weeks of the requirements of the above stipulations being met, Ms. Ray must conduct a staff meeting. This stipulation is still pending completion. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

Sep 3, 2025 — Annual Comp Full
23 violations cited
23 violations
  • Violation

    10A NCAC 09 .0302 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 9/3/2025 Number Present: 49 Completed Date: 9/3/2025 Age: From 0 To 5 Total Minutes: 390 Time In: 08:45 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for an annual compliance visit. Sierra Claytor, Director, assisted us with the visit. The program currently operates with a probationary license issued May 8, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. The last annual compliance visit was completed on September 11, 2024. The last sanitation inspection was completed June 25, 2025, with a “Approved” classification. The last fire inspection was conducted September 24, 2024, and your facility was approved for daytime care only. Prior to the visit the 18-month compliance history score was 86%. The NC Secretary of State website was reviewed today, and The Kiddie Cottage, LLC was listed as current- active. All approved indoor and outdoor spaces were monitored today. Daily schedules and current activity plans were available for review and were being followed. A variety of age-appropriate learning materials was observed in the classroom. Infants in Spaces 3 (orange) had routine care needs met such as napping routines and feedings. Infant feeding schedules and safe sleep checks were monitored and found to be in compliance. Toddlers in space 4 (yellow) and space 5 (blue) ate breakfast that consisted of waffles, mixed fruit, and milk. Adequate handwashing was observed after breakfast. Two-year-old children in Spaces 7 (farm) and 8 (jungle) were observed finishing up from breakfast and transitioning to free play with age appropriate materials and activities. Preschool children in space 10 (space) participated in group circle time before transitioning to outdoor play time. Preschool aged children in space 12 (desert) were observed outside in free play. Activity areas consisted of language, manipulative toys, dramatic play, art, and blocks. Lunch provided for children today and consisted of chicken with cheese quesadillas, corn, mixed fruit, and milk. Today I approved the 2021 Chevrolet Tahoe to be used to transport children after school. We discussed the following child care rules in regard to transportation: 10A NCAC 09 .1001 SEAT AND CHILD SAFETY SEATS IN CHILD CARE CENTERS 10A NCAC 09 .1002 SAFE VEHICLES 10A NCAC 09 .1003 SAFE PROCEDURES 10A NCAC 09 .1004 STAFF/CHILD RATIOS 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS The vehicle was monitored and equipped with a first aid kit and working seatbelts. The children’s emergency information, including identifying information, was observed in a three-ring binder in the office. We reviewed Child Care Rule .1000 – Transportation Standards in detail. A fire extinguisher mounted in the back of the vehicle. Current registration and tags were observed. Emergency information for staff who will be transporting children was observed and the program has developed policies and procedures addressing transporting. Today I was able to confirm that all items listed above were present and the vehicle is now approved for transportation. The following violations were observed today. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. A child's bottle in space 3 (orange) was not labeled with the child's name, and the date. 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The exterior doors in space 3 (orange) and space 12 (desert) are rusting. 15A NCAC 18A .2825(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. The climbing structure on playground 3 is placed over 2-3 inches of mulch rather than the required 6 inches. .0605(j) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Orgel was observed in space 3 (orange) without a permission form from the parent(s). In addition, an epi-pen in space 10 (space) had an emergency action plan but did not have written permission form from the parent(s). 10A NCAC 09 .0803(1)(a & b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic zip lock bags were stored in a low cabinet in space 8 (jungle) rather than a minimum of 5 feet out of reach as required for children under the age of 3. .0604(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan has not been reviewed with all staff. 10A NCAC 09 .0802(a) 1031 Documentation of staff's education, training, and experience was not on file. A staff member who was rehired July 21, 2025, did not have her education, training, and experience completed on her application. .0302(d)(1)(B) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff members hired 6/16/25, 7/21/25, and 7/3/25 have not completed 16 hours of orientation. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff members hired 8/6/25 and 8/11/25 have not completed two weeks of orientation. In addition, a staff member hired 3/21/25 and a staff member hired 4/1/25 who completed their 6 weeks of orientation did not complete six clock hours of training in the required topics within their first two weeks. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Six (6) staff did not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 17, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: Today we discussed the importance of labeling children's bottles with the child's name and date. This helps ensure that the children are being served the appropriate bottles. We discussed administration checking the refrigerators daily to ensure compliance. For licensing, it is required to obtain written parental permission to give prescription and over-the-counter medication. Providers must obtain written permission and instructions for giving OTC and prescription medication from a health care and the child’s parent. Today we discussed administration checking all classroom medication boxes weekly. For the safety of the children, ensure any plastic bags used for storage are kept inaccessible to children under the age of three years old by keeping them at a minimum height of five feet off the floor. Today we discussed administration checking all classrooms weekly for items that may be stowed inappropriately. All medications must be accompanied by written authorizations from parents with complete instructions for administration. Prescription medications must also be in the original container with the pharmacy label attached. Today I suggested that you review medication requirements with staff and periodically check behind them to ensure all requirements are met. Today we discussed administration reviewing medication rules with all staff. Nationally, nearly 70% of playground related injuries are from falls. Fall injuries are the result of two things: 1) The height a child falls from and 2) The material/surface the child falls upon. Provide “soft” resilient surfacing under and around stationary playground equipment. Refer to 10A NCAC 09 .0605(h)(i). Today we discussed adding additional mulch around the climbing structure on playground 3 to ensure the safety of the children in the event of a fall. Each employee's personnel file shall contain an annual staff evaluation and staff development plan. These are to be completed annually. Today we discussed creating a way to track these dates to ensure they are completed within the time frame. Each employee who is expected to have contact with children shall receive six clock hours of training in required topic areas within the first two weeks of employment and 16 hours of on-site orientation within the first six weeks of employment. A list of approved orientation topics and a documentation log along with required timelines can be found on the divisions website at https://ncchildcare.ncdhhs.gov/ under the provider documents tab. Reminders: Today we discussed electrical fans must be covered by a mesh guard or stored 5 feet out of reach. To reduce the spread of germs, blankets for cots/mats may not touch the cot/mat above. Today we discussed storing all blankets in the children's individual cubbies to reduce the spread of germs. Administrative Action Follow-Up: I monitored for compliance with the CAP as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation Item #1: An unannounced visit was conducted on May 30, 2025. No violations were cited. An unannounced visit was conducted on July 10, 2025. No violations were cited. An unannounced visit was conducted on August 25, 2025. No violations were cited. Today multiple violations were observed. 2. Within one (1) week after this Notice is received, Kari Ray, administrator, shall contact Jennifer Garner, Lead Child Care Consultant, telephone number 910-824-1447, email jennifer.j.garner@dhhs.nc.gov, to arrange for a complete review of all child care requirements broken into four (4) training sessions, six (6) point items, five (5) point items, three (3) and four (4) point items, and one (1) and two (2) point items. These rule reviews must be completed before the end of the probationary period. Ms. Ray and all staff members, including full-time, part-time, substitute, and volunteer staff, shall participate in the mandatory trainings. No children shall be in care during the trainings. Documentation of the trainings shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. The documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #2: On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first two trainings sessions were scheduled on August 1, 2025, and October 17, 2025. The training was conducted on August 1, 2025. All staff were present except two individuals. On August 25, 2025, Mr. Grossman contacted Ms. Garner to schedule a make-up session. This item is not in compliance. 3. Within one (1) week after this Notice is received, Ms. Ray shall contact April Lester, Child Care Consultant, PO Box 12948 Wilmington, NC 28405, telephone number 910-824-0954, email april.lester@dhhs.nc.gov, to arrange for a review of child care requirements regarding falsification. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall participate in this mandatory training. During the training, Ms. Lester shall review and discuss a Statement of Understanding acknowledging that all staff have read, understand, and will comply with child care requirements regarding falsification. At the conclusion of the training, staff members shall sign the statements. The original signed statements shall be maintained in each staff member’s personnel file at the child care facility for review by representatives of the Division of Child Development and Early Education upon request. Item #3: On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff except two individuals attended the training on August 1, 2025. The training was recorded on this date. On August 4, 2025, both staff members viewed the video footage and completed the training. This item is in compliance. 4. Within two (2) weeks after this Notice is received, Ms. Ray shall contact Mindy Davis, M.Ed., Early Care & Education Director, Smart Start of New Hanover County, email address mindy.davis@newhanoverkids.org, telephone number 910-815-3731 ext. 1010, to arrange for training that addresses strategies for the supervision of children, including typical behaviors for the ages and developmental stages of children in care and appropriate supervision strategies for the developmental stages of a child’s growth. In addition, Ms. Ray shall contact Ms. Davis during the same timeframe to arrange for training that will address effective communication and professionalism. No children shall be in care during these trainings. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, with responsibility for caring for children shall participate in the mandatory trainings. Documentation of the trainings shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #4: Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled on January 9, 2026. This item is in compliance. 5. Within two (2) weeks after the required training regarding supervision is completed, Ms. Ray shall r revise the facility’s supervision policies and procedures to incorporate strategies learned in the training. The revised policies and procedures should describe, in detail, the steps the facility will take to ensure adequate supervision of children at all times. The policies and procedures shall include, but not be limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one (1) area to another • When children are transitioned from one (1) caregiver to another • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members implementation of the supervision policies and procedures • Procedures for periodic review of the supervision policies and procedures with all staff members, including the review of the policies and procedures in orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members non-compliance with policies and procedures The revised policies and procedures shall be submitted to Allison Davis, Investigations Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 910-800-0079, email Allison.Davis@dhhs.nc.gov, for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation; the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #5: The facility’s revised supervision policies and procedures must be submitted within two weeks of the supervision training being completed. This item is in compliance. 6. Within two (2) weeks after the required training regarding effective communication and professionalism is completed, Ms. Ray shall develop effective communication and professionalism policies and procedures to incorporate strategies learned in the training. The policies and procedures shall describe, in detail, the steps the facility will take to ensure staff’s understanding of effective communication and professionalism. The policies and procedures shall include, but not be limited to, the following: • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with children, other staff members, parents, and other persons who may be present at the facility • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with others while providing care for children off-premises • Unacceptable practices of communication • Strategies for de-escalating potential conflicts and conflict resolution • Steps that will be taken when a verbal or physical altercation occurs at the facility, including contacting law enforcement immediately, protecting the children who are present, and supervising the children that are present if an altercation occurs The policies and procedures shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #6: Effective communication and professionalism policies and procedures must be developed and submitted within two weeks of the required training being completed. This item is in compliance. 7. Within four (4) weeks after this Notice is received, Ms. Ray shall develop a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use. The policy shall include, but not be limited to: • A plan for testing staff members when there are suspicions, concerns, or reports of substance use, including a timeframe for the staff member to submit to a drug test when requested • A requirement that staff members are not allowed to engage in the illegal use of substances or engage in illegal activities at any time, including while off premises and outside of facility work hours • A requirement that illegal substances and/or narcotics, alcohol, tobacco and/or vape pens are not permitted inside the facility or any other locations where enrolled children are in care • A plan for the use and storage of staff members’ personal belongings, including purses, backpacks, or other bags, cell phones, medications, and other possible hazardous items to ensure children do not have access to any hazardous items • Procedures for staff to report any illegal substances found on facility grounds or any impaired staff members to facility administration • Procedures for notifying law enforcement if illegal substances are found on the premises • Consequences for staff members who fail to comply with the facility’s policy • A procedure for regular review of the policy with all staff members including the review of the policy in the orientation of new staff members before they assume child care responsibilities The policy shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policy meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policy shall be immediately implemented, and a copy shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #7: Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. This item in compliance. 8. Within two (2) weeks after this Notice is received, Ms. Ray shall develop a written plan for observation and evaluation of each staff member’s performance while the Probationary License is in effect. The written plan, at a minimum, shall include routine observations of each staff member one (1) time per month while the Probationary License is in effect. The plan shall also include periodic observations after the conclusion of the Probationary License to ensure continual compliance with child care requirements and the facility’s policies/procedures related to supervision of children, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use. The plan shall include, but not be limited to the following: • Individuals who will complete the observations and evaluations with the requirement that observations are conducted by members of management • Development and implementation of a tool to use for the observations that include the date and times of each observation, name and signature of the person observed, signature of the observer, a summary of each observation, areas of noncompliance, and any corrective action taken The written plan shall be submitted to Ms. Davis for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the plan meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the plan shall be immediately implemented, and a copy of the plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. In addition, the observation records for each staff member shall be retained in their personnel file for the duration of their employment at the facility. Item #8: On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. This item is in compliance. 9. Within two (2) weeks after notification from the Division that the stipulations have been met for the policies and procedures regarding supervision, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use, Ms. Ray shall conduct a staff meeting with all staff members to discuss the policies and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #9: Within two weeks of the requirements of the above stipulations being met, Ms. Ray must conduct a staff meeting. This item is in compliance. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09 .0514 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 9/3/2025 Number Present: 49 Completed Date: 9/3/2025 Age: From 0 To 5 Total Minutes: 390 Time In: 08:45 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for an annual compliance visit. Sierra Claytor, Director, assisted us with the visit. The program currently operates with a probationary license issued May 8, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. The last annual compliance visit was completed on September 11, 2024. The last sanitation inspection was completed June 25, 2025, with a “Approved” classification. The last fire inspection was conducted September 24, 2024, and your facility was approved for daytime care only. Prior to the visit the 18-month compliance history score was 86%. The NC Secretary of State website was reviewed today, and The Kiddie Cottage, LLC was listed as current- active. All approved indoor and outdoor spaces were monitored today. Daily schedules and current activity plans were available for review and were being followed. A variety of age-appropriate learning materials was observed in the classroom. Infants in Spaces 3 (orange) had routine care needs met such as napping routines and feedings. Infant feeding schedules and safe sleep checks were monitored and found to be in compliance. Toddlers in space 4 (yellow) and space 5 (blue) ate breakfast that consisted of waffles, mixed fruit, and milk. Adequate handwashing was observed after breakfast. Two-year-old children in Spaces 7 (farm) and 8 (jungle) were observed finishing up from breakfast and transitioning to free play with age appropriate materials and activities. Preschool children in space 10 (space) participated in group circle time before transitioning to outdoor play time. Preschool aged children in space 12 (desert) were observed outside in free play. Activity areas consisted of language, manipulative toys, dramatic play, art, and blocks. Lunch provided for children today and consisted of chicken with cheese quesadillas, corn, mixed fruit, and milk. Today I approved the 2021 Chevrolet Tahoe to be used to transport children after school. We discussed the following child care rules in regard to transportation: 10A NCAC 09 .1001 SEAT AND CHILD SAFETY SEATS IN CHILD CARE CENTERS 10A NCAC 09 .1002 SAFE VEHICLES 10A NCAC 09 .1003 SAFE PROCEDURES 10A NCAC 09 .1004 STAFF/CHILD RATIOS 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS The vehicle was monitored and equipped with a first aid kit and working seatbelts. The children’s emergency information, including identifying information, was observed in a three-ring binder in the office. We reviewed Child Care Rule .1000 – Transportation Standards in detail. A fire extinguisher mounted in the back of the vehicle. Current registration and tags were observed. Emergency information for staff who will be transporting children was observed and the program has developed policies and procedures addressing transporting. Today I was able to confirm that all items listed above were present and the vehicle is now approved for transportation. The following violations were observed today. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. A child's bottle in space 3 (orange) was not labeled with the child's name, and the date. 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The exterior doors in space 3 (orange) and space 12 (desert) are rusting. 15A NCAC 18A .2825(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. The climbing structure on playground 3 is placed over 2-3 inches of mulch rather than the required 6 inches. .0605(j) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Orgel was observed in space 3 (orange) without a permission form from the parent(s). In addition, an epi-pen in space 10 (space) had an emergency action plan but did not have written permission form from the parent(s). 10A NCAC 09 .0803(1)(a & b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic zip lock bags were stored in a low cabinet in space 8 (jungle) rather than a minimum of 5 feet out of reach as required for children under the age of 3. .0604(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan has not been reviewed with all staff. 10A NCAC 09 .0802(a) 1031 Documentation of staff's education, training, and experience was not on file. A staff member who was rehired July 21, 2025, did not have her education, training, and experience completed on her application. .0302(d)(1)(B) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff members hired 6/16/25, 7/21/25, and 7/3/25 have not completed 16 hours of orientation. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff members hired 8/6/25 and 8/11/25 have not completed two weeks of orientation. In addition, a staff member hired 3/21/25 and a staff member hired 4/1/25 who completed their 6 weeks of orientation did not complete six clock hours of training in the required topics within their first two weeks. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Six (6) staff did not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 17, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: Today we discussed the importance of labeling children's bottles with the child's name and date. This helps ensure that the children are being served the appropriate bottles. We discussed administration checking the refrigerators daily to ensure compliance. For licensing, it is required to obtain written parental permission to give prescription and over-the-counter medication. Providers must obtain written permission and instructions for giving OTC and prescription medication from a health care and the child’s parent. Today we discussed administration checking all classroom medication boxes weekly. For the safety of the children, ensure any plastic bags used for storage are kept inaccessible to children under the age of three years old by keeping them at a minimum height of five feet off the floor. Today we discussed administration checking all classrooms weekly for items that may be stowed inappropriately. All medications must be accompanied by written authorizations from parents with complete instructions for administration. Prescription medications must also be in the original container with the pharmacy label attached. Today I suggested that you review medication requirements with staff and periodically check behind them to ensure all requirements are met. Today we discussed administration reviewing medication rules with all staff. Nationally, nearly 70% of playground related injuries are from falls. Fall injuries are the result of two things: 1) The height a child falls from and 2) The material/surface the child falls upon. Provide “soft” resilient surfacing under and around stationary playground equipment. Refer to 10A NCAC 09 .0605(h)(i). Today we discussed adding additional mulch around the climbing structure on playground 3 to ensure the safety of the children in the event of a fall. Each employee's personnel file shall contain an annual staff evaluation and staff development plan. These are to be completed annually. Today we discussed creating a way to track these dates to ensure they are completed within the time frame. Each employee who is expected to have contact with children shall receive six clock hours of training in required topic areas within the first two weeks of employment and 16 hours of on-site orientation within the first six weeks of employment. A list of approved orientation topics and a documentation log along with required timelines can be found on the divisions website at https://ncchildcare.ncdhhs.gov/ under the provider documents tab. Reminders: Today we discussed electrical fans must be covered by a mesh guard or stored 5 feet out of reach. To reduce the spread of germs, blankets for cots/mats may not touch the cot/mat above. Today we discussed storing all blankets in the children's individual cubbies to reduce the spread of germs. Administrative Action Follow-Up: I monitored for compliance with the CAP as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation Item #1: An unannounced visit was conducted on May 30, 2025. No violations were cited. An unannounced visit was conducted on July 10, 2025. No violations were cited. An unannounced visit was conducted on August 25, 2025. No violations were cited. Today multiple violations were observed. 2. Within one (1) week after this Notice is received, Kari Ray, administrator, shall contact Jennifer Garner, Lead Child Care Consultant, telephone number 910-824-1447, email jennifer.j.garner@dhhs.nc.gov, to arrange for a complete review of all child care requirements broken into four (4) training sessions, six (6) point items, five (5) point items, three (3) and four (4) point items, and one (1) and two (2) point items. These rule reviews must be completed before the end of the probationary period. Ms. Ray and all staff members, including full-time, part-time, substitute, and volunteer staff, shall participate in the mandatory trainings. No children shall be in care during the trainings. Documentation of the trainings shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. The documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #2: On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first two trainings sessions were scheduled on August 1, 2025, and October 17, 2025. The training was conducted on August 1, 2025. All staff were present except two individuals. On August 25, 2025, Mr. Grossman contacted Ms. Garner to schedule a make-up session. This item is not in compliance. 3. Within one (1) week after this Notice is received, Ms. Ray shall contact April Lester, Child Care Consultant, PO Box 12948 Wilmington, NC 28405, telephone number 910-824-0954, email april.lester@dhhs.nc.gov, to arrange for a review of child care requirements regarding falsification. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall participate in this mandatory training. During the training, Ms. Lester shall review and discuss a Statement of Understanding acknowledging that all staff have read, understand, and will comply with child care requirements regarding falsification. At the conclusion of the training, staff members shall sign the statements. The original signed statements shall be maintained in each staff member’s personnel file at the child care facility for review by representatives of the Division of Child Development and Early Education upon request. Item #3: On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff except two individuals attended the training on August 1, 2025. The training was recorded on this date. On August 4, 2025, both staff members viewed the video footage and completed the training. This item is in compliance. 4. Within two (2) weeks after this Notice is received, Ms. Ray shall contact Mindy Davis, M.Ed., Early Care & Education Director, Smart Start of New Hanover County, email address mindy.davis@newhanoverkids.org, telephone number 910-815-3731 ext. 1010, to arrange for training that addresses strategies for the supervision of children, including typical behaviors for the ages and developmental stages of children in care and appropriate supervision strategies for the developmental stages of a child’s growth. In addition, Ms. Ray shall contact Ms. Davis during the same timeframe to arrange for training that will address effective communication and professionalism. No children shall be in care during these trainings. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, with responsibility for caring for children shall participate in the mandatory trainings. Documentation of the trainings shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #4: Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled on January 9, 2026. This item is in compliance. 5. Within two (2) weeks after the required training regarding supervision is completed, Ms. Ray shall r revise the facility’s supervision policies and procedures to incorporate strategies learned in the training. The revised policies and procedures should describe, in detail, the steps the facility will take to ensure adequate supervision of children at all times. The policies and procedures shall include, but not be limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one (1) area to another • When children are transitioned from one (1) caregiver to another • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members implementation of the supervision policies and procedures • Procedures for periodic review of the supervision policies and procedures with all staff members, including the review of the policies and procedures in orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members non-compliance with policies and procedures The revised policies and procedures shall be submitted to Allison Davis, Investigations Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 910-800-0079, email Allison.Davis@dhhs.nc.gov, for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation; the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #5: The facility’s revised supervision policies and procedures must be submitted within two weeks of the supervision training being completed. This item is in compliance. 6. Within two (2) weeks after the required training regarding effective communication and professionalism is completed, Ms. Ray shall develop effective communication and professionalism policies and procedures to incorporate strategies learned in the training. The policies and procedures shall describe, in detail, the steps the facility will take to ensure staff’s understanding of effective communication and professionalism. The policies and procedures shall include, but not be limited to, the following: • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with children, other staff members, parents, and other persons who may be present at the facility • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with others while providing care for children off-premises • Unacceptable practices of communication • Strategies for de-escalating potential conflicts and conflict resolution • Steps that will be taken when a verbal or physical altercation occurs at the facility, including contacting law enforcement immediately, protecting the children who are present, and supervising the children that are present if an altercation occurs The policies and procedures shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #6: Effective communication and professionalism policies and procedures must be developed and submitted within two weeks of the required training being completed. This item is in compliance. 7. Within four (4) weeks after this Notice is received, Ms. Ray shall develop a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use. The policy shall include, but not be limited to: • A plan for testing staff members when there are suspicions, concerns, or reports of substance use, including a timeframe for the staff member to submit to a drug test when requested • A requirement that staff members are not allowed to engage in the illegal use of substances or engage in illegal activities at any time, including while off premises and outside of facility work hours • A requirement that illegal substances and/or narcotics, alcohol, tobacco and/or vape pens are not permitted inside the facility or any other locations where enrolled children are in care • A plan for the use and storage of staff members’ personal belongings, including purses, backpacks, or other bags, cell phones, medications, and other possible hazardous items to ensure children do not have access to any hazardous items • Procedures for staff to report any illegal substances found on facility grounds or any impaired staff members to facility administration • Procedures for notifying law enforcement if illegal substances are found on the premises • Consequences for staff members who fail to comply with the facility’s policy • A procedure for regular review of the policy with all staff members including the review of the policy in the orientation of new staff members before they assume child care responsibilities The policy shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policy meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policy shall be immediately implemented, and a copy shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #7: Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. This item in compliance. 8. Within two (2) weeks after this Notice is received, Ms. Ray shall develop a written plan for observation and evaluation of each staff member’s performance while the Probationary License is in effect. The written plan, at a minimum, shall include routine observations of each staff member one (1) time per month while the Probationary License is in effect. The plan shall also include periodic observations after the conclusion of the Probationary License to ensure continual compliance with child care requirements and the facility’s policies/procedures related to supervision of children, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use. The plan shall include, but not be limited to the following: • Individuals who will complete the observations and evaluations with the requirement that observations are conducted by members of management • Development and implementation of a tool to use for the observations that include the date and times of each observation, name and signature of the person observed, signature of the observer, a summary of each observation, areas of noncompliance, and any corrective action taken The written plan shall be submitted to Ms. Davis for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the plan meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the plan shall be immediately implemented, and a copy of the plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. In addition, the observation records for each staff member shall be retained in their personnel file for the duration of their employment at the facility. Item #8: On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. This item is in compliance. 9. Within two (2) weeks after notification from the Division that the stipulations have been met for the policies and procedures regarding supervision, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use, Ms. Ray shall conduct a staff meeting with all staff members to discuss the policies and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #9: Within two weeks of the requirements of the above stipulations being met, Ms. Ray must conduct a staff meeting. This item is in compliance. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09 .0601 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 9/3/2025 Number Present: 49 Completed Date: 9/3/2025 Age: From 0 To 5 Total Minutes: 390 Time In: 08:45 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for an annual compliance visit. Sierra Claytor, Director, assisted us with the visit. The program currently operates with a probationary license issued May 8, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. The last annual compliance visit was completed on September 11, 2024. The last sanitation inspection was completed June 25, 2025, with a “Approved” classification. The last fire inspection was conducted September 24, 2024, and your facility was approved for daytime care only. Prior to the visit the 18-month compliance history score was 86%. The NC Secretary of State website was reviewed today, and The Kiddie Cottage, LLC was listed as current- active. All approved indoor and outdoor spaces were monitored today. Daily schedules and current activity plans were available for review and were being followed. A variety of age-appropriate learning materials was observed in the classroom. Infants in Spaces 3 (orange) had routine care needs met such as napping routines and feedings. Infant feeding schedules and safe sleep checks were monitored and found to be in compliance. Toddlers in space 4 (yellow) and space 5 (blue) ate breakfast that consisted of waffles, mixed fruit, and milk. Adequate handwashing was observed after breakfast. Two-year-old children in Spaces 7 (farm) and 8 (jungle) were observed finishing up from breakfast and transitioning to free play with age appropriate materials and activities. Preschool children in space 10 (space) participated in group circle time before transitioning to outdoor play time. Preschool aged children in space 12 (desert) were observed outside in free play. Activity areas consisted of language, manipulative toys, dramatic play, art, and blocks. Lunch provided for children today and consisted of chicken with cheese quesadillas, corn, mixed fruit, and milk. Today I approved the 2021 Chevrolet Tahoe to be used to transport children after school. We discussed the following child care rules in regard to transportation: 10A NCAC 09 .1001 SEAT AND CHILD SAFETY SEATS IN CHILD CARE CENTERS 10A NCAC 09 .1002 SAFE VEHICLES 10A NCAC 09 .1003 SAFE PROCEDURES 10A NCAC 09 .1004 STAFF/CHILD RATIOS 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS The vehicle was monitored and equipped with a first aid kit and working seatbelts. The children’s emergency information, including identifying information, was observed in a three-ring binder in the office. We reviewed Child Care Rule .1000 – Transportation Standards in detail. A fire extinguisher mounted in the back of the vehicle. Current registration and tags were observed. Emergency information for staff who will be transporting children was observed and the program has developed policies and procedures addressing transporting. Today I was able to confirm that all items listed above were present and the vehicle is now approved for transportation. The following violations were observed today. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. A child's bottle in space 3 (orange) was not labeled with the child's name, and the date. 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The exterior doors in space 3 (orange) and space 12 (desert) are rusting. 15A NCAC 18A .2825(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. The climbing structure on playground 3 is placed over 2-3 inches of mulch rather than the required 6 inches. .0605(j) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Orgel was observed in space 3 (orange) without a permission form from the parent(s). In addition, an epi-pen in space 10 (space) had an emergency action plan but did not have written permission form from the parent(s). 10A NCAC 09 .0803(1)(a & b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic zip lock bags were stored in a low cabinet in space 8 (jungle) rather than a minimum of 5 feet out of reach as required for children under the age of 3. .0604(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan has not been reviewed with all staff. 10A NCAC 09 .0802(a) 1031 Documentation of staff's education, training, and experience was not on file. A staff member who was rehired July 21, 2025, did not have her education, training, and experience completed on her application. .0302(d)(1)(B) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff members hired 6/16/25, 7/21/25, and 7/3/25 have not completed 16 hours of orientation. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff members hired 8/6/25 and 8/11/25 have not completed two weeks of orientation. In addition, a staff member hired 3/21/25 and a staff member hired 4/1/25 who completed their 6 weeks of orientation did not complete six clock hours of training in the required topics within their first two weeks. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Six (6) staff did not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 17, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: Today we discussed the importance of labeling children's bottles with the child's name and date. This helps ensure that the children are being served the appropriate bottles. We discussed administration checking the refrigerators daily to ensure compliance. For licensing, it is required to obtain written parental permission to give prescription and over-the-counter medication. Providers must obtain written permission and instructions for giving OTC and prescription medication from a health care and the child’s parent. Today we discussed administration checking all classroom medication boxes weekly. For the safety of the children, ensure any plastic bags used for storage are kept inaccessible to children under the age of three years old by keeping them at a minimum height of five feet off the floor. Today we discussed administration checking all classrooms weekly for items that may be stowed inappropriately. All medications must be accompanied by written authorizations from parents with complete instructions for administration. Prescription medications must also be in the original container with the pharmacy label attached. Today I suggested that you review medication requirements with staff and periodically check behind them to ensure all requirements are met. Today we discussed administration reviewing medication rules with all staff. Nationally, nearly 70% of playground related injuries are from falls. Fall injuries are the result of two things: 1) The height a child falls from and 2) The material/surface the child falls upon. Provide “soft” resilient surfacing under and around stationary playground equipment. Refer to 10A NCAC 09 .0605(h)(i). Today we discussed adding additional mulch around the climbing structure on playground 3 to ensure the safety of the children in the event of a fall. Each employee's personnel file shall contain an annual staff evaluation and staff development plan. These are to be completed annually. Today we discussed creating a way to track these dates to ensure they are completed within the time frame. Each employee who is expected to have contact with children shall receive six clock hours of training in required topic areas within the first two weeks of employment and 16 hours of on-site orientation within the first six weeks of employment. A list of approved orientation topics and a documentation log along with required timelines can be found on the divisions website at https://ncchildcare.ncdhhs.gov/ under the provider documents tab. Reminders: Today we discussed electrical fans must be covered by a mesh guard or stored 5 feet out of reach. To reduce the spread of germs, blankets for cots/mats may not touch the cot/mat above. Today we discussed storing all blankets in the children's individual cubbies to reduce the spread of germs. Administrative Action Follow-Up: I monitored for compliance with the CAP as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation Item #1: An unannounced visit was conducted on May 30, 2025. No violations were cited. An unannounced visit was conducted on July 10, 2025. No violations were cited. An unannounced visit was conducted on August 25, 2025. No violations were cited. Today multiple violations were observed. 2. Within one (1) week after this Notice is received, Kari Ray, administrator, shall contact Jennifer Garner, Lead Child Care Consultant, telephone number 910-824-1447, email jennifer.j.garner@dhhs.nc.gov, to arrange for a complete review of all child care requirements broken into four (4) training sessions, six (6) point items, five (5) point items, three (3) and four (4) point items, and one (1) and two (2) point items. These rule reviews must be completed before the end of the probationary period. Ms. Ray and all staff members, including full-time, part-time, substitute, and volunteer staff, shall participate in the mandatory trainings. No children shall be in care during the trainings. Documentation of the trainings shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. The documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #2: On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first two trainings sessions were scheduled on August 1, 2025, and October 17, 2025. The training was conducted on August 1, 2025. All staff were present except two individuals. On August 25, 2025, Mr. Grossman contacted Ms. Garner to schedule a make-up session. This item is not in compliance. 3. Within one (1) week after this Notice is received, Ms. Ray shall contact April Lester, Child Care Consultant, PO Box 12948 Wilmington, NC 28405, telephone number 910-824-0954, email april.lester@dhhs.nc.gov, to arrange for a review of child care requirements regarding falsification. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall participate in this mandatory training. During the training, Ms. Lester shall review and discuss a Statement of Understanding acknowledging that all staff have read, understand, and will comply with child care requirements regarding falsification. At the conclusion of the training, staff members shall sign the statements. The original signed statements shall be maintained in each staff member’s personnel file at the child care facility for review by representatives of the Division of Child Development and Early Education upon request. Item #3: On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff except two individuals attended the training on August 1, 2025. The training was recorded on this date. On August 4, 2025, both staff members viewed the video footage and completed the training. This item is in compliance. 4. Within two (2) weeks after this Notice is received, Ms. Ray shall contact Mindy Davis, M.Ed., Early Care & Education Director, Smart Start of New Hanover County, email address mindy.davis@newhanoverkids.org, telephone number 910-815-3731 ext. 1010, to arrange for training that addresses strategies for the supervision of children, including typical behaviors for the ages and developmental stages of children in care and appropriate supervision strategies for the developmental stages of a child’s growth. In addition, Ms. Ray shall contact Ms. Davis during the same timeframe to arrange for training that will address effective communication and professionalism. No children shall be in care during these trainings. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, with responsibility for caring for children shall participate in the mandatory trainings. Documentation of the trainings shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #4: Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled on January 9, 2026. This item is in compliance. 5. Within two (2) weeks after the required training regarding supervision is completed, Ms. Ray shall r revise the facility’s supervision policies and procedures to incorporate strategies learned in the training. The revised policies and procedures should describe, in detail, the steps the facility will take to ensure adequate supervision of children at all times. The policies and procedures shall include, but not be limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one (1) area to another • When children are transitioned from one (1) caregiver to another • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members implementation of the supervision policies and procedures • Procedures for periodic review of the supervision policies and procedures with all staff members, including the review of the policies and procedures in orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members non-compliance with policies and procedures The revised policies and procedures shall be submitted to Allison Davis, Investigations Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 910-800-0079, email Allison.Davis@dhhs.nc.gov, for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation; the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #5: The facility’s revised supervision policies and procedures must be submitted within two weeks of the supervision training being completed. This item is in compliance. 6. Within two (2) weeks after the required training regarding effective communication and professionalism is completed, Ms. Ray shall develop effective communication and professionalism policies and procedures to incorporate strategies learned in the training. The policies and procedures shall describe, in detail, the steps the facility will take to ensure staff’s understanding of effective communication and professionalism. The policies and procedures shall include, but not be limited to, the following: • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with children, other staff members, parents, and other persons who may be present at the facility • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with others while providing care for children off-premises • Unacceptable practices of communication • Strategies for de-escalating potential conflicts and conflict resolution • Steps that will be taken when a verbal or physical altercation occurs at the facility, including contacting law enforcement immediately, protecting the children who are present, and supervising the children that are present if an altercation occurs The policies and procedures shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #6: Effective communication and professionalism policies and procedures must be developed and submitted within two weeks of the required training being completed. This item is in compliance. 7. Within four (4) weeks after this Notice is received, Ms. Ray shall develop a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use. The policy shall include, but not be limited to: • A plan for testing staff members when there are suspicions, concerns, or reports of substance use, including a timeframe for the staff member to submit to a drug test when requested • A requirement that staff members are not allowed to engage in the illegal use of substances or engage in illegal activities at any time, including while off premises and outside of facility work hours • A requirement that illegal substances and/or narcotics, alcohol, tobacco and/or vape pens are not permitted inside the facility or any other locations where enrolled children are in care • A plan for the use and storage of staff members’ personal belongings, including purses, backpacks, or other bags, cell phones, medications, and other possible hazardous items to ensure children do not have access to any hazardous items • Procedures for staff to report any illegal substances found on facility grounds or any impaired staff members to facility administration • Procedures for notifying law enforcement if illegal substances are found on the premises • Consequences for staff members who fail to comply with the facility’s policy • A procedure for regular review of the policy with all staff members including the review of the policy in the orientation of new staff members before they assume child care responsibilities The policy shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policy meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policy shall be immediately implemented, and a copy shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #7: Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. This item in compliance. 8. Within two (2) weeks after this Notice is received, Ms. Ray shall develop a written plan for observation and evaluation of each staff member’s performance while the Probationary License is in effect. The written plan, at a minimum, shall include routine observations of each staff member one (1) time per month while the Probationary License is in effect. The plan shall also include periodic observations after the conclusion of the Probationary License to ensure continual compliance with child care requirements and the facility’s policies/procedures related to supervision of children, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use. The plan shall include, but not be limited to the following: • Individuals who will complete the observations and evaluations with the requirement that observations are conducted by members of management • Development and implementation of a tool to use for the observations that include the date and times of each observation, name and signature of the person observed, signature of the observer, a summary of each observation, areas of noncompliance, and any corrective action taken The written plan shall be submitted to Ms. Davis for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the plan meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the plan shall be immediately implemented, and a copy of the plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. In addition, the observation records for each staff member shall be retained in their personnel file for the duration of their employment at the facility. Item #8: On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. This item is in compliance. 9. Within two (2) weeks after notification from the Division that the stipulations have been met for the policies and procedures regarding supervision, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use, Ms. Ray shall conduct a staff meeting with all staff members to discuss the policies and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #9: Within two weeks of the requirements of the above stipulations being met, Ms. Ray must conduct a staff meeting. This item is in compliance. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09 .0604 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 9/3/2025 Number Present: 49 Completed Date: 9/3/2025 Age: From 0 To 5 Total Minutes: 390 Time In: 08:45 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for an annual compliance visit. Sierra Claytor, Director, assisted us with the visit. The program currently operates with a probationary license issued May 8, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. The last annual compliance visit was completed on September 11, 2024. The last sanitation inspection was completed June 25, 2025, with a “Approved” classification. The last fire inspection was conducted September 24, 2024, and your facility was approved for daytime care only. Prior to the visit the 18-month compliance history score was 86%. The NC Secretary of State website was reviewed today, and The Kiddie Cottage, LLC was listed as current- active. All approved indoor and outdoor spaces were monitored today. Daily schedules and current activity plans were available for review and were being followed. A variety of age-appropriate learning materials was observed in the classroom. Infants in Spaces 3 (orange) had routine care needs met such as napping routines and feedings. Infant feeding schedules and safe sleep checks were monitored and found to be in compliance. Toddlers in space 4 (yellow) and space 5 (blue) ate breakfast that consisted of waffles, mixed fruit, and milk. Adequate handwashing was observed after breakfast. Two-year-old children in Spaces 7 (farm) and 8 (jungle) were observed finishing up from breakfast and transitioning to free play with age appropriate materials and activities. Preschool children in space 10 (space) participated in group circle time before transitioning to outdoor play time. Preschool aged children in space 12 (desert) were observed outside in free play. Activity areas consisted of language, manipulative toys, dramatic play, art, and blocks. Lunch provided for children today and consisted of chicken with cheese quesadillas, corn, mixed fruit, and milk. Today I approved the 2021 Chevrolet Tahoe to be used to transport children after school. We discussed the following child care rules in regard to transportation: 10A NCAC 09 .1001 SEAT AND CHILD SAFETY SEATS IN CHILD CARE CENTERS 10A NCAC 09 .1002 SAFE VEHICLES 10A NCAC 09 .1003 SAFE PROCEDURES 10A NCAC 09 .1004 STAFF/CHILD RATIOS 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS The vehicle was monitored and equipped with a first aid kit and working seatbelts. The children’s emergency information, including identifying information, was observed in a three-ring binder in the office. We reviewed Child Care Rule .1000 – Transportation Standards in detail. A fire extinguisher mounted in the back of the vehicle. Current registration and tags were observed. Emergency information for staff who will be transporting children was observed and the program has developed policies and procedures addressing transporting. Today I was able to confirm that all items listed above were present and the vehicle is now approved for transportation. The following violations were observed today. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. A child's bottle in space 3 (orange) was not labeled with the child's name, and the date. 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The exterior doors in space 3 (orange) and space 12 (desert) are rusting. 15A NCAC 18A .2825(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. The climbing structure on playground 3 is placed over 2-3 inches of mulch rather than the required 6 inches. .0605(j) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Orgel was observed in space 3 (orange) without a permission form from the parent(s). In addition, an epi-pen in space 10 (space) had an emergency action plan but did not have written permission form from the parent(s). 10A NCAC 09 .0803(1)(a & b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic zip lock bags were stored in a low cabinet in space 8 (jungle) rather than a minimum of 5 feet out of reach as required for children under the age of 3. .0604(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan has not been reviewed with all staff. 10A NCAC 09 .0802(a) 1031 Documentation of staff's education, training, and experience was not on file. A staff member who was rehired July 21, 2025, did not have her education, training, and experience completed on her application. .0302(d)(1)(B) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff members hired 6/16/25, 7/21/25, and 7/3/25 have not completed 16 hours of orientation. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff members hired 8/6/25 and 8/11/25 have not completed two weeks of orientation. In addition, a staff member hired 3/21/25 and a staff member hired 4/1/25 who completed their 6 weeks of orientation did not complete six clock hours of training in the required topics within their first two weeks. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Six (6) staff did not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 17, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: Today we discussed the importance of labeling children's bottles with the child's name and date. This helps ensure that the children are being served the appropriate bottles. We discussed administration checking the refrigerators daily to ensure compliance. For licensing, it is required to obtain written parental permission to give prescription and over-the-counter medication. Providers must obtain written permission and instructions for giving OTC and prescription medication from a health care and the child’s parent. Today we discussed administration checking all classroom medication boxes weekly. For the safety of the children, ensure any plastic bags used for storage are kept inaccessible to children under the age of three years old by keeping them at a minimum height of five feet off the floor. Today we discussed administration checking all classrooms weekly for items that may be stowed inappropriately. All medications must be accompanied by written authorizations from parents with complete instructions for administration. Prescription medications must also be in the original container with the pharmacy label attached. Today I suggested that you review medication requirements with staff and periodically check behind them to ensure all requirements are met. Today we discussed administration reviewing medication rules with all staff. Nationally, nearly 70% of playground related injuries are from falls. Fall injuries are the result of two things: 1) The height a child falls from and 2) The material/surface the child falls upon. Provide “soft” resilient surfacing under and around stationary playground equipment. Refer to 10A NCAC 09 .0605(h)(i). Today we discussed adding additional mulch around the climbing structure on playground 3 to ensure the safety of the children in the event of a fall. Each employee's personnel file shall contain an annual staff evaluation and staff development plan. These are to be completed annually. Today we discussed creating a way to track these dates to ensure they are completed within the time frame. Each employee who is expected to have contact with children shall receive six clock hours of training in required topic areas within the first two weeks of employment and 16 hours of on-site orientation within the first six weeks of employment. A list of approved orientation topics and a documentation log along with required timelines can be found on the divisions website at https://ncchildcare.ncdhhs.gov/ under the provider documents tab. Reminders: Today we discussed electrical fans must be covered by a mesh guard or stored 5 feet out of reach. To reduce the spread of germs, blankets for cots/mats may not touch the cot/mat above. Today we discussed storing all blankets in the children's individual cubbies to reduce the spread of germs. Administrative Action Follow-Up: I monitored for compliance with the CAP as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation Item #1: An unannounced visit was conducted on May 30, 2025. No violations were cited. An unannounced visit was conducted on July 10, 2025. No violations were cited. An unannounced visit was conducted on August 25, 2025. No violations were cited. Today multiple violations were observed. 2. Within one (1) week after this Notice is received, Kari Ray, administrator, shall contact Jennifer Garner, Lead Child Care Consultant, telephone number 910-824-1447, email jennifer.j.garner@dhhs.nc.gov, to arrange for a complete review of all child care requirements broken into four (4) training sessions, six (6) point items, five (5) point items, three (3) and four (4) point items, and one (1) and two (2) point items. These rule reviews must be completed before the end of the probationary period. Ms. Ray and all staff members, including full-time, part-time, substitute, and volunteer staff, shall participate in the mandatory trainings. No children shall be in care during the trainings. Documentation of the trainings shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. The documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #2: On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first two trainings sessions were scheduled on August 1, 2025, and October 17, 2025. The training was conducted on August 1, 2025. All staff were present except two individuals. On August 25, 2025, Mr. Grossman contacted Ms. Garner to schedule a make-up session. This item is not in compliance. 3. Within one (1) week after this Notice is received, Ms. Ray shall contact April Lester, Child Care Consultant, PO Box 12948 Wilmington, NC 28405, telephone number 910-824-0954, email april.lester@dhhs.nc.gov, to arrange for a review of child care requirements regarding falsification. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall participate in this mandatory training. During the training, Ms. Lester shall review and discuss a Statement of Understanding acknowledging that all staff have read, understand, and will comply with child care requirements regarding falsification. At the conclusion of the training, staff members shall sign the statements. The original signed statements shall be maintained in each staff member’s personnel file at the child care facility for review by representatives of the Division of Child Development and Early Education upon request. Item #3: On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff except two individuals attended the training on August 1, 2025. The training was recorded on this date. On August 4, 2025, both staff members viewed the video footage and completed the training. This item is in compliance. 4. Within two (2) weeks after this Notice is received, Ms. Ray shall contact Mindy Davis, M.Ed., Early Care & Education Director, Smart Start of New Hanover County, email address mindy.davis@newhanoverkids.org, telephone number 910-815-3731 ext. 1010, to arrange for training that addresses strategies for the supervision of children, including typical behaviors for the ages and developmental stages of children in care and appropriate supervision strategies for the developmental stages of a child’s growth. In addition, Ms. Ray shall contact Ms. Davis during the same timeframe to arrange for training that will address effective communication and professionalism. No children shall be in care during these trainings. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, with responsibility for caring for children shall participate in the mandatory trainings. Documentation of the trainings shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #4: Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled on January 9, 2026. This item is in compliance. 5. Within two (2) weeks after the required training regarding supervision is completed, Ms. Ray shall r revise the facility’s supervision policies and procedures to incorporate strategies learned in the training. The revised policies and procedures should describe, in detail, the steps the facility will take to ensure adequate supervision of children at all times. The policies and procedures shall include, but not be limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one (1) area to another • When children are transitioned from one (1) caregiver to another • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members implementation of the supervision policies and procedures • Procedures for periodic review of the supervision policies and procedures with all staff members, including the review of the policies and procedures in orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members non-compliance with policies and procedures The revised policies and procedures shall be submitted to Allison Davis, Investigations Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 910-800-0079, email Allison.Davis@dhhs.nc.gov, for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation; the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #5: The facility’s revised supervision policies and procedures must be submitted within two weeks of the supervision training being completed. This item is in compliance. 6. Within two (2) weeks after the required training regarding effective communication and professionalism is completed, Ms. Ray shall develop effective communication and professionalism policies and procedures to incorporate strategies learned in the training. The policies and procedures shall describe, in detail, the steps the facility will take to ensure staff’s understanding of effective communication and professionalism. The policies and procedures shall include, but not be limited to, the following: • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with children, other staff members, parents, and other persons who may be present at the facility • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with others while providing care for children off-premises • Unacceptable practices of communication • Strategies for de-escalating potential conflicts and conflict resolution • Steps that will be taken when a verbal or physical altercation occurs at the facility, including contacting law enforcement immediately, protecting the children who are present, and supervising the children that are present if an altercation occurs The policies and procedures shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #6: Effective communication and professionalism policies and procedures must be developed and submitted within two weeks of the required training being completed. This item is in compliance. 7. Within four (4) weeks after this Notice is received, Ms. Ray shall develop a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use. The policy shall include, but not be limited to: • A plan for testing staff members when there are suspicions, concerns, or reports of substance use, including a timeframe for the staff member to submit to a drug test when requested • A requirement that staff members are not allowed to engage in the illegal use of substances or engage in illegal activities at any time, including while off premises and outside of facility work hours • A requirement that illegal substances and/or narcotics, alcohol, tobacco and/or vape pens are not permitted inside the facility or any other locations where enrolled children are in care • A plan for the use and storage of staff members’ personal belongings, including purses, backpacks, or other bags, cell phones, medications, and other possible hazardous items to ensure children do not have access to any hazardous items • Procedures for staff to report any illegal substances found on facility grounds or any impaired staff members to facility administration • Procedures for notifying law enforcement if illegal substances are found on the premises • Consequences for staff members who fail to comply with the facility’s policy • A procedure for regular review of the policy with all staff members including the review of the policy in the orientation of new staff members before they assume child care responsibilities The policy shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policy meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policy shall be immediately implemented, and a copy shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #7: Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. This item in compliance. 8. Within two (2) weeks after this Notice is received, Ms. Ray shall develop a written plan for observation and evaluation of each staff member’s performance while the Probationary License is in effect. The written plan, at a minimum, shall include routine observations of each staff member one (1) time per month while the Probationary License is in effect. The plan shall also include periodic observations after the conclusion of the Probationary License to ensure continual compliance with child care requirements and the facility’s policies/procedures related to supervision of children, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use. The plan shall include, but not be limited to the following: • Individuals who will complete the observations and evaluations with the requirement that observations are conducted by members of management • Development and implementation of a tool to use for the observations that include the date and times of each observation, name and signature of the person observed, signature of the observer, a summary of each observation, areas of noncompliance, and any corrective action taken The written plan shall be submitted to Ms. Davis for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the plan meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the plan shall be immediately implemented, and a copy of the plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. In addition, the observation records for each staff member shall be retained in their personnel file for the duration of their employment at the facility. Item #8: On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. This item is in compliance. 9. Within two (2) weeks after notification from the Division that the stipulations have been met for the policies and procedures regarding supervision, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use, Ms. Ray shall conduct a staff meeting with all staff members to discuss the policies and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #9: Within two weeks of the requirements of the above stipulations being met, Ms. Ray must conduct a staff meeting. This item is in compliance. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09 .0605 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 9/3/2025 Number Present: 49 Completed Date: 9/3/2025 Age: From 0 To 5 Total Minutes: 390 Time In: 08:45 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for an annual compliance visit. Sierra Claytor, Director, assisted us with the visit. The program currently operates with a probationary license issued May 8, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. The last annual compliance visit was completed on September 11, 2024. The last sanitation inspection was completed June 25, 2025, with a “Approved” classification. The last fire inspection was conducted September 24, 2024, and your facility was approved for daytime care only. Prior to the visit the 18-month compliance history score was 86%. The NC Secretary of State website was reviewed today, and The Kiddie Cottage, LLC was listed as current- active. All approved indoor and outdoor spaces were monitored today. Daily schedules and current activity plans were available for review and were being followed. A variety of age-appropriate learning materials was observed in the classroom. Infants in Spaces 3 (orange) had routine care needs met such as napping routines and feedings. Infant feeding schedules and safe sleep checks were monitored and found to be in compliance. Toddlers in space 4 (yellow) and space 5 (blue) ate breakfast that consisted of waffles, mixed fruit, and milk. Adequate handwashing was observed after breakfast. Two-year-old children in Spaces 7 (farm) and 8 (jungle) were observed finishing up from breakfast and transitioning to free play with age appropriate materials and activities. Preschool children in space 10 (space) participated in group circle time before transitioning to outdoor play time. Preschool aged children in space 12 (desert) were observed outside in free play. Activity areas consisted of language, manipulative toys, dramatic play, art, and blocks. Lunch provided for children today and consisted of chicken with cheese quesadillas, corn, mixed fruit, and milk. Today I approved the 2021 Chevrolet Tahoe to be used to transport children after school. We discussed the following child care rules in regard to transportation: 10A NCAC 09 .1001 SEAT AND CHILD SAFETY SEATS IN CHILD CARE CENTERS 10A NCAC 09 .1002 SAFE VEHICLES 10A NCAC 09 .1003 SAFE PROCEDURES 10A NCAC 09 .1004 STAFF/CHILD RATIOS 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS The vehicle was monitored and equipped with a first aid kit and working seatbelts. The children’s emergency information, including identifying information, was observed in a three-ring binder in the office. We reviewed Child Care Rule .1000 – Transportation Standards in detail. A fire extinguisher mounted in the back of the vehicle. Current registration and tags were observed. Emergency information for staff who will be transporting children was observed and the program has developed policies and procedures addressing transporting. Today I was able to confirm that all items listed above were present and the vehicle is now approved for transportation. The following violations were observed today. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. A child's bottle in space 3 (orange) was not labeled with the child's name, and the date. 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The exterior doors in space 3 (orange) and space 12 (desert) are rusting. 15A NCAC 18A .2825(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. The climbing structure on playground 3 is placed over 2-3 inches of mulch rather than the required 6 inches. .0605(j) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Orgel was observed in space 3 (orange) without a permission form from the parent(s). In addition, an epi-pen in space 10 (space) had an emergency action plan but did not have written permission form from the parent(s). 10A NCAC 09 .0803(1)(a & b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic zip lock bags were stored in a low cabinet in space 8 (jungle) rather than a minimum of 5 feet out of reach as required for children under the age of 3. .0604(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan has not been reviewed with all staff. 10A NCAC 09 .0802(a) 1031 Documentation of staff's education, training, and experience was not on file. A staff member who was rehired July 21, 2025, did not have her education, training, and experience completed on her application. .0302(d)(1)(B) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff members hired 6/16/25, 7/21/25, and 7/3/25 have not completed 16 hours of orientation. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff members hired 8/6/25 and 8/11/25 have not completed two weeks of orientation. In addition, a staff member hired 3/21/25 and a staff member hired 4/1/25 who completed their 6 weeks of orientation did not complete six clock hours of training in the required topics within their first two weeks. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Six (6) staff did not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 17, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: Today we discussed the importance of labeling children's bottles with the child's name and date. This helps ensure that the children are being served the appropriate bottles. We discussed administration checking the refrigerators daily to ensure compliance. For licensing, it is required to obtain written parental permission to give prescription and over-the-counter medication. Providers must obtain written permission and instructions for giving OTC and prescription medication from a health care and the child’s parent. Today we discussed administration checking all classroom medication boxes weekly. For the safety of the children, ensure any plastic bags used for storage are kept inaccessible to children under the age of three years old by keeping them at a minimum height of five feet off the floor. Today we discussed administration checking all classrooms weekly for items that may be stowed inappropriately. All medications must be accompanied by written authorizations from parents with complete instructions for administration. Prescription medications must also be in the original container with the pharmacy label attached. Today I suggested that you review medication requirements with staff and periodically check behind them to ensure all requirements are met. Today we discussed administration reviewing medication rules with all staff. Nationally, nearly 70% of playground related injuries are from falls. Fall injuries are the result of two things: 1) The height a child falls from and 2) The material/surface the child falls upon. Provide “soft” resilient surfacing under and around stationary playground equipment. Refer to 10A NCAC 09 .0605(h)(i). Today we discussed adding additional mulch around the climbing structure on playground 3 to ensure the safety of the children in the event of a fall. Each employee's personnel file shall contain an annual staff evaluation and staff development plan. These are to be completed annually. Today we discussed creating a way to track these dates to ensure they are completed within the time frame. Each employee who is expected to have contact with children shall receive six clock hours of training in required topic areas within the first two weeks of employment and 16 hours of on-site orientation within the first six weeks of employment. A list of approved orientation topics and a documentation log along with required timelines can be found on the divisions website at https://ncchildcare.ncdhhs.gov/ under the provider documents tab. Reminders: Today we discussed electrical fans must be covered by a mesh guard or stored 5 feet out of reach. To reduce the spread of germs, blankets for cots/mats may not touch the cot/mat above. Today we discussed storing all blankets in the children's individual cubbies to reduce the spread of germs. Administrative Action Follow-Up: I monitored for compliance with the CAP as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation Item #1: An unannounced visit was conducted on May 30, 2025. No violations were cited. An unannounced visit was conducted on July 10, 2025. No violations were cited. An unannounced visit was conducted on August 25, 2025. No violations were cited. Today multiple violations were observed. 2. Within one (1) week after this Notice is received, Kari Ray, administrator, shall contact Jennifer Garner, Lead Child Care Consultant, telephone number 910-824-1447, email jennifer.j.garner@dhhs.nc.gov, to arrange for a complete review of all child care requirements broken into four (4) training sessions, six (6) point items, five (5) point items, three (3) and four (4) point items, and one (1) and two (2) point items. These rule reviews must be completed before the end of the probationary period. Ms. Ray and all staff members, including full-time, part-time, substitute, and volunteer staff, shall participate in the mandatory trainings. No children shall be in care during the trainings. Documentation of the trainings shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. The documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #2: On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first two trainings sessions were scheduled on August 1, 2025, and October 17, 2025. The training was conducted on August 1, 2025. All staff were present except two individuals. On August 25, 2025, Mr. Grossman contacted Ms. Garner to schedule a make-up session. This item is not in compliance. 3. Within one (1) week after this Notice is received, Ms. Ray shall contact April Lester, Child Care Consultant, PO Box 12948 Wilmington, NC 28405, telephone number 910-824-0954, email april.lester@dhhs.nc.gov, to arrange for a review of child care requirements regarding falsification. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall participate in this mandatory training. During the training, Ms. Lester shall review and discuss a Statement of Understanding acknowledging that all staff have read, understand, and will comply with child care requirements regarding falsification. At the conclusion of the training, staff members shall sign the statements. The original signed statements shall be maintained in each staff member’s personnel file at the child care facility for review by representatives of the Division of Child Development and Early Education upon request. Item #3: On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff except two individuals attended the training on August 1, 2025. The training was recorded on this date. On August 4, 2025, both staff members viewed the video footage and completed the training. This item is in compliance. 4. Within two (2) weeks after this Notice is received, Ms. Ray shall contact Mindy Davis, M.Ed., Early Care & Education Director, Smart Start of New Hanover County, email address mindy.davis@newhanoverkids.org, telephone number 910-815-3731 ext. 1010, to arrange for training that addresses strategies for the supervision of children, including typical behaviors for the ages and developmental stages of children in care and appropriate supervision strategies for the developmental stages of a child’s growth. In addition, Ms. Ray shall contact Ms. Davis during the same timeframe to arrange for training that will address effective communication and professionalism. No children shall be in care during these trainings. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, with responsibility for caring for children shall participate in the mandatory trainings. Documentation of the trainings shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #4: Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled on January 9, 2026. This item is in compliance. 5. Within two (2) weeks after the required training regarding supervision is completed, Ms. Ray shall r revise the facility’s supervision policies and procedures to incorporate strategies learned in the training. The revised policies and procedures should describe, in detail, the steps the facility will take to ensure adequate supervision of children at all times. The policies and procedures shall include, but not be limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one (1) area to another • When children are transitioned from one (1) caregiver to another • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members implementation of the supervision policies and procedures • Procedures for periodic review of the supervision policies and procedures with all staff members, including the review of the policies and procedures in orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members non-compliance with policies and procedures The revised policies and procedures shall be submitted to Allison Davis, Investigations Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 910-800-0079, email Allison.Davis@dhhs.nc.gov, for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation; the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #5: The facility’s revised supervision policies and procedures must be submitted within two weeks of the supervision training being completed. This item is in compliance. 6. Within two (2) weeks after the required training regarding effective communication and professionalism is completed, Ms. Ray shall develop effective communication and professionalism policies and procedures to incorporate strategies learned in the training. The policies and procedures shall describe, in detail, the steps the facility will take to ensure staff’s understanding of effective communication and professionalism. The policies and procedures shall include, but not be limited to, the following: • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with children, other staff members, parents, and other persons who may be present at the facility • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with others while providing care for children off-premises • Unacceptable practices of communication • Strategies for de-escalating potential conflicts and conflict resolution • Steps that will be taken when a verbal or physical altercation occurs at the facility, including contacting law enforcement immediately, protecting the children who are present, and supervising the children that are present if an altercation occurs The policies and procedures shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #6: Effective communication and professionalism policies and procedures must be developed and submitted within two weeks of the required training being completed. This item is in compliance. 7. Within four (4) weeks after this Notice is received, Ms. Ray shall develop a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use. The policy shall include, but not be limited to: • A plan for testing staff members when there are suspicions, concerns, or reports of substance use, including a timeframe for the staff member to submit to a drug test when requested • A requirement that staff members are not allowed to engage in the illegal use of substances or engage in illegal activities at any time, including while off premises and outside of facility work hours • A requirement that illegal substances and/or narcotics, alcohol, tobacco and/or vape pens are not permitted inside the facility or any other locations where enrolled children are in care • A plan for the use and storage of staff members’ personal belongings, including purses, backpacks, or other bags, cell phones, medications, and other possible hazardous items to ensure children do not have access to any hazardous items • Procedures for staff to report any illegal substances found on facility grounds or any impaired staff members to facility administration • Procedures for notifying law enforcement if illegal substances are found on the premises • Consequences for staff members who fail to comply with the facility’s policy • A procedure for regular review of the policy with all staff members including the review of the policy in the orientation of new staff members before they assume child care responsibilities The policy shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policy meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policy shall be immediately implemented, and a copy shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #7: Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. This item in compliance. 8. Within two (2) weeks after this Notice is received, Ms. Ray shall develop a written plan for observation and evaluation of each staff member’s performance while the Probationary License is in effect. The written plan, at a minimum, shall include routine observations of each staff member one (1) time per month while the Probationary License is in effect. The plan shall also include periodic observations after the conclusion of the Probationary License to ensure continual compliance with child care requirements and the facility’s policies/procedures related to supervision of children, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use. The plan shall include, but not be limited to the following: • Individuals who will complete the observations and evaluations with the requirement that observations are conducted by members of management • Development and implementation of a tool to use for the observations that include the date and times of each observation, name and signature of the person observed, signature of the observer, a summary of each observation, areas of noncompliance, and any corrective action taken The written plan shall be submitted to Ms. Davis for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the plan meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the plan shall be immediately implemented, and a copy of the plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. In addition, the observation records for each staff member shall be retained in their personnel file for the duration of their employment at the facility. Item #8: On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. This item is in compliance. 9. Within two (2) weeks after notification from the Division that the stipulations have been met for the policies and procedures regarding supervision, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use, Ms. Ray shall conduct a staff meeting with all staff members to discuss the policies and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #9: Within two weeks of the requirements of the above stipulations being met, Ms. Ray must conduct a staff meeting. This item is in compliance. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09 .0606 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 9/3/2025 Number Present: 49 Completed Date: 9/3/2025 Age: From 0 To 5 Total Minutes: 390 Time In: 08:45 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for an annual compliance visit. Sierra Claytor, Director, assisted us with the visit. The program currently operates with a probationary license issued May 8, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. The last annual compliance visit was completed on September 11, 2024. The last sanitation inspection was completed June 25, 2025, with a “Approved” classification. The last fire inspection was conducted September 24, 2024, and your facility was approved for daytime care only. Prior to the visit the 18-month compliance history score was 86%. The NC Secretary of State website was reviewed today, and The Kiddie Cottage, LLC was listed as current- active. All approved indoor and outdoor spaces were monitored today. Daily schedules and current activity plans were available for review and were being followed. A variety of age-appropriate learning materials was observed in the classroom. Infants in Spaces 3 (orange) had routine care needs met such as napping routines and feedings. Infant feeding schedules and safe sleep checks were monitored and found to be in compliance. Toddlers in space 4 (yellow) and space 5 (blue) ate breakfast that consisted of waffles, mixed fruit, and milk. Adequate handwashing was observed after breakfast. Two-year-old children in Spaces 7 (farm) and 8 (jungle) were observed finishing up from breakfast and transitioning to free play with age appropriate materials and activities. Preschool children in space 10 (space) participated in group circle time before transitioning to outdoor play time. Preschool aged children in space 12 (desert) were observed outside in free play. Activity areas consisted of language, manipulative toys, dramatic play, art, and blocks. Lunch provided for children today and consisted of chicken with cheese quesadillas, corn, mixed fruit, and milk. Today I approved the 2021 Chevrolet Tahoe to be used to transport children after school. We discussed the following child care rules in regard to transportation: 10A NCAC 09 .1001 SEAT AND CHILD SAFETY SEATS IN CHILD CARE CENTERS 10A NCAC 09 .1002 SAFE VEHICLES 10A NCAC 09 .1003 SAFE PROCEDURES 10A NCAC 09 .1004 STAFF/CHILD RATIOS 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS The vehicle was monitored and equipped with a first aid kit and working seatbelts. The children’s emergency information, including identifying information, was observed in a three-ring binder in the office. We reviewed Child Care Rule .1000 – Transportation Standards in detail. A fire extinguisher mounted in the back of the vehicle. Current registration and tags were observed. Emergency information for staff who will be transporting children was observed and the program has developed policies and procedures addressing transporting. Today I was able to confirm that all items listed above were present and the vehicle is now approved for transportation. The following violations were observed today. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. A child's bottle in space 3 (orange) was not labeled with the child's name, and the date. 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The exterior doors in space 3 (orange) and space 12 (desert) are rusting. 15A NCAC 18A .2825(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. The climbing structure on playground 3 is placed over 2-3 inches of mulch rather than the required 6 inches. .0605(j) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Orgel was observed in space 3 (orange) without a permission form from the parent(s). In addition, an epi-pen in space 10 (space) had an emergency action plan but did not have written permission form from the parent(s). 10A NCAC 09 .0803(1)(a & b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic zip lock bags were stored in a low cabinet in space 8 (jungle) rather than a minimum of 5 feet out of reach as required for children under the age of 3. .0604(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan has not been reviewed with all staff. 10A NCAC 09 .0802(a) 1031 Documentation of staff's education, training, and experience was not on file. A staff member who was rehired July 21, 2025, did not have her education, training, and experience completed on her application. .0302(d)(1)(B) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff members hired 6/16/25, 7/21/25, and 7/3/25 have not completed 16 hours of orientation. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff members hired 8/6/25 and 8/11/25 have not completed two weeks of orientation. In addition, a staff member hired 3/21/25 and a staff member hired 4/1/25 who completed their 6 weeks of orientation did not complete six clock hours of training in the required topics within their first two weeks. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Six (6) staff did not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 17, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: Today we discussed the importance of labeling children's bottles with the child's name and date. This helps ensure that the children are being served the appropriate bottles. We discussed administration checking the refrigerators daily to ensure compliance. For licensing, it is required to obtain written parental permission to give prescription and over-the-counter medication. Providers must obtain written permission and instructions for giving OTC and prescription medication from a health care and the child’s parent. Today we discussed administration checking all classroom medication boxes weekly. For the safety of the children, ensure any plastic bags used for storage are kept inaccessible to children under the age of three years old by keeping them at a minimum height of five feet off the floor. Today we discussed administration checking all classrooms weekly for items that may be stowed inappropriately. All medications must be accompanied by written authorizations from parents with complete instructions for administration. Prescription medications must also be in the original container with the pharmacy label attached. Today I suggested that you review medication requirements with staff and periodically check behind them to ensure all requirements are met. Today we discussed administration reviewing medication rules with all staff. Nationally, nearly 70% of playground related injuries are from falls. Fall injuries are the result of two things: 1) The height a child falls from and 2) The material/surface the child falls upon. Provide “soft” resilient surfacing under and around stationary playground equipment. Refer to 10A NCAC 09 .0605(h)(i). Today we discussed adding additional mulch around the climbing structure on playground 3 to ensure the safety of the children in the event of a fall. Each employee's personnel file shall contain an annual staff evaluation and staff development plan. These are to be completed annually. Today we discussed creating a way to track these dates to ensure they are completed within the time frame. Each employee who is expected to have contact with children shall receive six clock hours of training in required topic areas within the first two weeks of employment and 16 hours of on-site orientation within the first six weeks of employment. A list of approved orientation topics and a documentation log along with required timelines can be found on the divisions website at https://ncchildcare.ncdhhs.gov/ under the provider documents tab. Reminders: Today we discussed electrical fans must be covered by a mesh guard or stored 5 feet out of reach. To reduce the spread of germs, blankets for cots/mats may not touch the cot/mat above. Today we discussed storing all blankets in the children's individual cubbies to reduce the spread of germs. Administrative Action Follow-Up: I monitored for compliance with the CAP as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation Item #1: An unannounced visit was conducted on May 30, 2025. No violations were cited. An unannounced visit was conducted on July 10, 2025. No violations were cited. An unannounced visit was conducted on August 25, 2025. No violations were cited. Today multiple violations were observed. 2. Within one (1) week after this Notice is received, Kari Ray, administrator, shall contact Jennifer Garner, Lead Child Care Consultant, telephone number 910-824-1447, email jennifer.j.garner@dhhs.nc.gov, to arrange for a complete review of all child care requirements broken into four (4) training sessions, six (6) point items, five (5) point items, three (3) and four (4) point items, and one (1) and two (2) point items. These rule reviews must be completed before the end of the probationary period. Ms. Ray and all staff members, including full-time, part-time, substitute, and volunteer staff, shall participate in the mandatory trainings. No children shall be in care during the trainings. Documentation of the trainings shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. The documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #2: On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first two trainings sessions were scheduled on August 1, 2025, and October 17, 2025. The training was conducted on August 1, 2025. All staff were present except two individuals. On August 25, 2025, Mr. Grossman contacted Ms. Garner to schedule a make-up session. This item is not in compliance. 3. Within one (1) week after this Notice is received, Ms. Ray shall contact April Lester, Child Care Consultant, PO Box 12948 Wilmington, NC 28405, telephone number 910-824-0954, email april.lester@dhhs.nc.gov, to arrange for a review of child care requirements regarding falsification. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall participate in this mandatory training. During the training, Ms. Lester shall review and discuss a Statement of Understanding acknowledging that all staff have read, understand, and will comply with child care requirements regarding falsification. At the conclusion of the training, staff members shall sign the statements. The original signed statements shall be maintained in each staff member’s personnel file at the child care facility for review by representatives of the Division of Child Development and Early Education upon request. Item #3: On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff except two individuals attended the training on August 1, 2025. The training was recorded on this date. On August 4, 2025, both staff members viewed the video footage and completed the training. This item is in compliance. 4. Within two (2) weeks after this Notice is received, Ms. Ray shall contact Mindy Davis, M.Ed., Early Care & Education Director, Smart Start of New Hanover County, email address mindy.davis@newhanoverkids.org, telephone number 910-815-3731 ext. 1010, to arrange for training that addresses strategies for the supervision of children, including typical behaviors for the ages and developmental stages of children in care and appropriate supervision strategies for the developmental stages of a child’s growth. In addition, Ms. Ray shall contact Ms. Davis during the same timeframe to arrange for training that will address effective communication and professionalism. No children shall be in care during these trainings. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, with responsibility for caring for children shall participate in the mandatory trainings. Documentation of the trainings shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #4: Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled on January 9, 2026. This item is in compliance. 5. Within two (2) weeks after the required training regarding supervision is completed, Ms. Ray shall r revise the facility’s supervision policies and procedures to incorporate strategies learned in the training. The revised policies and procedures should describe, in detail, the steps the facility will take to ensure adequate supervision of children at all times. The policies and procedures shall include, but not be limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one (1) area to another • When children are transitioned from one (1) caregiver to another • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members implementation of the supervision policies and procedures • Procedures for periodic review of the supervision policies and procedures with all staff members, including the review of the policies and procedures in orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members non-compliance with policies and procedures The revised policies and procedures shall be submitted to Allison Davis, Investigations Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 910-800-0079, email Allison.Davis@dhhs.nc.gov, for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation; the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #5: The facility’s revised supervision policies and procedures must be submitted within two weeks of the supervision training being completed. This item is in compliance. 6. Within two (2) weeks after the required training regarding effective communication and professionalism is completed, Ms. Ray shall develop effective communication and professionalism policies and procedures to incorporate strategies learned in the training. The policies and procedures shall describe, in detail, the steps the facility will take to ensure staff’s understanding of effective communication and professionalism. The policies and procedures shall include, but not be limited to, the following: • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with children, other staff members, parents, and other persons who may be present at the facility • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with others while providing care for children off-premises • Unacceptable practices of communication • Strategies for de-escalating potential conflicts and conflict resolution • Steps that will be taken when a verbal or physical altercation occurs at the facility, including contacting law enforcement immediately, protecting the children who are present, and supervising the children that are present if an altercation occurs The policies and procedures shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #6: Effective communication and professionalism policies and procedures must be developed and submitted within two weeks of the required training being completed. This item is in compliance. 7. Within four (4) weeks after this Notice is received, Ms. Ray shall develop a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use. The policy shall include, but not be limited to: • A plan for testing staff members when there are suspicions, concerns, or reports of substance use, including a timeframe for the staff member to submit to a drug test when requested • A requirement that staff members are not allowed to engage in the illegal use of substances or engage in illegal activities at any time, including while off premises and outside of facility work hours • A requirement that illegal substances and/or narcotics, alcohol, tobacco and/or vape pens are not permitted inside the facility or any other locations where enrolled children are in care • A plan for the use and storage of staff members’ personal belongings, including purses, backpacks, or other bags, cell phones, medications, and other possible hazardous items to ensure children do not have access to any hazardous items • Procedures for staff to report any illegal substances found on facility grounds or any impaired staff members to facility administration • Procedures for notifying law enforcement if illegal substances are found on the premises • Consequences for staff members who fail to comply with the facility’s policy • A procedure for regular review of the policy with all staff members including the review of the policy in the orientation of new staff members before they assume child care responsibilities The policy shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policy meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policy shall be immediately implemented, and a copy shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #7: Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. This item in compliance. 8. Within two (2) weeks after this Notice is received, Ms. Ray shall develop a written plan for observation and evaluation of each staff member’s performance while the Probationary License is in effect. The written plan, at a minimum, shall include routine observations of each staff member one (1) time per month while the Probationary License is in effect. The plan shall also include periodic observations after the conclusion of the Probationary License to ensure continual compliance with child care requirements and the facility’s policies/procedures related to supervision of children, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use. The plan shall include, but not be limited to the following: • Individuals who will complete the observations and evaluations with the requirement that observations are conducted by members of management • Development and implementation of a tool to use for the observations that include the date and times of each observation, name and signature of the person observed, signature of the observer, a summary of each observation, areas of noncompliance, and any corrective action taken The written plan shall be submitted to Ms. Davis for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the plan meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the plan shall be immediately implemented, and a copy of the plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. In addition, the observation records for each staff member shall be retained in their personnel file for the duration of their employment at the facility. Item #8: On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. This item is in compliance. 9. Within two (2) weeks after notification from the Division that the stipulations have been met for the policies and procedures regarding supervision, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use, Ms. Ray shall conduct a staff meeting with all staff members to discuss the policies and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #9: Within two weeks of the requirements of the above stipulations being met, Ms. Ray must conduct a staff meeting. This item is in compliance. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09 .0713 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 9/3/2025 Number Present: 49 Completed Date: 9/3/2025 Age: From 0 To 5 Total Minutes: 390 Time In: 08:45 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for an annual compliance visit. Sierra Claytor, Director, assisted us with the visit. The program currently operates with a probationary license issued May 8, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. The last annual compliance visit was completed on September 11, 2024. The last sanitation inspection was completed June 25, 2025, with a “Approved” classification. The last fire inspection was conducted September 24, 2024, and your facility was approved for daytime care only. Prior to the visit the 18-month compliance history score was 86%. The NC Secretary of State website was reviewed today, and The Kiddie Cottage, LLC was listed as current- active. All approved indoor and outdoor spaces were monitored today. Daily schedules and current activity plans were available for review and were being followed. A variety of age-appropriate learning materials was observed in the classroom. Infants in Spaces 3 (orange) had routine care needs met such as napping routines and feedings. Infant feeding schedules and safe sleep checks were monitored and found to be in compliance. Toddlers in space 4 (yellow) and space 5 (blue) ate breakfast that consisted of waffles, mixed fruit, and milk. Adequate handwashing was observed after breakfast. Two-year-old children in Spaces 7 (farm) and 8 (jungle) were observed finishing up from breakfast and transitioning to free play with age appropriate materials and activities. Preschool children in space 10 (space) participated in group circle time before transitioning to outdoor play time. Preschool aged children in space 12 (desert) were observed outside in free play. Activity areas consisted of language, manipulative toys, dramatic play, art, and blocks. Lunch provided for children today and consisted of chicken with cheese quesadillas, corn, mixed fruit, and milk. Today I approved the 2021 Chevrolet Tahoe to be used to transport children after school. We discussed the following child care rules in regard to transportation: 10A NCAC 09 .1001 SEAT AND CHILD SAFETY SEATS IN CHILD CARE CENTERS 10A NCAC 09 .1002 SAFE VEHICLES 10A NCAC 09 .1003 SAFE PROCEDURES 10A NCAC 09 .1004 STAFF/CHILD RATIOS 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS The vehicle was monitored and equipped with a first aid kit and working seatbelts. The children’s emergency information, including identifying information, was observed in a three-ring binder in the office. We reviewed Child Care Rule .1000 – Transportation Standards in detail. A fire extinguisher mounted in the back of the vehicle. Current registration and tags were observed. Emergency information for staff who will be transporting children was observed and the program has developed policies and procedures addressing transporting. Today I was able to confirm that all items listed above were present and the vehicle is now approved for transportation. The following violations were observed today. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. A child's bottle in space 3 (orange) was not labeled with the child's name, and the date. 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The exterior doors in space 3 (orange) and space 12 (desert) are rusting. 15A NCAC 18A .2825(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. The climbing structure on playground 3 is placed over 2-3 inches of mulch rather than the required 6 inches. .0605(j) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Orgel was observed in space 3 (orange) without a permission form from the parent(s). In addition, an epi-pen in space 10 (space) had an emergency action plan but did not have written permission form from the parent(s). 10A NCAC 09 .0803(1)(a & b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic zip lock bags were stored in a low cabinet in space 8 (jungle) rather than a minimum of 5 feet out of reach as required for children under the age of 3. .0604(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan has not been reviewed with all staff. 10A NCAC 09 .0802(a) 1031 Documentation of staff's education, training, and experience was not on file. A staff member who was rehired July 21, 2025, did not have her education, training, and experience completed on her application. .0302(d)(1)(B) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff members hired 6/16/25, 7/21/25, and 7/3/25 have not completed 16 hours of orientation. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff members hired 8/6/25 and 8/11/25 have not completed two weeks of orientation. In addition, a staff member hired 3/21/25 and a staff member hired 4/1/25 who completed their 6 weeks of orientation did not complete six clock hours of training in the required topics within their first two weeks. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Six (6) staff did not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 17, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: Today we discussed the importance of labeling children's bottles with the child's name and date. This helps ensure that the children are being served the appropriate bottles. We discussed administration checking the refrigerators daily to ensure compliance. For licensing, it is required to obtain written parental permission to give prescription and over-the-counter medication. Providers must obtain written permission and instructions for giving OTC and prescription medication from a health care and the child’s parent. Today we discussed administration checking all classroom medication boxes weekly. For the safety of the children, ensure any plastic bags used for storage are kept inaccessible to children under the age of three years old by keeping them at a minimum height of five feet off the floor. Today we discussed administration checking all classrooms weekly for items that may be stowed inappropriately. All medications must be accompanied by written authorizations from parents with complete instructions for administration. Prescription medications must also be in the original container with the pharmacy label attached. Today I suggested that you review medication requirements with staff and periodically check behind them to ensure all requirements are met. Today we discussed administration reviewing medication rules with all staff. Nationally, nearly 70% of playground related injuries are from falls. Fall injuries are the result of two things: 1) The height a child falls from and 2) The material/surface the child falls upon. Provide “soft” resilient surfacing under and around stationary playground equipment. Refer to 10A NCAC 09 .0605(h)(i). Today we discussed adding additional mulch around the climbing structure on playground 3 to ensure the safety of the children in the event of a fall. Each employee's personnel file shall contain an annual staff evaluation and staff development plan. These are to be completed annually. Today we discussed creating a way to track these dates to ensure they are completed within the time frame. Each employee who is expected to have contact with children shall receive six clock hours of training in required topic areas within the first two weeks of employment and 16 hours of on-site orientation within the first six weeks of employment. A list of approved orientation topics and a documentation log along with required timelines can be found on the divisions website at https://ncchildcare.ncdhhs.gov/ under the provider documents tab. Reminders: Today we discussed electrical fans must be covered by a mesh guard or stored 5 feet out of reach. To reduce the spread of germs, blankets for cots/mats may not touch the cot/mat above. Today we discussed storing all blankets in the children's individual cubbies to reduce the spread of germs. Administrative Action Follow-Up: I monitored for compliance with the CAP as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation Item #1: An unannounced visit was conducted on May 30, 2025. No violations were cited. An unannounced visit was conducted on July 10, 2025. No violations were cited. An unannounced visit was conducted on August 25, 2025. No violations were cited. Today multiple violations were observed. 2. Within one (1) week after this Notice is received, Kari Ray, administrator, shall contact Jennifer Garner, Lead Child Care Consultant, telephone number 910-824-1447, email jennifer.j.garner@dhhs.nc.gov, to arrange for a complete review of all child care requirements broken into four (4) training sessions, six (6) point items, five (5) point items, three (3) and four (4) point items, and one (1) and two (2) point items. These rule reviews must be completed before the end of the probationary period. Ms. Ray and all staff members, including full-time, part-time, substitute, and volunteer staff, shall participate in the mandatory trainings. No children shall be in care during the trainings. Documentation of the trainings shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. The documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #2: On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first two trainings sessions were scheduled on August 1, 2025, and October 17, 2025. The training was conducted on August 1, 2025. All staff were present except two individuals. On August 25, 2025, Mr. Grossman contacted Ms. Garner to schedule a make-up session. This item is not in compliance. 3. Within one (1) week after this Notice is received, Ms. Ray shall contact April Lester, Child Care Consultant, PO Box 12948 Wilmington, NC 28405, telephone number 910-824-0954, email april.lester@dhhs.nc.gov, to arrange for a review of child care requirements regarding falsification. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall participate in this mandatory training. During the training, Ms. Lester shall review and discuss a Statement of Understanding acknowledging that all staff have read, understand, and will comply with child care requirements regarding falsification. At the conclusion of the training, staff members shall sign the statements. The original signed statements shall be maintained in each staff member’s personnel file at the child care facility for review by representatives of the Division of Child Development and Early Education upon request. Item #3: On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff except two individuals attended the training on August 1, 2025. The training was recorded on this date. On August 4, 2025, both staff members viewed the video footage and completed the training. This item is in compliance. 4. Within two (2) weeks after this Notice is received, Ms. Ray shall contact Mindy Davis, M.Ed., Early Care & Education Director, Smart Start of New Hanover County, email address mindy.davis@newhanoverkids.org, telephone number 910-815-3731 ext. 1010, to arrange for training that addresses strategies for the supervision of children, including typical behaviors for the ages and developmental stages of children in care and appropriate supervision strategies for the developmental stages of a child’s growth. In addition, Ms. Ray shall contact Ms. Davis during the same timeframe to arrange for training that will address effective communication and professionalism. No children shall be in care during these trainings. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, with responsibility for caring for children shall participate in the mandatory trainings. Documentation of the trainings shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #4: Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled on January 9, 2026. This item is in compliance. 5. Within two (2) weeks after the required training regarding supervision is completed, Ms. Ray shall r revise the facility’s supervision policies and procedures to incorporate strategies learned in the training. The revised policies and procedures should describe, in detail, the steps the facility will take to ensure adequate supervision of children at all times. The policies and procedures shall include, but not be limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one (1) area to another • When children are transitioned from one (1) caregiver to another • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members implementation of the supervision policies and procedures • Procedures for periodic review of the supervision policies and procedures with all staff members, including the review of the policies and procedures in orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members non-compliance with policies and procedures The revised policies and procedures shall be submitted to Allison Davis, Investigations Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 910-800-0079, email Allison.Davis@dhhs.nc.gov, for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation; the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #5: The facility’s revised supervision policies and procedures must be submitted within two weeks of the supervision training being completed. This item is in compliance. 6. Within two (2) weeks after the required training regarding effective communication and professionalism is completed, Ms. Ray shall develop effective communication and professionalism policies and procedures to incorporate strategies learned in the training. The policies and procedures shall describe, in detail, the steps the facility will take to ensure staff’s understanding of effective communication and professionalism. The policies and procedures shall include, but not be limited to, the following: • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with children, other staff members, parents, and other persons who may be present at the facility • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with others while providing care for children off-premises • Unacceptable practices of communication • Strategies for de-escalating potential conflicts and conflict resolution • Steps that will be taken when a verbal or physical altercation occurs at the facility, including contacting law enforcement immediately, protecting the children who are present, and supervising the children that are present if an altercation occurs The policies and procedures shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #6: Effective communication and professionalism policies and procedures must be developed and submitted within two weeks of the required training being completed. This item is in compliance. 7. Within four (4) weeks after this Notice is received, Ms. Ray shall develop a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use. The policy shall include, but not be limited to: • A plan for testing staff members when there are suspicions, concerns, or reports of substance use, including a timeframe for the staff member to submit to a drug test when requested • A requirement that staff members are not allowed to engage in the illegal use of substances or engage in illegal activities at any time, including while off premises and outside of facility work hours • A requirement that illegal substances and/or narcotics, alcohol, tobacco and/or vape pens are not permitted inside the facility or any other locations where enrolled children are in care • A plan for the use and storage of staff members’ personal belongings, including purses, backpacks, or other bags, cell phones, medications, and other possible hazardous items to ensure children do not have access to any hazardous items • Procedures for staff to report any illegal substances found on facility grounds or any impaired staff members to facility administration • Procedures for notifying law enforcement if illegal substances are found on the premises • Consequences for staff members who fail to comply with the facility’s policy • A procedure for regular review of the policy with all staff members including the review of the policy in the orientation of new staff members before they assume child care responsibilities The policy shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policy meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policy shall be immediately implemented, and a copy shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #7: Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. This item in compliance. 8. Within two (2) weeks after this Notice is received, Ms. Ray shall develop a written plan for observation and evaluation of each staff member’s performance while the Probationary License is in effect. The written plan, at a minimum, shall include routine observations of each staff member one (1) time per month while the Probationary License is in effect. The plan shall also include periodic observations after the conclusion of the Probationary License to ensure continual compliance with child care requirements and the facility’s policies/procedures related to supervision of children, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use. The plan shall include, but not be limited to the following: • Individuals who will complete the observations and evaluations with the requirement that observations are conducted by members of management • Development and implementation of a tool to use for the observations that include the date and times of each observation, name and signature of the person observed, signature of the observer, a summary of each observation, areas of noncompliance, and any corrective action taken The written plan shall be submitted to Ms. Davis for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the plan meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the plan shall be immediately implemented, and a copy of the plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. In addition, the observation records for each staff member shall be retained in their personnel file for the duration of their employment at the facility. Item #8: On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. This item is in compliance. 9. Within two (2) weeks after notification from the Division that the stipulations have been met for the policies and procedures regarding supervision, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use, Ms. Ray shall conduct a staff meeting with all staff members to discuss the policies and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #9: Within two weeks of the requirements of the above stipulations being met, Ms. Ray must conduct a staff meeting. This item is in compliance. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09 .0802 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 9/3/2025 Number Present: 49 Completed Date: 9/3/2025 Age: From 0 To 5 Total Minutes: 390 Time In: 08:45 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for an annual compliance visit. Sierra Claytor, Director, assisted us with the visit. The program currently operates with a probationary license issued May 8, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. The last annual compliance visit was completed on September 11, 2024. The last sanitation inspection was completed June 25, 2025, with a “Approved” classification. The last fire inspection was conducted September 24, 2024, and your facility was approved for daytime care only. Prior to the visit the 18-month compliance history score was 86%. The NC Secretary of State website was reviewed today, and The Kiddie Cottage, LLC was listed as current- active. All approved indoor and outdoor spaces were monitored today. Daily schedules and current activity plans were available for review and were being followed. A variety of age-appropriate learning materials was observed in the classroom. Infants in Spaces 3 (orange) had routine care needs met such as napping routines and feedings. Infant feeding schedules and safe sleep checks were monitored and found to be in compliance. Toddlers in space 4 (yellow) and space 5 (blue) ate breakfast that consisted of waffles, mixed fruit, and milk. Adequate handwashing was observed after breakfast. Two-year-old children in Spaces 7 (farm) and 8 (jungle) were observed finishing up from breakfast and transitioning to free play with age appropriate materials and activities. Preschool children in space 10 (space) participated in group circle time before transitioning to outdoor play time. Preschool aged children in space 12 (desert) were observed outside in free play. Activity areas consisted of language, manipulative toys, dramatic play, art, and blocks. Lunch provided for children today and consisted of chicken with cheese quesadillas, corn, mixed fruit, and milk. Today I approved the 2021 Chevrolet Tahoe to be used to transport children after school. We discussed the following child care rules in regard to transportation: 10A NCAC 09 .1001 SEAT AND CHILD SAFETY SEATS IN CHILD CARE CENTERS 10A NCAC 09 .1002 SAFE VEHICLES 10A NCAC 09 .1003 SAFE PROCEDURES 10A NCAC 09 .1004 STAFF/CHILD RATIOS 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS The vehicle was monitored and equipped with a first aid kit and working seatbelts. The children’s emergency information, including identifying information, was observed in a three-ring binder in the office. We reviewed Child Care Rule .1000 – Transportation Standards in detail. A fire extinguisher mounted in the back of the vehicle. Current registration and tags were observed. Emergency information for staff who will be transporting children was observed and the program has developed policies and procedures addressing transporting. Today I was able to confirm that all items listed above were present and the vehicle is now approved for transportation. The following violations were observed today. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. A child's bottle in space 3 (orange) was not labeled with the child's name, and the date. 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The exterior doors in space 3 (orange) and space 12 (desert) are rusting. 15A NCAC 18A .2825(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. The climbing structure on playground 3 is placed over 2-3 inches of mulch rather than the required 6 inches. .0605(j) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Orgel was observed in space 3 (orange) without a permission form from the parent(s). In addition, an epi-pen in space 10 (space) had an emergency action plan but did not have written permission form from the parent(s). 10A NCAC 09 .0803(1)(a & b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic zip lock bags were stored in a low cabinet in space 8 (jungle) rather than a minimum of 5 feet out of reach as required for children under the age of 3. .0604(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan has not been reviewed with all staff. 10A NCAC 09 .0802(a) 1031 Documentation of staff's education, training, and experience was not on file. A staff member who was rehired July 21, 2025, did not have her education, training, and experience completed on her application. .0302(d)(1)(B) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff members hired 6/16/25, 7/21/25, and 7/3/25 have not completed 16 hours of orientation. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff members hired 8/6/25 and 8/11/25 have not completed two weeks of orientation. In addition, a staff member hired 3/21/25 and a staff member hired 4/1/25 who completed their 6 weeks of orientation did not complete six clock hours of training in the required topics within their first two weeks. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Six (6) staff did not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 17, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: Today we discussed the importance of labeling children's bottles with the child's name and date. This helps ensure that the children are being served the appropriate bottles. We discussed administration checking the refrigerators daily to ensure compliance. For licensing, it is required to obtain written parental permission to give prescription and over-the-counter medication. Providers must obtain written permission and instructions for giving OTC and prescription medication from a health care and the child’s parent. Today we discussed administration checking all classroom medication boxes weekly. For the safety of the children, ensure any plastic bags used for storage are kept inaccessible to children under the age of three years old by keeping them at a minimum height of five feet off the floor. Today we discussed administration checking all classrooms weekly for items that may be stowed inappropriately. All medications must be accompanied by written authorizations from parents with complete instructions for administration. Prescription medications must also be in the original container with the pharmacy label attached. Today I suggested that you review medication requirements with staff and periodically check behind them to ensure all requirements are met. Today we discussed administration reviewing medication rules with all staff. Nationally, nearly 70% of playground related injuries are from falls. Fall injuries are the result of two things: 1) The height a child falls from and 2) The material/surface the child falls upon. Provide “soft” resilient surfacing under and around stationary playground equipment. Refer to 10A NCAC 09 .0605(h)(i). Today we discussed adding additional mulch around the climbing structure on playground 3 to ensure the safety of the children in the event of a fall. Each employee's personnel file shall contain an annual staff evaluation and staff development plan. These are to be completed annually. Today we discussed creating a way to track these dates to ensure they are completed within the time frame. Each employee who is expected to have contact with children shall receive six clock hours of training in required topic areas within the first two weeks of employment and 16 hours of on-site orientation within the first six weeks of employment. A list of approved orientation topics and a documentation log along with required timelines can be found on the divisions website at https://ncchildcare.ncdhhs.gov/ under the provider documents tab. Reminders: Today we discussed electrical fans must be covered by a mesh guard or stored 5 feet out of reach. To reduce the spread of germs, blankets for cots/mats may not touch the cot/mat above. Today we discussed storing all blankets in the children's individual cubbies to reduce the spread of germs. Administrative Action Follow-Up: I monitored for compliance with the CAP as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation Item #1: An unannounced visit was conducted on May 30, 2025. No violations were cited. An unannounced visit was conducted on July 10, 2025. No violations were cited. An unannounced visit was conducted on August 25, 2025. No violations were cited. Today multiple violations were observed. 2. Within one (1) week after this Notice is received, Kari Ray, administrator, shall contact Jennifer Garner, Lead Child Care Consultant, telephone number 910-824-1447, email jennifer.j.garner@dhhs.nc.gov, to arrange for a complete review of all child care requirements broken into four (4) training sessions, six (6) point items, five (5) point items, three (3) and four (4) point items, and one (1) and two (2) point items. These rule reviews must be completed before the end of the probationary period. Ms. Ray and all staff members, including full-time, part-time, substitute, and volunteer staff, shall participate in the mandatory trainings. No children shall be in care during the trainings. Documentation of the trainings shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. The documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #2: On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first two trainings sessions were scheduled on August 1, 2025, and October 17, 2025. The training was conducted on August 1, 2025. All staff were present except two individuals. On August 25, 2025, Mr. Grossman contacted Ms. Garner to schedule a make-up session. This item is not in compliance. 3. Within one (1) week after this Notice is received, Ms. Ray shall contact April Lester, Child Care Consultant, PO Box 12948 Wilmington, NC 28405, telephone number 910-824-0954, email april.lester@dhhs.nc.gov, to arrange for a review of child care requirements regarding falsification. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall participate in this mandatory training. During the training, Ms. Lester shall review and discuss a Statement of Understanding acknowledging that all staff have read, understand, and will comply with child care requirements regarding falsification. At the conclusion of the training, staff members shall sign the statements. The original signed statements shall be maintained in each staff member’s personnel file at the child care facility for review by representatives of the Division of Child Development and Early Education upon request. Item #3: On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff except two individuals attended the training on August 1, 2025. The training was recorded on this date. On August 4, 2025, both staff members viewed the video footage and completed the training. This item is in compliance. 4. Within two (2) weeks after this Notice is received, Ms. Ray shall contact Mindy Davis, M.Ed., Early Care & Education Director, Smart Start of New Hanover County, email address mindy.davis@newhanoverkids.org, telephone number 910-815-3731 ext. 1010, to arrange for training that addresses strategies for the supervision of children, including typical behaviors for the ages and developmental stages of children in care and appropriate supervision strategies for the developmental stages of a child’s growth. In addition, Ms. Ray shall contact Ms. Davis during the same timeframe to arrange for training that will address effective communication and professionalism. No children shall be in care during these trainings. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, with responsibility for caring for children shall participate in the mandatory trainings. Documentation of the trainings shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #4: Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled on January 9, 2026. This item is in compliance. 5. Within two (2) weeks after the required training regarding supervision is completed, Ms. Ray shall r revise the facility’s supervision policies and procedures to incorporate strategies learned in the training. The revised policies and procedures should describe, in detail, the steps the facility will take to ensure adequate supervision of children at all times. The policies and procedures shall include, but not be limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one (1) area to another • When children are transitioned from one (1) caregiver to another • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members implementation of the supervision policies and procedures • Procedures for periodic review of the supervision policies and procedures with all staff members, including the review of the policies and procedures in orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members non-compliance with policies and procedures The revised policies and procedures shall be submitted to Allison Davis, Investigations Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 910-800-0079, email Allison.Davis@dhhs.nc.gov, for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation; the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #5: The facility’s revised supervision policies and procedures must be submitted within two weeks of the supervision training being completed. This item is in compliance. 6. Within two (2) weeks after the required training regarding effective communication and professionalism is completed, Ms. Ray shall develop effective communication and professionalism policies and procedures to incorporate strategies learned in the training. The policies and procedures shall describe, in detail, the steps the facility will take to ensure staff’s understanding of effective communication and professionalism. The policies and procedures shall include, but not be limited to, the following: • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with children, other staff members, parents, and other persons who may be present at the facility • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with others while providing care for children off-premises • Unacceptable practices of communication • Strategies for de-escalating potential conflicts and conflict resolution • Steps that will be taken when a verbal or physical altercation occurs at the facility, including contacting law enforcement immediately, protecting the children who are present, and supervising the children that are present if an altercation occurs The policies and procedures shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #6: Effective communication and professionalism policies and procedures must be developed and submitted within two weeks of the required training being completed. This item is in compliance. 7. Within four (4) weeks after this Notice is received, Ms. Ray shall develop a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use. The policy shall include, but not be limited to: • A plan for testing staff members when there are suspicions, concerns, or reports of substance use, including a timeframe for the staff member to submit to a drug test when requested • A requirement that staff members are not allowed to engage in the illegal use of substances or engage in illegal activities at any time, including while off premises and outside of facility work hours • A requirement that illegal substances and/or narcotics, alcohol, tobacco and/or vape pens are not permitted inside the facility or any other locations where enrolled children are in care • A plan for the use and storage of staff members’ personal belongings, including purses, backpacks, or other bags, cell phones, medications, and other possible hazardous items to ensure children do not have access to any hazardous items • Procedures for staff to report any illegal substances found on facility grounds or any impaired staff members to facility administration • Procedures for notifying law enforcement if illegal substances are found on the premises • Consequences for staff members who fail to comply with the facility’s policy • A procedure for regular review of the policy with all staff members including the review of the policy in the orientation of new staff members before they assume child care responsibilities The policy shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policy meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policy shall be immediately implemented, and a copy shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #7: Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. This item in compliance. 8. Within two (2) weeks after this Notice is received, Ms. Ray shall develop a written plan for observation and evaluation of each staff member’s performance while the Probationary License is in effect. The written plan, at a minimum, shall include routine observations of each staff member one (1) time per month while the Probationary License is in effect. The plan shall also include periodic observations after the conclusion of the Probationary License to ensure continual compliance with child care requirements and the facility’s policies/procedures related to supervision of children, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use. The plan shall include, but not be limited to the following: • Individuals who will complete the observations and evaluations with the requirement that observations are conducted by members of management • Development and implementation of a tool to use for the observations that include the date and times of each observation, name and signature of the person observed, signature of the observer, a summary of each observation, areas of noncompliance, and any corrective action taken The written plan shall be submitted to Ms. Davis for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the plan meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the plan shall be immediately implemented, and a copy of the plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. In addition, the observation records for each staff member shall be retained in their personnel file for the duration of their employment at the facility. Item #8: On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. This item is in compliance. 9. Within two (2) weeks after notification from the Division that the stipulations have been met for the policies and procedures regarding supervision, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use, Ms. Ray shall conduct a staff meeting with all staff members to discuss the policies and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #9: Within two weeks of the requirements of the above stipulations being met, Ms. Ray must conduct a staff meeting. This item is in compliance. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09 .0803 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 9/3/2025 Number Present: 49 Completed Date: 9/3/2025 Age: From 0 To 5 Total Minutes: 390 Time In: 08:45 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for an annual compliance visit. Sierra Claytor, Director, assisted us with the visit. The program currently operates with a probationary license issued May 8, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. The last annual compliance visit was completed on September 11, 2024. The last sanitation inspection was completed June 25, 2025, with a “Approved” classification. The last fire inspection was conducted September 24, 2024, and your facility was approved for daytime care only. Prior to the visit the 18-month compliance history score was 86%. The NC Secretary of State website was reviewed today, and The Kiddie Cottage, LLC was listed as current- active. All approved indoor and outdoor spaces were monitored today. Daily schedules and current activity plans were available for review and were being followed. A variety of age-appropriate learning materials was observed in the classroom. Infants in Spaces 3 (orange) had routine care needs met such as napping routines and feedings. Infant feeding schedules and safe sleep checks were monitored and found to be in compliance. Toddlers in space 4 (yellow) and space 5 (blue) ate breakfast that consisted of waffles, mixed fruit, and milk. Adequate handwashing was observed after breakfast. Two-year-old children in Spaces 7 (farm) and 8 (jungle) were observed finishing up from breakfast and transitioning to free play with age appropriate materials and activities. Preschool children in space 10 (space) participated in group circle time before transitioning to outdoor play time. Preschool aged children in space 12 (desert) were observed outside in free play. Activity areas consisted of language, manipulative toys, dramatic play, art, and blocks. Lunch provided for children today and consisted of chicken with cheese quesadillas, corn, mixed fruit, and milk. Today I approved the 2021 Chevrolet Tahoe to be used to transport children after school. We discussed the following child care rules in regard to transportation: 10A NCAC 09 .1001 SEAT AND CHILD SAFETY SEATS IN CHILD CARE CENTERS 10A NCAC 09 .1002 SAFE VEHICLES 10A NCAC 09 .1003 SAFE PROCEDURES 10A NCAC 09 .1004 STAFF/CHILD RATIOS 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS The vehicle was monitored and equipped with a first aid kit and working seatbelts. The children’s emergency information, including identifying information, was observed in a three-ring binder in the office. We reviewed Child Care Rule .1000 – Transportation Standards in detail. A fire extinguisher mounted in the back of the vehicle. Current registration and tags were observed. Emergency information for staff who will be transporting children was observed and the program has developed policies and procedures addressing transporting. Today I was able to confirm that all items listed above were present and the vehicle is now approved for transportation. The following violations were observed today. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. A child's bottle in space 3 (orange) was not labeled with the child's name, and the date. 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The exterior doors in space 3 (orange) and space 12 (desert) are rusting. 15A NCAC 18A .2825(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. The climbing structure on playground 3 is placed over 2-3 inches of mulch rather than the required 6 inches. .0605(j) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Orgel was observed in space 3 (orange) without a permission form from the parent(s). In addition, an epi-pen in space 10 (space) had an emergency action plan but did not have written permission form from the parent(s). 10A NCAC 09 .0803(1)(a & b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic zip lock bags were stored in a low cabinet in space 8 (jungle) rather than a minimum of 5 feet out of reach as required for children under the age of 3. .0604(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan has not been reviewed with all staff. 10A NCAC 09 .0802(a) 1031 Documentation of staff's education, training, and experience was not on file. A staff member who was rehired July 21, 2025, did not have her education, training, and experience completed on her application. .0302(d)(1)(B) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff members hired 6/16/25, 7/21/25, and 7/3/25 have not completed 16 hours of orientation. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff members hired 8/6/25 and 8/11/25 have not completed two weeks of orientation. In addition, a staff member hired 3/21/25 and a staff member hired 4/1/25 who completed their 6 weeks of orientation did not complete six clock hours of training in the required topics within their first two weeks. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Six (6) staff did not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 17, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: Today we discussed the importance of labeling children's bottles with the child's name and date. This helps ensure that the children are being served the appropriate bottles. We discussed administration checking the refrigerators daily to ensure compliance. For licensing, it is required to obtain written parental permission to give prescription and over-the-counter medication. Providers must obtain written permission and instructions for giving OTC and prescription medication from a health care and the child’s parent. Today we discussed administration checking all classroom medication boxes weekly. For the safety of the children, ensure any plastic bags used for storage are kept inaccessible to children under the age of three years old by keeping them at a minimum height of five feet off the floor. Today we discussed administration checking all classrooms weekly for items that may be stowed inappropriately. All medications must be accompanied by written authorizations from parents with complete instructions for administration. Prescription medications must also be in the original container with the pharmacy label attached. Today I suggested that you review medication requirements with staff and periodically check behind them to ensure all requirements are met. Today we discussed administration reviewing medication rules with all staff. Nationally, nearly 70% of playground related injuries are from falls. Fall injuries are the result of two things: 1) The height a child falls from and 2) The material/surface the child falls upon. Provide “soft” resilient surfacing under and around stationary playground equipment. Refer to 10A NCAC 09 .0605(h)(i). Today we discussed adding additional mulch around the climbing structure on playground 3 to ensure the safety of the children in the event of a fall. Each employee's personnel file shall contain an annual staff evaluation and staff development plan. These are to be completed annually. Today we discussed creating a way to track these dates to ensure they are completed within the time frame. Each employee who is expected to have contact with children shall receive six clock hours of training in required topic areas within the first two weeks of employment and 16 hours of on-site orientation within the first six weeks of employment. A list of approved orientation topics and a documentation log along with required timelines can be found on the divisions website at https://ncchildcare.ncdhhs.gov/ under the provider documents tab. Reminders: Today we discussed electrical fans must be covered by a mesh guard or stored 5 feet out of reach. To reduce the spread of germs, blankets for cots/mats may not touch the cot/mat above. Today we discussed storing all blankets in the children's individual cubbies to reduce the spread of germs. Administrative Action Follow-Up: I monitored for compliance with the CAP as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation Item #1: An unannounced visit was conducted on May 30, 2025. No violations were cited. An unannounced visit was conducted on July 10, 2025. No violations were cited. An unannounced visit was conducted on August 25, 2025. No violations were cited. Today multiple violations were observed. 2. Within one (1) week after this Notice is received, Kari Ray, administrator, shall contact Jennifer Garner, Lead Child Care Consultant, telephone number 910-824-1447, email jennifer.j.garner@dhhs.nc.gov, to arrange for a complete review of all child care requirements broken into four (4) training sessions, six (6) point items, five (5) point items, three (3) and four (4) point items, and one (1) and two (2) point items. These rule reviews must be completed before the end of the probationary period. Ms. Ray and all staff members, including full-time, part-time, substitute, and volunteer staff, shall participate in the mandatory trainings. No children shall be in care during the trainings. Documentation of the trainings shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. The documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #2: On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first two trainings sessions were scheduled on August 1, 2025, and October 17, 2025. The training was conducted on August 1, 2025. All staff were present except two individuals. On August 25, 2025, Mr. Grossman contacted Ms. Garner to schedule a make-up session. This item is not in compliance. 3. Within one (1) week after this Notice is received, Ms. Ray shall contact April Lester, Child Care Consultant, PO Box 12948 Wilmington, NC 28405, telephone number 910-824-0954, email april.lester@dhhs.nc.gov, to arrange for a review of child care requirements regarding falsification. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall participate in this mandatory training. During the training, Ms. Lester shall review and discuss a Statement of Understanding acknowledging that all staff have read, understand, and will comply with child care requirements regarding falsification. At the conclusion of the training, staff members shall sign the statements. The original signed statements shall be maintained in each staff member’s personnel file at the child care facility for review by representatives of the Division of Child Development and Early Education upon request. Item #3: On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff except two individuals attended the training on August 1, 2025. The training was recorded on this date. On August 4, 2025, both staff members viewed the video footage and completed the training. This item is in compliance. 4. Within two (2) weeks after this Notice is received, Ms. Ray shall contact Mindy Davis, M.Ed., Early Care & Education Director, Smart Start of New Hanover County, email address mindy.davis@newhanoverkids.org, telephone number 910-815-3731 ext. 1010, to arrange for training that addresses strategies for the supervision of children, including typical behaviors for the ages and developmental stages of children in care and appropriate supervision strategies for the developmental stages of a child’s growth. In addition, Ms. Ray shall contact Ms. Davis during the same timeframe to arrange for training that will address effective communication and professionalism. No children shall be in care during these trainings. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, with responsibility for caring for children shall participate in the mandatory trainings. Documentation of the trainings shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #4: Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled on January 9, 2026. This item is in compliance. 5. Within two (2) weeks after the required training regarding supervision is completed, Ms. Ray shall r revise the facility’s supervision policies and procedures to incorporate strategies learned in the training. The revised policies and procedures should describe, in detail, the steps the facility will take to ensure adequate supervision of children at all times. The policies and procedures shall include, but not be limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one (1) area to another • When children are transitioned from one (1) caregiver to another • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members implementation of the supervision policies and procedures • Procedures for periodic review of the supervision policies and procedures with all staff members, including the review of the policies and procedures in orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members non-compliance with policies and procedures The revised policies and procedures shall be submitted to Allison Davis, Investigations Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 910-800-0079, email Allison.Davis@dhhs.nc.gov, for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation; the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #5: The facility’s revised supervision policies and procedures must be submitted within two weeks of the supervision training being completed. This item is in compliance. 6. Within two (2) weeks after the required training regarding effective communication and professionalism is completed, Ms. Ray shall develop effective communication and professionalism policies and procedures to incorporate strategies learned in the training. The policies and procedures shall describe, in detail, the steps the facility will take to ensure staff’s understanding of effective communication and professionalism. The policies and procedures shall include, but not be limited to, the following: • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with children, other staff members, parents, and other persons who may be present at the facility • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with others while providing care for children off-premises • Unacceptable practices of communication • Strategies for de-escalating potential conflicts and conflict resolution • Steps that will be taken when a verbal or physical altercation occurs at the facility, including contacting law enforcement immediately, protecting the children who are present, and supervising the children that are present if an altercation occurs The policies and procedures shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #6: Effective communication and professionalism policies and procedures must be developed and submitted within two weeks of the required training being completed. This item is in compliance. 7. Within four (4) weeks after this Notice is received, Ms. Ray shall develop a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use. The policy shall include, but not be limited to: • A plan for testing staff members when there are suspicions, concerns, or reports of substance use, including a timeframe for the staff member to submit to a drug test when requested • A requirement that staff members are not allowed to engage in the illegal use of substances or engage in illegal activities at any time, including while off premises and outside of facility work hours • A requirement that illegal substances and/or narcotics, alcohol, tobacco and/or vape pens are not permitted inside the facility or any other locations where enrolled children are in care • A plan for the use and storage of staff members’ personal belongings, including purses, backpacks, or other bags, cell phones, medications, and other possible hazardous items to ensure children do not have access to any hazardous items • Procedures for staff to report any illegal substances found on facility grounds or any impaired staff members to facility administration • Procedures for notifying law enforcement if illegal substances are found on the premises • Consequences for staff members who fail to comply with the facility’s policy • A procedure for regular review of the policy with all staff members including the review of the policy in the orientation of new staff members before they assume child care responsibilities The policy shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policy meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policy shall be immediately implemented, and a copy shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #7: Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. This item in compliance. 8. Within two (2) weeks after this Notice is received, Ms. Ray shall develop a written plan for observation and evaluation of each staff member’s performance while the Probationary License is in effect. The written plan, at a minimum, shall include routine observations of each staff member one (1) time per month while the Probationary License is in effect. The plan shall also include periodic observations after the conclusion of the Probationary License to ensure continual compliance with child care requirements and the facility’s policies/procedures related to supervision of children, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use. The plan shall include, but not be limited to the following: • Individuals who will complete the observations and evaluations with the requirement that observations are conducted by members of management • Development and implementation of a tool to use for the observations that include the date and times of each observation, name and signature of the person observed, signature of the observer, a summary of each observation, areas of noncompliance, and any corrective action taken The written plan shall be submitted to Ms. Davis for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the plan meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the plan shall be immediately implemented, and a copy of the plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. In addition, the observation records for each staff member shall be retained in their personnel file for the duration of their employment at the facility. Item #8: On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. This item is in compliance. 9. Within two (2) weeks after notification from the Division that the stipulations have been met for the policies and procedures regarding supervision, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use, Ms. Ray shall conduct a staff meeting with all staff members to discuss the policies and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #9: Within two weeks of the requirements of the above stipulations being met, Ms. Ray must conduct a staff meeting. This item is in compliance. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09 .0901 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 9/3/2025 Number Present: 49 Completed Date: 9/3/2025 Age: From 0 To 5 Total Minutes: 390 Time In: 08:45 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for an annual compliance visit. Sierra Claytor, Director, assisted us with the visit. The program currently operates with a probationary license issued May 8, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. The last annual compliance visit was completed on September 11, 2024. The last sanitation inspection was completed June 25, 2025, with a “Approved” classification. The last fire inspection was conducted September 24, 2024, and your facility was approved for daytime care only. Prior to the visit the 18-month compliance history score was 86%. The NC Secretary of State website was reviewed today, and The Kiddie Cottage, LLC was listed as current- active. All approved indoor and outdoor spaces were monitored today. Daily schedules and current activity plans were available for review and were being followed. A variety of age-appropriate learning materials was observed in the classroom. Infants in Spaces 3 (orange) had routine care needs met such as napping routines and feedings. Infant feeding schedules and safe sleep checks were monitored and found to be in compliance. Toddlers in space 4 (yellow) and space 5 (blue) ate breakfast that consisted of waffles, mixed fruit, and milk. Adequate handwashing was observed after breakfast. Two-year-old children in Spaces 7 (farm) and 8 (jungle) were observed finishing up from breakfast and transitioning to free play with age appropriate materials and activities. Preschool children in space 10 (space) participated in group circle time before transitioning to outdoor play time. Preschool aged children in space 12 (desert) were observed outside in free play. Activity areas consisted of language, manipulative toys, dramatic play, art, and blocks. Lunch provided for children today and consisted of chicken with cheese quesadillas, corn, mixed fruit, and milk. Today I approved the 2021 Chevrolet Tahoe to be used to transport children after school. We discussed the following child care rules in regard to transportation: 10A NCAC 09 .1001 SEAT AND CHILD SAFETY SEATS IN CHILD CARE CENTERS 10A NCAC 09 .1002 SAFE VEHICLES 10A NCAC 09 .1003 SAFE PROCEDURES 10A NCAC 09 .1004 STAFF/CHILD RATIOS 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS The vehicle was monitored and equipped with a first aid kit and working seatbelts. The children’s emergency information, including identifying information, was observed in a three-ring binder in the office. We reviewed Child Care Rule .1000 – Transportation Standards in detail. A fire extinguisher mounted in the back of the vehicle. Current registration and tags were observed. Emergency information for staff who will be transporting children was observed and the program has developed policies and procedures addressing transporting. Today I was able to confirm that all items listed above were present and the vehicle is now approved for transportation. The following violations were observed today. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. A child's bottle in space 3 (orange) was not labeled with the child's name, and the date. 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The exterior doors in space 3 (orange) and space 12 (desert) are rusting. 15A NCAC 18A .2825(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. The climbing structure on playground 3 is placed over 2-3 inches of mulch rather than the required 6 inches. .0605(j) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Orgel was observed in space 3 (orange) without a permission form from the parent(s). In addition, an epi-pen in space 10 (space) had an emergency action plan but did not have written permission form from the parent(s). 10A NCAC 09 .0803(1)(a & b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic zip lock bags were stored in a low cabinet in space 8 (jungle) rather than a minimum of 5 feet out of reach as required for children under the age of 3. .0604(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan has not been reviewed with all staff. 10A NCAC 09 .0802(a) 1031 Documentation of staff's education, training, and experience was not on file. A staff member who was rehired July 21, 2025, did not have her education, training, and experience completed on her application. .0302(d)(1)(B) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff members hired 6/16/25, 7/21/25, and 7/3/25 have not completed 16 hours of orientation. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff members hired 8/6/25 and 8/11/25 have not completed two weeks of orientation. In addition, a staff member hired 3/21/25 and a staff member hired 4/1/25 who completed their 6 weeks of orientation did not complete six clock hours of training in the required topics within their first two weeks. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Six (6) staff did not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 17, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: Today we discussed the importance of labeling children's bottles with the child's name and date. This helps ensure that the children are being served the appropriate bottles. We discussed administration checking the refrigerators daily to ensure compliance. For licensing, it is required to obtain written parental permission to give prescription and over-the-counter medication. Providers must obtain written permission and instructions for giving OTC and prescription medication from a health care and the child’s parent. Today we discussed administration checking all classroom medication boxes weekly. For the safety of the children, ensure any plastic bags used for storage are kept inaccessible to children under the age of three years old by keeping them at a minimum height of five feet off the floor. Today we discussed administration checking all classrooms weekly for items that may be stowed inappropriately. All medications must be accompanied by written authorizations from parents with complete instructions for administration. Prescription medications must also be in the original container with the pharmacy label attached. Today I suggested that you review medication requirements with staff and periodically check behind them to ensure all requirements are met. Today we discussed administration reviewing medication rules with all staff. Nationally, nearly 70% of playground related injuries are from falls. Fall injuries are the result of two things: 1) The height a child falls from and 2) The material/surface the child falls upon. Provide “soft” resilient surfacing under and around stationary playground equipment. Refer to 10A NCAC 09 .0605(h)(i). Today we discussed adding additional mulch around the climbing structure on playground 3 to ensure the safety of the children in the event of a fall. Each employee's personnel file shall contain an annual staff evaluation and staff development plan. These are to be completed annually. Today we discussed creating a way to track these dates to ensure they are completed within the time frame. Each employee who is expected to have contact with children shall receive six clock hours of training in required topic areas within the first two weeks of employment and 16 hours of on-site orientation within the first six weeks of employment. A list of approved orientation topics and a documentation log along with required timelines can be found on the divisions website at https://ncchildcare.ncdhhs.gov/ under the provider documents tab. Reminders: Today we discussed electrical fans must be covered by a mesh guard or stored 5 feet out of reach. To reduce the spread of germs, blankets for cots/mats may not touch the cot/mat above. Today we discussed storing all blankets in the children's individual cubbies to reduce the spread of germs. Administrative Action Follow-Up: I monitored for compliance with the CAP as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation Item #1: An unannounced visit was conducted on May 30, 2025. No violations were cited. An unannounced visit was conducted on July 10, 2025. No violations were cited. An unannounced visit was conducted on August 25, 2025. No violations were cited. Today multiple violations were observed. 2. Within one (1) week after this Notice is received, Kari Ray, administrator, shall contact Jennifer Garner, Lead Child Care Consultant, telephone number 910-824-1447, email jennifer.j.garner@dhhs.nc.gov, to arrange for a complete review of all child care requirements broken into four (4) training sessions, six (6) point items, five (5) point items, three (3) and four (4) point items, and one (1) and two (2) point items. These rule reviews must be completed before the end of the probationary period. Ms. Ray and all staff members, including full-time, part-time, substitute, and volunteer staff, shall participate in the mandatory trainings. No children shall be in care during the trainings. Documentation of the trainings shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. The documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #2: On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first two trainings sessions were scheduled on August 1, 2025, and October 17, 2025. The training was conducted on August 1, 2025. All staff were present except two individuals. On August 25, 2025, Mr. Grossman contacted Ms. Garner to schedule a make-up session. This item is not in compliance. 3. Within one (1) week after this Notice is received, Ms. Ray shall contact April Lester, Child Care Consultant, PO Box 12948 Wilmington, NC 28405, telephone number 910-824-0954, email april.lester@dhhs.nc.gov, to arrange for a review of child care requirements regarding falsification. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall participate in this mandatory training. During the training, Ms. Lester shall review and discuss a Statement of Understanding acknowledging that all staff have read, understand, and will comply with child care requirements regarding falsification. At the conclusion of the training, staff members shall sign the statements. The original signed statements shall be maintained in each staff member’s personnel file at the child care facility for review by representatives of the Division of Child Development and Early Education upon request. Item #3: On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff except two individuals attended the training on August 1, 2025. The training was recorded on this date. On August 4, 2025, both staff members viewed the video footage and completed the training. This item is in compliance. 4. Within two (2) weeks after this Notice is received, Ms. Ray shall contact Mindy Davis, M.Ed., Early Care & Education Director, Smart Start of New Hanover County, email address mindy.davis@newhanoverkids.org, telephone number 910-815-3731 ext. 1010, to arrange for training that addresses strategies for the supervision of children, including typical behaviors for the ages and developmental stages of children in care and appropriate supervision strategies for the developmental stages of a child’s growth. In addition, Ms. Ray shall contact Ms. Davis during the same timeframe to arrange for training that will address effective communication and professionalism. No children shall be in care during these trainings. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, with responsibility for caring for children shall participate in the mandatory trainings. Documentation of the trainings shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #4: Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled on January 9, 2026. This item is in compliance. 5. Within two (2) weeks after the required training regarding supervision is completed, Ms. Ray shall r revise the facility’s supervision policies and procedures to incorporate strategies learned in the training. The revised policies and procedures should describe, in detail, the steps the facility will take to ensure adequate supervision of children at all times. The policies and procedures shall include, but not be limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one (1) area to another • When children are transitioned from one (1) caregiver to another • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members implementation of the supervision policies and procedures • Procedures for periodic review of the supervision policies and procedures with all staff members, including the review of the policies and procedures in orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members non-compliance with policies and procedures The revised policies and procedures shall be submitted to Allison Davis, Investigations Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 910-800-0079, email Allison.Davis@dhhs.nc.gov, for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation; the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #5: The facility’s revised supervision policies and procedures must be submitted within two weeks of the supervision training being completed. This item is in compliance. 6. Within two (2) weeks after the required training regarding effective communication and professionalism is completed, Ms. Ray shall develop effective communication and professionalism policies and procedures to incorporate strategies learned in the training. The policies and procedures shall describe, in detail, the steps the facility will take to ensure staff’s understanding of effective communication and professionalism. The policies and procedures shall include, but not be limited to, the following: • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with children, other staff members, parents, and other persons who may be present at the facility • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with others while providing care for children off-premises • Unacceptable practices of communication • Strategies for de-escalating potential conflicts and conflict resolution • Steps that will be taken when a verbal or physical altercation occurs at the facility, including contacting law enforcement immediately, protecting the children who are present, and supervising the children that are present if an altercation occurs The policies and procedures shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #6: Effective communication and professionalism policies and procedures must be developed and submitted within two weeks of the required training being completed. This item is in compliance. 7. Within four (4) weeks after this Notice is received, Ms. Ray shall develop a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use. The policy shall include, but not be limited to: • A plan for testing staff members when there are suspicions, concerns, or reports of substance use, including a timeframe for the staff member to submit to a drug test when requested • A requirement that staff members are not allowed to engage in the illegal use of substances or engage in illegal activities at any time, including while off premises and outside of facility work hours • A requirement that illegal substances and/or narcotics, alcohol, tobacco and/or vape pens are not permitted inside the facility or any other locations where enrolled children are in care • A plan for the use and storage of staff members’ personal belongings, including purses, backpacks, or other bags, cell phones, medications, and other possible hazardous items to ensure children do not have access to any hazardous items • Procedures for staff to report any illegal substances found on facility grounds or any impaired staff members to facility administration • Procedures for notifying law enforcement if illegal substances are found on the premises • Consequences for staff members who fail to comply with the facility’s policy • A procedure for regular review of the policy with all staff members including the review of the policy in the orientation of new staff members before they assume child care responsibilities The policy shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policy meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policy shall be immediately implemented, and a copy shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #7: Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. This item in compliance. 8. Within two (2) weeks after this Notice is received, Ms. Ray shall develop a written plan for observation and evaluation of each staff member’s performance while the Probationary License is in effect. The written plan, at a minimum, shall include routine observations of each staff member one (1) time per month while the Probationary License is in effect. The plan shall also include periodic observations after the conclusion of the Probationary License to ensure continual compliance with child care requirements and the facility’s policies/procedures related to supervision of children, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use. The plan shall include, but not be limited to the following: • Individuals who will complete the observations and evaluations with the requirement that observations are conducted by members of management • Development and implementation of a tool to use for the observations that include the date and times of each observation, name and signature of the person observed, signature of the observer, a summary of each observation, areas of noncompliance, and any corrective action taken The written plan shall be submitted to Ms. Davis for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the plan meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the plan shall be immediately implemented, and a copy of the plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. In addition, the observation records for each staff member shall be retained in their personnel file for the duration of their employment at the facility. Item #8: On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. This item is in compliance. 9. Within two (2) weeks after notification from the Division that the stipulations have been met for the policies and procedures regarding supervision, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use, Ms. Ray shall conduct a staff meeting with all staff members to discuss the policies and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #9: Within two weeks of the requirements of the above stipulations being met, Ms. Ray must conduct a staff meeting. This item is in compliance. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09 .1001 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 9/3/2025 Number Present: 49 Completed Date: 9/3/2025 Age: From 0 To 5 Total Minutes: 390 Time In: 08:45 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for an annual compliance visit. Sierra Claytor, Director, assisted us with the visit. The program currently operates with a probationary license issued May 8, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. The last annual compliance visit was completed on September 11, 2024. The last sanitation inspection was completed June 25, 2025, with a “Approved” classification. The last fire inspection was conducted September 24, 2024, and your facility was approved for daytime care only. Prior to the visit the 18-month compliance history score was 86%. The NC Secretary of State website was reviewed today, and The Kiddie Cottage, LLC was listed as current- active. All approved indoor and outdoor spaces were monitored today. Daily schedules and current activity plans were available for review and were being followed. A variety of age-appropriate learning materials was observed in the classroom. Infants in Spaces 3 (orange) had routine care needs met such as napping routines and feedings. Infant feeding schedules and safe sleep checks were monitored and found to be in compliance. Toddlers in space 4 (yellow) and space 5 (blue) ate breakfast that consisted of waffles, mixed fruit, and milk. Adequate handwashing was observed after breakfast. Two-year-old children in Spaces 7 (farm) and 8 (jungle) were observed finishing up from breakfast and transitioning to free play with age appropriate materials and activities. Preschool children in space 10 (space) participated in group circle time before transitioning to outdoor play time. Preschool aged children in space 12 (desert) were observed outside in free play. Activity areas consisted of language, manipulative toys, dramatic play, art, and blocks. Lunch provided for children today and consisted of chicken with cheese quesadillas, corn, mixed fruit, and milk. Today I approved the 2021 Chevrolet Tahoe to be used to transport children after school. We discussed the following child care rules in regard to transportation: 10A NCAC 09 .1001 SEAT AND CHILD SAFETY SEATS IN CHILD CARE CENTERS 10A NCAC 09 .1002 SAFE VEHICLES 10A NCAC 09 .1003 SAFE PROCEDURES 10A NCAC 09 .1004 STAFF/CHILD RATIOS 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS The vehicle was monitored and equipped with a first aid kit and working seatbelts. The children’s emergency information, including identifying information, was observed in a three-ring binder in the office. We reviewed Child Care Rule .1000 – Transportation Standards in detail. A fire extinguisher mounted in the back of the vehicle. Current registration and tags were observed. Emergency information for staff who will be transporting children was observed and the program has developed policies and procedures addressing transporting. Today I was able to confirm that all items listed above were present and the vehicle is now approved for transportation. The following violations were observed today. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. A child's bottle in space 3 (orange) was not labeled with the child's name, and the date. 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The exterior doors in space 3 (orange) and space 12 (desert) are rusting. 15A NCAC 18A .2825(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. The climbing structure on playground 3 is placed over 2-3 inches of mulch rather than the required 6 inches. .0605(j) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Orgel was observed in space 3 (orange) without a permission form from the parent(s). In addition, an epi-pen in space 10 (space) had an emergency action plan but did not have written permission form from the parent(s). 10A NCAC 09 .0803(1)(a & b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic zip lock bags were stored in a low cabinet in space 8 (jungle) rather than a minimum of 5 feet out of reach as required for children under the age of 3. .0604(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan has not been reviewed with all staff. 10A NCAC 09 .0802(a) 1031 Documentation of staff's education, training, and experience was not on file. A staff member who was rehired July 21, 2025, did not have her education, training, and experience completed on her application. .0302(d)(1)(B) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff members hired 6/16/25, 7/21/25, and 7/3/25 have not completed 16 hours of orientation. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff members hired 8/6/25 and 8/11/25 have not completed two weeks of orientation. In addition, a staff member hired 3/21/25 and a staff member hired 4/1/25 who completed their 6 weeks of orientation did not complete six clock hours of training in the required topics within their first two weeks. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Six (6) staff did not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 17, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: Today we discussed the importance of labeling children's bottles with the child's name and date. This helps ensure that the children are being served the appropriate bottles. We discussed administration checking the refrigerators daily to ensure compliance. For licensing, it is required to obtain written parental permission to give prescription and over-the-counter medication. Providers must obtain written permission and instructions for giving OTC and prescription medication from a health care and the child’s parent. Today we discussed administration checking all classroom medication boxes weekly. For the safety of the children, ensure any plastic bags used for storage are kept inaccessible to children under the age of three years old by keeping them at a minimum height of five feet off the floor. Today we discussed administration checking all classrooms weekly for items that may be stowed inappropriately. All medications must be accompanied by written authorizations from parents with complete instructions for administration. Prescription medications must also be in the original container with the pharmacy label attached. Today I suggested that you review medication requirements with staff and periodically check behind them to ensure all requirements are met. Today we discussed administration reviewing medication rules with all staff. Nationally, nearly 70% of playground related injuries are from falls. Fall injuries are the result of two things: 1) The height a child falls from and 2) The material/surface the child falls upon. Provide “soft” resilient surfacing under and around stationary playground equipment. Refer to 10A NCAC 09 .0605(h)(i). Today we discussed adding additional mulch around the climbing structure on playground 3 to ensure the safety of the children in the event of a fall. Each employee's personnel file shall contain an annual staff evaluation and staff development plan. These are to be completed annually. Today we discussed creating a way to track these dates to ensure they are completed within the time frame. Each employee who is expected to have contact with children shall receive six clock hours of training in required topic areas within the first two weeks of employment and 16 hours of on-site orientation within the first six weeks of employment. A list of approved orientation topics and a documentation log along with required timelines can be found on the divisions website at https://ncchildcare.ncdhhs.gov/ under the provider documents tab. Reminders: Today we discussed electrical fans must be covered by a mesh guard or stored 5 feet out of reach. To reduce the spread of germs, blankets for cots/mats may not touch the cot/mat above. Today we discussed storing all blankets in the children's individual cubbies to reduce the spread of germs. Administrative Action Follow-Up: I monitored for compliance with the CAP as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation Item #1: An unannounced visit was conducted on May 30, 2025. No violations were cited. An unannounced visit was conducted on July 10, 2025. No violations were cited. An unannounced visit was conducted on August 25, 2025. No violations were cited. Today multiple violations were observed. 2. Within one (1) week after this Notice is received, Kari Ray, administrator, shall contact Jennifer Garner, Lead Child Care Consultant, telephone number 910-824-1447, email jennifer.j.garner@dhhs.nc.gov, to arrange for a complete review of all child care requirements broken into four (4) training sessions, six (6) point items, five (5) point items, three (3) and four (4) point items, and one (1) and two (2) point items. These rule reviews must be completed before the end of the probationary period. Ms. Ray and all staff members, including full-time, part-time, substitute, and volunteer staff, shall participate in the mandatory trainings. No children shall be in care during the trainings. Documentation of the trainings shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. The documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #2: On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first two trainings sessions were scheduled on August 1, 2025, and October 17, 2025. The training was conducted on August 1, 2025. All staff were present except two individuals. On August 25, 2025, Mr. Grossman contacted Ms. Garner to schedule a make-up session. This item is not in compliance. 3. Within one (1) week after this Notice is received, Ms. Ray shall contact April Lester, Child Care Consultant, PO Box 12948 Wilmington, NC 28405, telephone number 910-824-0954, email april.lester@dhhs.nc.gov, to arrange for a review of child care requirements regarding falsification. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall participate in this mandatory training. During the training, Ms. Lester shall review and discuss a Statement of Understanding acknowledging that all staff have read, understand, and will comply with child care requirements regarding falsification. At the conclusion of the training, staff members shall sign the statements. The original signed statements shall be maintained in each staff member’s personnel file at the child care facility for review by representatives of the Division of Child Development and Early Education upon request. Item #3: On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff except two individuals attended the training on August 1, 2025. The training was recorded on this date. On August 4, 2025, both staff members viewed the video footage and completed the training. This item is in compliance. 4. Within two (2) weeks after this Notice is received, Ms. Ray shall contact Mindy Davis, M.Ed., Early Care & Education Director, Smart Start of New Hanover County, email address mindy.davis@newhanoverkids.org, telephone number 910-815-3731 ext. 1010, to arrange for training that addresses strategies for the supervision of children, including typical behaviors for the ages and developmental stages of children in care and appropriate supervision strategies for the developmental stages of a child’s growth. In addition, Ms. Ray shall contact Ms. Davis during the same timeframe to arrange for training that will address effective communication and professionalism. No children shall be in care during these trainings. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, with responsibility for caring for children shall participate in the mandatory trainings. Documentation of the trainings shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #4: Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled on January 9, 2026. This item is in compliance. 5. Within two (2) weeks after the required training regarding supervision is completed, Ms. Ray shall r revise the facility’s supervision policies and procedures to incorporate strategies learned in the training. The revised policies and procedures should describe, in detail, the steps the facility will take to ensure adequate supervision of children at all times. The policies and procedures shall include, but not be limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one (1) area to another • When children are transitioned from one (1) caregiver to another • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members implementation of the supervision policies and procedures • Procedures for periodic review of the supervision policies and procedures with all staff members, including the review of the policies and procedures in orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members non-compliance with policies and procedures The revised policies and procedures shall be submitted to Allison Davis, Investigations Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 910-800-0079, email Allison.Davis@dhhs.nc.gov, for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation; the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #5: The facility’s revised supervision policies and procedures must be submitted within two weeks of the supervision training being completed. This item is in compliance. 6. Within two (2) weeks after the required training regarding effective communication and professionalism is completed, Ms. Ray shall develop effective communication and professionalism policies and procedures to incorporate strategies learned in the training. The policies and procedures shall describe, in detail, the steps the facility will take to ensure staff’s understanding of effective communication and professionalism. The policies and procedures shall include, but not be limited to, the following: • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with children, other staff members, parents, and other persons who may be present at the facility • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with others while providing care for children off-premises • Unacceptable practices of communication • Strategies for de-escalating potential conflicts and conflict resolution • Steps that will be taken when a verbal or physical altercation occurs at the facility, including contacting law enforcement immediately, protecting the children who are present, and supervising the children that are present if an altercation occurs The policies and procedures shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #6: Effective communication and professionalism policies and procedures must be developed and submitted within two weeks of the required training being completed. This item is in compliance. 7. Within four (4) weeks after this Notice is received, Ms. Ray shall develop a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use. The policy shall include, but not be limited to: • A plan for testing staff members when there are suspicions, concerns, or reports of substance use, including a timeframe for the staff member to submit to a drug test when requested • A requirement that staff members are not allowed to engage in the illegal use of substances or engage in illegal activities at any time, including while off premises and outside of facility work hours • A requirement that illegal substances and/or narcotics, alcohol, tobacco and/or vape pens are not permitted inside the facility or any other locations where enrolled children are in care • A plan for the use and storage of staff members’ personal belongings, including purses, backpacks, or other bags, cell phones, medications, and other possible hazardous items to ensure children do not have access to any hazardous items • Procedures for staff to report any illegal substances found on facility grounds or any impaired staff members to facility administration • Procedures for notifying law enforcement if illegal substances are found on the premises • Consequences for staff members who fail to comply with the facility’s policy • A procedure for regular review of the policy with all staff members including the review of the policy in the orientation of new staff members before they assume child care responsibilities The policy shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policy meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policy shall be immediately implemented, and a copy shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #7: Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. This item in compliance. 8. Within two (2) weeks after this Notice is received, Ms. Ray shall develop a written plan for observation and evaluation of each staff member’s performance while the Probationary License is in effect. The written plan, at a minimum, shall include routine observations of each staff member one (1) time per month while the Probationary License is in effect. The plan shall also include periodic observations after the conclusion of the Probationary License to ensure continual compliance with child care requirements and the facility’s policies/procedures related to supervision of children, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use. The plan shall include, but not be limited to the following: • Individuals who will complete the observations and evaluations with the requirement that observations are conducted by members of management • Development and implementation of a tool to use for the observations that include the date and times of each observation, name and signature of the person observed, signature of the observer, a summary of each observation, areas of noncompliance, and any corrective action taken The written plan shall be submitted to Ms. Davis for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the plan meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the plan shall be immediately implemented, and a copy of the plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. In addition, the observation records for each staff member shall be retained in their personnel file for the duration of their employment at the facility. Item #8: On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. This item is in compliance. 9. Within two (2) weeks after notification from the Division that the stipulations have been met for the policies and procedures regarding supervision, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use, Ms. Ray shall conduct a staff meeting with all staff members to discuss the policies and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #9: Within two weeks of the requirements of the above stipulations being met, Ms. Ray must conduct a staff meeting. This item is in compliance. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09 .1002 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 9/3/2025 Number Present: 49 Completed Date: 9/3/2025 Age: From 0 To 5 Total Minutes: 390 Time In: 08:45 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for an annual compliance visit. Sierra Claytor, Director, assisted us with the visit. The program currently operates with a probationary license issued May 8, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. The last annual compliance visit was completed on September 11, 2024. The last sanitation inspection was completed June 25, 2025, with a “Approved” classification. The last fire inspection was conducted September 24, 2024, and your facility was approved for daytime care only. Prior to the visit the 18-month compliance history score was 86%. The NC Secretary of State website was reviewed today, and The Kiddie Cottage, LLC was listed as current- active. All approved indoor and outdoor spaces were monitored today. Daily schedules and current activity plans were available for review and were being followed. A variety of age-appropriate learning materials was observed in the classroom. Infants in Spaces 3 (orange) had routine care needs met such as napping routines and feedings. Infant feeding schedules and safe sleep checks were monitored and found to be in compliance. Toddlers in space 4 (yellow) and space 5 (blue) ate breakfast that consisted of waffles, mixed fruit, and milk. Adequate handwashing was observed after breakfast. Two-year-old children in Spaces 7 (farm) and 8 (jungle) were observed finishing up from breakfast and transitioning to free play with age appropriate materials and activities. Preschool children in space 10 (space) participated in group circle time before transitioning to outdoor play time. Preschool aged children in space 12 (desert) were observed outside in free play. Activity areas consisted of language, manipulative toys, dramatic play, art, and blocks. Lunch provided for children today and consisted of chicken with cheese quesadillas, corn, mixed fruit, and milk. Today I approved the 2021 Chevrolet Tahoe to be used to transport children after school. We discussed the following child care rules in regard to transportation: 10A NCAC 09 .1001 SEAT AND CHILD SAFETY SEATS IN CHILD CARE CENTERS 10A NCAC 09 .1002 SAFE VEHICLES 10A NCAC 09 .1003 SAFE PROCEDURES 10A NCAC 09 .1004 STAFF/CHILD RATIOS 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS The vehicle was monitored and equipped with a first aid kit and working seatbelts. The children’s emergency information, including identifying information, was observed in a three-ring binder in the office. We reviewed Child Care Rule .1000 – Transportation Standards in detail. A fire extinguisher mounted in the back of the vehicle. Current registration and tags were observed. Emergency information for staff who will be transporting children was observed and the program has developed policies and procedures addressing transporting. Today I was able to confirm that all items listed above were present and the vehicle is now approved for transportation. The following violations were observed today. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. A child's bottle in space 3 (orange) was not labeled with the child's name, and the date. 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The exterior doors in space 3 (orange) and space 12 (desert) are rusting. 15A NCAC 18A .2825(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. The climbing structure on playground 3 is placed over 2-3 inches of mulch rather than the required 6 inches. .0605(j) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Orgel was observed in space 3 (orange) without a permission form from the parent(s). In addition, an epi-pen in space 10 (space) had an emergency action plan but did not have written permission form from the parent(s). 10A NCAC 09 .0803(1)(a & b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic zip lock bags were stored in a low cabinet in space 8 (jungle) rather than a minimum of 5 feet out of reach as required for children under the age of 3. .0604(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan has not been reviewed with all staff. 10A NCAC 09 .0802(a) 1031 Documentation of staff's education, training, and experience was not on file. A staff member who was rehired July 21, 2025, did not have her education, training, and experience completed on her application. .0302(d)(1)(B) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff members hired 6/16/25, 7/21/25, and 7/3/25 have not completed 16 hours of orientation. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff members hired 8/6/25 and 8/11/25 have not completed two weeks of orientation. In addition, a staff member hired 3/21/25 and a staff member hired 4/1/25 who completed their 6 weeks of orientation did not complete six clock hours of training in the required topics within their first two weeks. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Six (6) staff did not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 17, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: Today we discussed the importance of labeling children's bottles with the child's name and date. This helps ensure that the children are being served the appropriate bottles. We discussed administration checking the refrigerators daily to ensure compliance. For licensing, it is required to obtain written parental permission to give prescription and over-the-counter medication. Providers must obtain written permission and instructions for giving OTC and prescription medication from a health care and the child’s parent. Today we discussed administration checking all classroom medication boxes weekly. For the safety of the children, ensure any plastic bags used for storage are kept inaccessible to children under the age of three years old by keeping them at a minimum height of five feet off the floor. Today we discussed administration checking all classrooms weekly for items that may be stowed inappropriately. All medications must be accompanied by written authorizations from parents with complete instructions for administration. Prescription medications must also be in the original container with the pharmacy label attached. Today I suggested that you review medication requirements with staff and periodically check behind them to ensure all requirements are met. Today we discussed administration reviewing medication rules with all staff. Nationally, nearly 70% of playground related injuries are from falls. Fall injuries are the result of two things: 1) The height a child falls from and 2) The material/surface the child falls upon. Provide “soft” resilient surfacing under and around stationary playground equipment. Refer to 10A NCAC 09 .0605(h)(i). Today we discussed adding additional mulch around the climbing structure on playground 3 to ensure the safety of the children in the event of a fall. Each employee's personnel file shall contain an annual staff evaluation and staff development plan. These are to be completed annually. Today we discussed creating a way to track these dates to ensure they are completed within the time frame. Each employee who is expected to have contact with children shall receive six clock hours of training in required topic areas within the first two weeks of employment and 16 hours of on-site orientation within the first six weeks of employment. A list of approved orientation topics and a documentation log along with required timelines can be found on the divisions website at https://ncchildcare.ncdhhs.gov/ under the provider documents tab. Reminders: Today we discussed electrical fans must be covered by a mesh guard or stored 5 feet out of reach. To reduce the spread of germs, blankets for cots/mats may not touch the cot/mat above. Today we discussed storing all blankets in the children's individual cubbies to reduce the spread of germs. Administrative Action Follow-Up: I monitored for compliance with the CAP as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation Item #1: An unannounced visit was conducted on May 30, 2025. No violations were cited. An unannounced visit was conducted on July 10, 2025. No violations were cited. An unannounced visit was conducted on August 25, 2025. No violations were cited. Today multiple violations were observed. 2. Within one (1) week after this Notice is received, Kari Ray, administrator, shall contact Jennifer Garner, Lead Child Care Consultant, telephone number 910-824-1447, email jennifer.j.garner@dhhs.nc.gov, to arrange for a complete review of all child care requirements broken into four (4) training sessions, six (6) point items, five (5) point items, three (3) and four (4) point items, and one (1) and two (2) point items. These rule reviews must be completed before the end of the probationary period. Ms. Ray and all staff members, including full-time, part-time, substitute, and volunteer staff, shall participate in the mandatory trainings. No children shall be in care during the trainings. Documentation of the trainings shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. The documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #2: On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first two trainings sessions were scheduled on August 1, 2025, and October 17, 2025. The training was conducted on August 1, 2025. All staff were present except two individuals. On August 25, 2025, Mr. Grossman contacted Ms. Garner to schedule a make-up session. This item is not in compliance. 3. Within one (1) week after this Notice is received, Ms. Ray shall contact April Lester, Child Care Consultant, PO Box 12948 Wilmington, NC 28405, telephone number 910-824-0954, email april.lester@dhhs.nc.gov, to arrange for a review of child care requirements regarding falsification. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall participate in this mandatory training. During the training, Ms. Lester shall review and discuss a Statement of Understanding acknowledging that all staff have read, understand, and will comply with child care requirements regarding falsification. At the conclusion of the training, staff members shall sign the statements. The original signed statements shall be maintained in each staff member’s personnel file at the child care facility for review by representatives of the Division of Child Development and Early Education upon request. Item #3: On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff except two individuals attended the training on August 1, 2025. The training was recorded on this date. On August 4, 2025, both staff members viewed the video footage and completed the training. This item is in compliance. 4. Within two (2) weeks after this Notice is received, Ms. Ray shall contact Mindy Davis, M.Ed., Early Care & Education Director, Smart Start of New Hanover County, email address mindy.davis@newhanoverkids.org, telephone number 910-815-3731 ext. 1010, to arrange for training that addresses strategies for the supervision of children, including typical behaviors for the ages and developmental stages of children in care and appropriate supervision strategies for the developmental stages of a child’s growth. In addition, Ms. Ray shall contact Ms. Davis during the same timeframe to arrange for training that will address effective communication and professionalism. No children shall be in care during these trainings. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, with responsibility for caring for children shall participate in the mandatory trainings. Documentation of the trainings shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #4: Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled on January 9, 2026. This item is in compliance. 5. Within two (2) weeks after the required training regarding supervision is completed, Ms. Ray shall r revise the facility’s supervision policies and procedures to incorporate strategies learned in the training. The revised policies and procedures should describe, in detail, the steps the facility will take to ensure adequate supervision of children at all times. The policies and procedures shall include, but not be limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one (1) area to another • When children are transitioned from one (1) caregiver to another • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members implementation of the supervision policies and procedures • Procedures for periodic review of the supervision policies and procedures with all staff members, including the review of the policies and procedures in orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members non-compliance with policies and procedures The revised policies and procedures shall be submitted to Allison Davis, Investigations Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 910-800-0079, email Allison.Davis@dhhs.nc.gov, for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation; the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #5: The facility’s revised supervision policies and procedures must be submitted within two weeks of the supervision training being completed. This item is in compliance. 6. Within two (2) weeks after the required training regarding effective communication and professionalism is completed, Ms. Ray shall develop effective communication and professionalism policies and procedures to incorporate strategies learned in the training. The policies and procedures shall describe, in detail, the steps the facility will take to ensure staff’s understanding of effective communication and professionalism. The policies and procedures shall include, but not be limited to, the following: • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with children, other staff members, parents, and other persons who may be present at the facility • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with others while providing care for children off-premises • Unacceptable practices of communication • Strategies for de-escalating potential conflicts and conflict resolution • Steps that will be taken when a verbal or physical altercation occurs at the facility, including contacting law enforcement immediately, protecting the children who are present, and supervising the children that are present if an altercation occurs The policies and procedures shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #6: Effective communication and professionalism policies and procedures must be developed and submitted within two weeks of the required training being completed. This item is in compliance. 7. Within four (4) weeks after this Notice is received, Ms. Ray shall develop a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use. The policy shall include, but not be limited to: • A plan for testing staff members when there are suspicions, concerns, or reports of substance use, including a timeframe for the staff member to submit to a drug test when requested • A requirement that staff members are not allowed to engage in the illegal use of substances or engage in illegal activities at any time, including while off premises and outside of facility work hours • A requirement that illegal substances and/or narcotics, alcohol, tobacco and/or vape pens are not permitted inside the facility or any other locations where enrolled children are in care • A plan for the use and storage of staff members’ personal belongings, including purses, backpacks, or other bags, cell phones, medications, and other possible hazardous items to ensure children do not have access to any hazardous items • Procedures for staff to report any illegal substances found on facility grounds or any impaired staff members to facility administration • Procedures for notifying law enforcement if illegal substances are found on the premises • Consequences for staff members who fail to comply with the facility’s policy • A procedure for regular review of the policy with all staff members including the review of the policy in the orientation of new staff members before they assume child care responsibilities The policy shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policy meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policy shall be immediately implemented, and a copy shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #7: Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. This item in compliance. 8. Within two (2) weeks after this Notice is received, Ms. Ray shall develop a written plan for observation and evaluation of each staff member’s performance while the Probationary License is in effect. The written plan, at a minimum, shall include routine observations of each staff member one (1) time per month while the Probationary License is in effect. The plan shall also include periodic observations after the conclusion of the Probationary License to ensure continual compliance with child care requirements and the facility’s policies/procedures related to supervision of children, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use. The plan shall include, but not be limited to the following: • Individuals who will complete the observations and evaluations with the requirement that observations are conducted by members of management • Development and implementation of a tool to use for the observations that include the date and times of each observation, name and signature of the person observed, signature of the observer, a summary of each observation, areas of noncompliance, and any corrective action taken The written plan shall be submitted to Ms. Davis for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the plan meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the plan shall be immediately implemented, and a copy of the plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. In addition, the observation records for each staff member shall be retained in their personnel file for the duration of their employment at the facility. Item #8: On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. This item is in compliance. 9. Within two (2) weeks after notification from the Division that the stipulations have been met for the policies and procedures regarding supervision, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use, Ms. Ray shall conduct a staff meeting with all staff members to discuss the policies and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #9: Within two weeks of the requirements of the above stipulations being met, Ms. Ray must conduct a staff meeting. This item is in compliance. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09 .1003 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 9/3/2025 Number Present: 49 Completed Date: 9/3/2025 Age: From 0 To 5 Total Minutes: 390 Time In: 08:45 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for an annual compliance visit. Sierra Claytor, Director, assisted us with the visit. The program currently operates with a probationary license issued May 8, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. The last annual compliance visit was completed on September 11, 2024. The last sanitation inspection was completed June 25, 2025, with a “Approved” classification. The last fire inspection was conducted September 24, 2024, and your facility was approved for daytime care only. Prior to the visit the 18-month compliance history score was 86%. The NC Secretary of State website was reviewed today, and The Kiddie Cottage, LLC was listed as current- active. All approved indoor and outdoor spaces were monitored today. Daily schedules and current activity plans were available for review and were being followed. A variety of age-appropriate learning materials was observed in the classroom. Infants in Spaces 3 (orange) had routine care needs met such as napping routines and feedings. Infant feeding schedules and safe sleep checks were monitored and found to be in compliance. Toddlers in space 4 (yellow) and space 5 (blue) ate breakfast that consisted of waffles, mixed fruit, and milk. Adequate handwashing was observed after breakfast. Two-year-old children in Spaces 7 (farm) and 8 (jungle) were observed finishing up from breakfast and transitioning to free play with age appropriate materials and activities. Preschool children in space 10 (space) participated in group circle time before transitioning to outdoor play time. Preschool aged children in space 12 (desert) were observed outside in free play. Activity areas consisted of language, manipulative toys, dramatic play, art, and blocks. Lunch provided for children today and consisted of chicken with cheese quesadillas, corn, mixed fruit, and milk. Today I approved the 2021 Chevrolet Tahoe to be used to transport children after school. We discussed the following child care rules in regard to transportation: 10A NCAC 09 .1001 SEAT AND CHILD SAFETY SEATS IN CHILD CARE CENTERS 10A NCAC 09 .1002 SAFE VEHICLES 10A NCAC 09 .1003 SAFE PROCEDURES 10A NCAC 09 .1004 STAFF/CHILD RATIOS 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS The vehicle was monitored and equipped with a first aid kit and working seatbelts. The children’s emergency information, including identifying information, was observed in a three-ring binder in the office. We reviewed Child Care Rule .1000 – Transportation Standards in detail. A fire extinguisher mounted in the back of the vehicle. Current registration and tags were observed. Emergency information for staff who will be transporting children was observed and the program has developed policies and procedures addressing transporting. Today I was able to confirm that all items listed above were present and the vehicle is now approved for transportation. The following violations were observed today. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. A child's bottle in space 3 (orange) was not labeled with the child's name, and the date. 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The exterior doors in space 3 (orange) and space 12 (desert) are rusting. 15A NCAC 18A .2825(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. The climbing structure on playground 3 is placed over 2-3 inches of mulch rather than the required 6 inches. .0605(j) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Orgel was observed in space 3 (orange) without a permission form from the parent(s). In addition, an epi-pen in space 10 (space) had an emergency action plan but did not have written permission form from the parent(s). 10A NCAC 09 .0803(1)(a & b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic zip lock bags were stored in a low cabinet in space 8 (jungle) rather than a minimum of 5 feet out of reach as required for children under the age of 3. .0604(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan has not been reviewed with all staff. 10A NCAC 09 .0802(a) 1031 Documentation of staff's education, training, and experience was not on file. A staff member who was rehired July 21, 2025, did not have her education, training, and experience completed on her application. .0302(d)(1)(B) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff members hired 6/16/25, 7/21/25, and 7/3/25 have not completed 16 hours of orientation. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff members hired 8/6/25 and 8/11/25 have not completed two weeks of orientation. In addition, a staff member hired 3/21/25 and a staff member hired 4/1/25 who completed their 6 weeks of orientation did not complete six clock hours of training in the required topics within their first two weeks. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Six (6) staff did not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 17, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: Today we discussed the importance of labeling children's bottles with the child's name and date. This helps ensure that the children are being served the appropriate bottles. We discussed administration checking the refrigerators daily to ensure compliance. For licensing, it is required to obtain written parental permission to give prescription and over-the-counter medication. Providers must obtain written permission and instructions for giving OTC and prescription medication from a health care and the child’s parent. Today we discussed administration checking all classroom medication boxes weekly. For the safety of the children, ensure any plastic bags used for storage are kept inaccessible to children under the age of three years old by keeping them at a minimum height of five feet off the floor. Today we discussed administration checking all classrooms weekly for items that may be stowed inappropriately. All medications must be accompanied by written authorizations from parents with complete instructions for administration. Prescription medications must also be in the original container with the pharmacy label attached. Today I suggested that you review medication requirements with staff and periodically check behind them to ensure all requirements are met. Today we discussed administration reviewing medication rules with all staff. Nationally, nearly 70% of playground related injuries are from falls. Fall injuries are the result of two things: 1) The height a child falls from and 2) The material/surface the child falls upon. Provide “soft” resilient surfacing under and around stationary playground equipment. Refer to 10A NCAC 09 .0605(h)(i). Today we discussed adding additional mulch around the climbing structure on playground 3 to ensure the safety of the children in the event of a fall. Each employee's personnel file shall contain an annual staff evaluation and staff development plan. These are to be completed annually. Today we discussed creating a way to track these dates to ensure they are completed within the time frame. Each employee who is expected to have contact with children shall receive six clock hours of training in required topic areas within the first two weeks of employment and 16 hours of on-site orientation within the first six weeks of employment. A list of approved orientation topics and a documentation log along with required timelines can be found on the divisions website at https://ncchildcare.ncdhhs.gov/ under the provider documents tab. Reminders: Today we discussed electrical fans must be covered by a mesh guard or stored 5 feet out of reach. To reduce the spread of germs, blankets for cots/mats may not touch the cot/mat above. Today we discussed storing all blankets in the children's individual cubbies to reduce the spread of germs. Administrative Action Follow-Up: I monitored for compliance with the CAP as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation Item #1: An unannounced visit was conducted on May 30, 2025. No violations were cited. An unannounced visit was conducted on July 10, 2025. No violations were cited. An unannounced visit was conducted on August 25, 2025. No violations were cited. Today multiple violations were observed. 2. Within one (1) week after this Notice is received, Kari Ray, administrator, shall contact Jennifer Garner, Lead Child Care Consultant, telephone number 910-824-1447, email jennifer.j.garner@dhhs.nc.gov, to arrange for a complete review of all child care requirements broken into four (4) training sessions, six (6) point items, five (5) point items, three (3) and four (4) point items, and one (1) and two (2) point items. These rule reviews must be completed before the end of the probationary period. Ms. Ray and all staff members, including full-time, part-time, substitute, and volunteer staff, shall participate in the mandatory trainings. No children shall be in care during the trainings. Documentation of the trainings shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. The documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #2: On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first two trainings sessions were scheduled on August 1, 2025, and October 17, 2025. The training was conducted on August 1, 2025. All staff were present except two individuals. On August 25, 2025, Mr. Grossman contacted Ms. Garner to schedule a make-up session. This item is not in compliance. 3. Within one (1) week after this Notice is received, Ms. Ray shall contact April Lester, Child Care Consultant, PO Box 12948 Wilmington, NC 28405, telephone number 910-824-0954, email april.lester@dhhs.nc.gov, to arrange for a review of child care requirements regarding falsification. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall participate in this mandatory training. During the training, Ms. Lester shall review and discuss a Statement of Understanding acknowledging that all staff have read, understand, and will comply with child care requirements regarding falsification. At the conclusion of the training, staff members shall sign the statements. The original signed statements shall be maintained in each staff member’s personnel file at the child care facility for review by representatives of the Division of Child Development and Early Education upon request. Item #3: On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff except two individuals attended the training on August 1, 2025. The training was recorded on this date. On August 4, 2025, both staff members viewed the video footage and completed the training. This item is in compliance. 4. Within two (2) weeks after this Notice is received, Ms. Ray shall contact Mindy Davis, M.Ed., Early Care & Education Director, Smart Start of New Hanover County, email address mindy.davis@newhanoverkids.org, telephone number 910-815-3731 ext. 1010, to arrange for training that addresses strategies for the supervision of children, including typical behaviors for the ages and developmental stages of children in care and appropriate supervision strategies for the developmental stages of a child’s growth. In addition, Ms. Ray shall contact Ms. Davis during the same timeframe to arrange for training that will address effective communication and professionalism. No children shall be in care during these trainings. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, with responsibility for caring for children shall participate in the mandatory trainings. Documentation of the trainings shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #4: Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled on January 9, 2026. This item is in compliance. 5. Within two (2) weeks after the required training regarding supervision is completed, Ms. Ray shall r revise the facility’s supervision policies and procedures to incorporate strategies learned in the training. The revised policies and procedures should describe, in detail, the steps the facility will take to ensure adequate supervision of children at all times. The policies and procedures shall include, but not be limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one (1) area to another • When children are transitioned from one (1) caregiver to another • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members implementation of the supervision policies and procedures • Procedures for periodic review of the supervision policies and procedures with all staff members, including the review of the policies and procedures in orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members non-compliance with policies and procedures The revised policies and procedures shall be submitted to Allison Davis, Investigations Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 910-800-0079, email Allison.Davis@dhhs.nc.gov, for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation; the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #5: The facility’s revised supervision policies and procedures must be submitted within two weeks of the supervision training being completed. This item is in compliance. 6. Within two (2) weeks after the required training regarding effective communication and professionalism is completed, Ms. Ray shall develop effective communication and professionalism policies and procedures to incorporate strategies learned in the training. The policies and procedures shall describe, in detail, the steps the facility will take to ensure staff’s understanding of effective communication and professionalism. The policies and procedures shall include, but not be limited to, the following: • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with children, other staff members, parents, and other persons who may be present at the facility • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with others while providing care for children off-premises • Unacceptable practices of communication • Strategies for de-escalating potential conflicts and conflict resolution • Steps that will be taken when a verbal or physical altercation occurs at the facility, including contacting law enforcement immediately, protecting the children who are present, and supervising the children that are present if an altercation occurs The policies and procedures shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #6: Effective communication and professionalism policies and procedures must be developed and submitted within two weeks of the required training being completed. This item is in compliance. 7. Within four (4) weeks after this Notice is received, Ms. Ray shall develop a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use. The policy shall include, but not be limited to: • A plan for testing staff members when there are suspicions, concerns, or reports of substance use, including a timeframe for the staff member to submit to a drug test when requested • A requirement that staff members are not allowed to engage in the illegal use of substances or engage in illegal activities at any time, including while off premises and outside of facility work hours • A requirement that illegal substances and/or narcotics, alcohol, tobacco and/or vape pens are not permitted inside the facility or any other locations where enrolled children are in care • A plan for the use and storage of staff members’ personal belongings, including purses, backpacks, or other bags, cell phones, medications, and other possible hazardous items to ensure children do not have access to any hazardous items • Procedures for staff to report any illegal substances found on facility grounds or any impaired staff members to facility administration • Procedures for notifying law enforcement if illegal substances are found on the premises • Consequences for staff members who fail to comply with the facility’s policy • A procedure for regular review of the policy with all staff members including the review of the policy in the orientation of new staff members before they assume child care responsibilities The policy shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policy meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policy shall be immediately implemented, and a copy shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #7: Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. This item in compliance. 8. Within two (2) weeks after this Notice is received, Ms. Ray shall develop a written plan for observation and evaluation of each staff member’s performance while the Probationary License is in effect. The written plan, at a minimum, shall include routine observations of each staff member one (1) time per month while the Probationary License is in effect. The plan shall also include periodic observations after the conclusion of the Probationary License to ensure continual compliance with child care requirements and the facility’s policies/procedures related to supervision of children, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use. The plan shall include, but not be limited to the following: • Individuals who will complete the observations and evaluations with the requirement that observations are conducted by members of management • Development and implementation of a tool to use for the observations that include the date and times of each observation, name and signature of the person observed, signature of the observer, a summary of each observation, areas of noncompliance, and any corrective action taken The written plan shall be submitted to Ms. Davis for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the plan meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the plan shall be immediately implemented, and a copy of the plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. In addition, the observation records for each staff member shall be retained in their personnel file for the duration of their employment at the facility. Item #8: On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. This item is in compliance. 9. Within two (2) weeks after notification from the Division that the stipulations have been met for the policies and procedures regarding supervision, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use, Ms. Ray shall conduct a staff meeting with all staff members to discuss the policies and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #9: Within two weeks of the requirements of the above stipulations being met, Ms. Ray must conduct a staff meeting. This item is in compliance. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09 .1004 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 9/3/2025 Number Present: 49 Completed Date: 9/3/2025 Age: From 0 To 5 Total Minutes: 390 Time In: 08:45 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for an annual compliance visit. Sierra Claytor, Director, assisted us with the visit. The program currently operates with a probationary license issued May 8, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. The last annual compliance visit was completed on September 11, 2024. The last sanitation inspection was completed June 25, 2025, with a “Approved” classification. The last fire inspection was conducted September 24, 2024, and your facility was approved for daytime care only. Prior to the visit the 18-month compliance history score was 86%. The NC Secretary of State website was reviewed today, and The Kiddie Cottage, LLC was listed as current- active. All approved indoor and outdoor spaces were monitored today. Daily schedules and current activity plans were available for review and were being followed. A variety of age-appropriate learning materials was observed in the classroom. Infants in Spaces 3 (orange) had routine care needs met such as napping routines and feedings. Infant feeding schedules and safe sleep checks were monitored and found to be in compliance. Toddlers in space 4 (yellow) and space 5 (blue) ate breakfast that consisted of waffles, mixed fruit, and milk. Adequate handwashing was observed after breakfast. Two-year-old children in Spaces 7 (farm) and 8 (jungle) were observed finishing up from breakfast and transitioning to free play with age appropriate materials and activities. Preschool children in space 10 (space) participated in group circle time before transitioning to outdoor play time. Preschool aged children in space 12 (desert) were observed outside in free play. Activity areas consisted of language, manipulative toys, dramatic play, art, and blocks. Lunch provided for children today and consisted of chicken with cheese quesadillas, corn, mixed fruit, and milk. Today I approved the 2021 Chevrolet Tahoe to be used to transport children after school. We discussed the following child care rules in regard to transportation: 10A NCAC 09 .1001 SEAT AND CHILD SAFETY SEATS IN CHILD CARE CENTERS 10A NCAC 09 .1002 SAFE VEHICLES 10A NCAC 09 .1003 SAFE PROCEDURES 10A NCAC 09 .1004 STAFF/CHILD RATIOS 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS The vehicle was monitored and equipped with a first aid kit and working seatbelts. The children’s emergency information, including identifying information, was observed in a three-ring binder in the office. We reviewed Child Care Rule .1000 – Transportation Standards in detail. A fire extinguisher mounted in the back of the vehicle. Current registration and tags were observed. Emergency information for staff who will be transporting children was observed and the program has developed policies and procedures addressing transporting. Today I was able to confirm that all items listed above were present and the vehicle is now approved for transportation. The following violations were observed today. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. A child's bottle in space 3 (orange) was not labeled with the child's name, and the date. 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The exterior doors in space 3 (orange) and space 12 (desert) are rusting. 15A NCAC 18A .2825(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. The climbing structure on playground 3 is placed over 2-3 inches of mulch rather than the required 6 inches. .0605(j) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Orgel was observed in space 3 (orange) without a permission form from the parent(s). In addition, an epi-pen in space 10 (space) had an emergency action plan but did not have written permission form from the parent(s). 10A NCAC 09 .0803(1)(a & b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic zip lock bags were stored in a low cabinet in space 8 (jungle) rather than a minimum of 5 feet out of reach as required for children under the age of 3. .0604(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan has not been reviewed with all staff. 10A NCAC 09 .0802(a) 1031 Documentation of staff's education, training, and experience was not on file. A staff member who was rehired July 21, 2025, did not have her education, training, and experience completed on her application. .0302(d)(1)(B) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff members hired 6/16/25, 7/21/25, and 7/3/25 have not completed 16 hours of orientation. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff members hired 8/6/25 and 8/11/25 have not completed two weeks of orientation. In addition, a staff member hired 3/21/25 and a staff member hired 4/1/25 who completed their 6 weeks of orientation did not complete six clock hours of training in the required topics within their first two weeks. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Six (6) staff did not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 17, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: Today we discussed the importance of labeling children's bottles with the child's name and date. This helps ensure that the children are being served the appropriate bottles. We discussed administration checking the refrigerators daily to ensure compliance. For licensing, it is required to obtain written parental permission to give prescription and over-the-counter medication. Providers must obtain written permission and instructions for giving OTC and prescription medication from a health care and the child’s parent. Today we discussed administration checking all classroom medication boxes weekly. For the safety of the children, ensure any plastic bags used for storage are kept inaccessible to children under the age of three years old by keeping them at a minimum height of five feet off the floor. Today we discussed administration checking all classrooms weekly for items that may be stowed inappropriately. All medications must be accompanied by written authorizations from parents with complete instructions for administration. Prescription medications must also be in the original container with the pharmacy label attached. Today I suggested that you review medication requirements with staff and periodically check behind them to ensure all requirements are met. Today we discussed administration reviewing medication rules with all staff. Nationally, nearly 70% of playground related injuries are from falls. Fall injuries are the result of two things: 1) The height a child falls from and 2) The material/surface the child falls upon. Provide “soft” resilient surfacing under and around stationary playground equipment. Refer to 10A NCAC 09 .0605(h)(i). Today we discussed adding additional mulch around the climbing structure on playground 3 to ensure the safety of the children in the event of a fall. Each employee's personnel file shall contain an annual staff evaluation and staff development plan. These are to be completed annually. Today we discussed creating a way to track these dates to ensure they are completed within the time frame. Each employee who is expected to have contact with children shall receive six clock hours of training in required topic areas within the first two weeks of employment and 16 hours of on-site orientation within the first six weeks of employment. A list of approved orientation topics and a documentation log along with required timelines can be found on the divisions website at https://ncchildcare.ncdhhs.gov/ under the provider documents tab. Reminders: Today we discussed electrical fans must be covered by a mesh guard or stored 5 feet out of reach. To reduce the spread of germs, blankets for cots/mats may not touch the cot/mat above. Today we discussed storing all blankets in the children's individual cubbies to reduce the spread of germs. Administrative Action Follow-Up: I monitored for compliance with the CAP as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation Item #1: An unannounced visit was conducted on May 30, 2025. No violations were cited. An unannounced visit was conducted on July 10, 2025. No violations were cited. An unannounced visit was conducted on August 25, 2025. No violations were cited. Today multiple violations were observed. 2. Within one (1) week after this Notice is received, Kari Ray, administrator, shall contact Jennifer Garner, Lead Child Care Consultant, telephone number 910-824-1447, email jennifer.j.garner@dhhs.nc.gov, to arrange for a complete review of all child care requirements broken into four (4) training sessions, six (6) point items, five (5) point items, three (3) and four (4) point items, and one (1) and two (2) point items. These rule reviews must be completed before the end of the probationary period. Ms. Ray and all staff members, including full-time, part-time, substitute, and volunteer staff, shall participate in the mandatory trainings. No children shall be in care during the trainings. Documentation of the trainings shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. The documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #2: On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first two trainings sessions were scheduled on August 1, 2025, and October 17, 2025. The training was conducted on August 1, 2025. All staff were present except two individuals. On August 25, 2025, Mr. Grossman contacted Ms. Garner to schedule a make-up session. This item is not in compliance. 3. Within one (1) week after this Notice is received, Ms. Ray shall contact April Lester, Child Care Consultant, PO Box 12948 Wilmington, NC 28405, telephone number 910-824-0954, email april.lester@dhhs.nc.gov, to arrange for a review of child care requirements regarding falsification. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall participate in this mandatory training. During the training, Ms. Lester shall review and discuss a Statement of Understanding acknowledging that all staff have read, understand, and will comply with child care requirements regarding falsification. At the conclusion of the training, staff members shall sign the statements. The original signed statements shall be maintained in each staff member’s personnel file at the child care facility for review by representatives of the Division of Child Development and Early Education upon request. Item #3: On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff except two individuals attended the training on August 1, 2025. The training was recorded on this date. On August 4, 2025, both staff members viewed the video footage and completed the training. This item is in compliance. 4. Within two (2) weeks after this Notice is received, Ms. Ray shall contact Mindy Davis, M.Ed., Early Care & Education Director, Smart Start of New Hanover County, email address mindy.davis@newhanoverkids.org, telephone number 910-815-3731 ext. 1010, to arrange for training that addresses strategies for the supervision of children, including typical behaviors for the ages and developmental stages of children in care and appropriate supervision strategies for the developmental stages of a child’s growth. In addition, Ms. Ray shall contact Ms. Davis during the same timeframe to arrange for training that will address effective communication and professionalism. No children shall be in care during these trainings. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, with responsibility for caring for children shall participate in the mandatory trainings. Documentation of the trainings shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #4: Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled on January 9, 2026. This item is in compliance. 5. Within two (2) weeks after the required training regarding supervision is completed, Ms. Ray shall r revise the facility’s supervision policies and procedures to incorporate strategies learned in the training. The revised policies and procedures should describe, in detail, the steps the facility will take to ensure adequate supervision of children at all times. The policies and procedures shall include, but not be limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one (1) area to another • When children are transitioned from one (1) caregiver to another • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members implementation of the supervision policies and procedures • Procedures for periodic review of the supervision policies and procedures with all staff members, including the review of the policies and procedures in orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members non-compliance with policies and procedures The revised policies and procedures shall be submitted to Allison Davis, Investigations Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 910-800-0079, email Allison.Davis@dhhs.nc.gov, for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation; the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #5: The facility’s revised supervision policies and procedures must be submitted within two weeks of the supervision training being completed. This item is in compliance. 6. Within two (2) weeks after the required training regarding effective communication and professionalism is completed, Ms. Ray shall develop effective communication and professionalism policies and procedures to incorporate strategies learned in the training. The policies and procedures shall describe, in detail, the steps the facility will take to ensure staff’s understanding of effective communication and professionalism. The policies and procedures shall include, but not be limited to, the following: • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with children, other staff members, parents, and other persons who may be present at the facility • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with others while providing care for children off-premises • Unacceptable practices of communication • Strategies for de-escalating potential conflicts and conflict resolution • Steps that will be taken when a verbal or physical altercation occurs at the facility, including contacting law enforcement immediately, protecting the children who are present, and supervising the children that are present if an altercation occurs The policies and procedures shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #6: Effective communication and professionalism policies and procedures must be developed and submitted within two weeks of the required training being completed. This item is in compliance. 7. Within four (4) weeks after this Notice is received, Ms. Ray shall develop a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use. The policy shall include, but not be limited to: • A plan for testing staff members when there are suspicions, concerns, or reports of substance use, including a timeframe for the staff member to submit to a drug test when requested • A requirement that staff members are not allowed to engage in the illegal use of substances or engage in illegal activities at any time, including while off premises and outside of facility work hours • A requirement that illegal substances and/or narcotics, alcohol, tobacco and/or vape pens are not permitted inside the facility or any other locations where enrolled children are in care • A plan for the use and storage of staff members’ personal belongings, including purses, backpacks, or other bags, cell phones, medications, and other possible hazardous items to ensure children do not have access to any hazardous items • Procedures for staff to report any illegal substances found on facility grounds or any impaired staff members to facility administration • Procedures for notifying law enforcement if illegal substances are found on the premises • Consequences for staff members who fail to comply with the facility’s policy • A procedure for regular review of the policy with all staff members including the review of the policy in the orientation of new staff members before they assume child care responsibilities The policy shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policy meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policy shall be immediately implemented, and a copy shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #7: Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. This item in compliance. 8. Within two (2) weeks after this Notice is received, Ms. Ray shall develop a written plan for observation and evaluation of each staff member’s performance while the Probationary License is in effect. The written plan, at a minimum, shall include routine observations of each staff member one (1) time per month while the Probationary License is in effect. The plan shall also include periodic observations after the conclusion of the Probationary License to ensure continual compliance with child care requirements and the facility’s policies/procedures related to supervision of children, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use. The plan shall include, but not be limited to the following: • Individuals who will complete the observations and evaluations with the requirement that observations are conducted by members of management • Development and implementation of a tool to use for the observations that include the date and times of each observation, name and signature of the person observed, signature of the observer, a summary of each observation, areas of noncompliance, and any corrective action taken The written plan shall be submitted to Ms. Davis for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the plan meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the plan shall be immediately implemented, and a copy of the plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. In addition, the observation records for each staff member shall be retained in their personnel file for the duration of their employment at the facility. Item #8: On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. This item is in compliance. 9. Within two (2) weeks after notification from the Division that the stipulations have been met for the policies and procedures regarding supervision, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use, Ms. Ray shall conduct a staff meeting with all staff members to discuss the policies and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #9: Within two weeks of the requirements of the above stipulations being met, Ms. Ray must conduct a staff meeting. This item is in compliance. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09 .1005 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 9/3/2025 Number Present: 49 Completed Date: 9/3/2025 Age: From 0 To 5 Total Minutes: 390 Time In: 08:45 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for an annual compliance visit. Sierra Claytor, Director, assisted us with the visit. The program currently operates with a probationary license issued May 8, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. The last annual compliance visit was completed on September 11, 2024. The last sanitation inspection was completed June 25, 2025, with a “Approved” classification. The last fire inspection was conducted September 24, 2024, and your facility was approved for daytime care only. Prior to the visit the 18-month compliance history score was 86%. The NC Secretary of State website was reviewed today, and The Kiddie Cottage, LLC was listed as current- active. All approved indoor and outdoor spaces were monitored today. Daily schedules and current activity plans were available for review and were being followed. A variety of age-appropriate learning materials was observed in the classroom. Infants in Spaces 3 (orange) had routine care needs met such as napping routines and feedings. Infant feeding schedules and safe sleep checks were monitored and found to be in compliance. Toddlers in space 4 (yellow) and space 5 (blue) ate breakfast that consisted of waffles, mixed fruit, and milk. Adequate handwashing was observed after breakfast. Two-year-old children in Spaces 7 (farm) and 8 (jungle) were observed finishing up from breakfast and transitioning to free play with age appropriate materials and activities. Preschool children in space 10 (space) participated in group circle time before transitioning to outdoor play time. Preschool aged children in space 12 (desert) were observed outside in free play. Activity areas consisted of language, manipulative toys, dramatic play, art, and blocks. Lunch provided for children today and consisted of chicken with cheese quesadillas, corn, mixed fruit, and milk. Today I approved the 2021 Chevrolet Tahoe to be used to transport children after school. We discussed the following child care rules in regard to transportation: 10A NCAC 09 .1001 SEAT AND CHILD SAFETY SEATS IN CHILD CARE CENTERS 10A NCAC 09 .1002 SAFE VEHICLES 10A NCAC 09 .1003 SAFE PROCEDURES 10A NCAC 09 .1004 STAFF/CHILD RATIOS 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS The vehicle was monitored and equipped with a first aid kit and working seatbelts. The children’s emergency information, including identifying information, was observed in a three-ring binder in the office. We reviewed Child Care Rule .1000 – Transportation Standards in detail. A fire extinguisher mounted in the back of the vehicle. Current registration and tags were observed. Emergency information for staff who will be transporting children was observed and the program has developed policies and procedures addressing transporting. Today I was able to confirm that all items listed above were present and the vehicle is now approved for transportation. The following violations were observed today. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. A child's bottle in space 3 (orange) was not labeled with the child's name, and the date. 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The exterior doors in space 3 (orange) and space 12 (desert) are rusting. 15A NCAC 18A .2825(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. The climbing structure on playground 3 is placed over 2-3 inches of mulch rather than the required 6 inches. .0605(j) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Orgel was observed in space 3 (orange) without a permission form from the parent(s). In addition, an epi-pen in space 10 (space) had an emergency action plan but did not have written permission form from the parent(s). 10A NCAC 09 .0803(1)(a & b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic zip lock bags were stored in a low cabinet in space 8 (jungle) rather than a minimum of 5 feet out of reach as required for children under the age of 3. .0604(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan has not been reviewed with all staff. 10A NCAC 09 .0802(a) 1031 Documentation of staff's education, training, and experience was not on file. A staff member who was rehired July 21, 2025, did not have her education, training, and experience completed on her application. .0302(d)(1)(B) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff members hired 6/16/25, 7/21/25, and 7/3/25 have not completed 16 hours of orientation. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff members hired 8/6/25 and 8/11/25 have not completed two weeks of orientation. In addition, a staff member hired 3/21/25 and a staff member hired 4/1/25 who completed their 6 weeks of orientation did not complete six clock hours of training in the required topics within their first two weeks. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Six (6) staff did not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 17, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: Today we discussed the importance of labeling children's bottles with the child's name and date. This helps ensure that the children are being served the appropriate bottles. We discussed administration checking the refrigerators daily to ensure compliance. For licensing, it is required to obtain written parental permission to give prescription and over-the-counter medication. Providers must obtain written permission and instructions for giving OTC and prescription medication from a health care and the child’s parent. Today we discussed administration checking all classroom medication boxes weekly. For the safety of the children, ensure any plastic bags used for storage are kept inaccessible to children under the age of three years old by keeping them at a minimum height of five feet off the floor. Today we discussed administration checking all classrooms weekly for items that may be stowed inappropriately. All medications must be accompanied by written authorizations from parents with complete instructions for administration. Prescription medications must also be in the original container with the pharmacy label attached. Today I suggested that you review medication requirements with staff and periodically check behind them to ensure all requirements are met. Today we discussed administration reviewing medication rules with all staff. Nationally, nearly 70% of playground related injuries are from falls. Fall injuries are the result of two things: 1) The height a child falls from and 2) The material/surface the child falls upon. Provide “soft” resilient surfacing under and around stationary playground equipment. Refer to 10A NCAC 09 .0605(h)(i). Today we discussed adding additional mulch around the climbing structure on playground 3 to ensure the safety of the children in the event of a fall. Each employee's personnel file shall contain an annual staff evaluation and staff development plan. These are to be completed annually. Today we discussed creating a way to track these dates to ensure they are completed within the time frame. Each employee who is expected to have contact with children shall receive six clock hours of training in required topic areas within the first two weeks of employment and 16 hours of on-site orientation within the first six weeks of employment. A list of approved orientation topics and a documentation log along with required timelines can be found on the divisions website at https://ncchildcare.ncdhhs.gov/ under the provider documents tab. Reminders: Today we discussed electrical fans must be covered by a mesh guard or stored 5 feet out of reach. To reduce the spread of germs, blankets for cots/mats may not touch the cot/mat above. Today we discussed storing all blankets in the children's individual cubbies to reduce the spread of germs. Administrative Action Follow-Up: I monitored for compliance with the CAP as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation Item #1: An unannounced visit was conducted on May 30, 2025. No violations were cited. An unannounced visit was conducted on July 10, 2025. No violations were cited. An unannounced visit was conducted on August 25, 2025. No violations were cited. Today multiple violations were observed. 2. Within one (1) week after this Notice is received, Kari Ray, administrator, shall contact Jennifer Garner, Lead Child Care Consultant, telephone number 910-824-1447, email jennifer.j.garner@dhhs.nc.gov, to arrange for a complete review of all child care requirements broken into four (4) training sessions, six (6) point items, five (5) point items, three (3) and four (4) point items, and one (1) and two (2) point items. These rule reviews must be completed before the end of the probationary period. Ms. Ray and all staff members, including full-time, part-time, substitute, and volunteer staff, shall participate in the mandatory trainings. No children shall be in care during the trainings. Documentation of the trainings shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. The documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #2: On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first two trainings sessions were scheduled on August 1, 2025, and October 17, 2025. The training was conducted on August 1, 2025. All staff were present except two individuals. On August 25, 2025, Mr. Grossman contacted Ms. Garner to schedule a make-up session. This item is not in compliance. 3. Within one (1) week after this Notice is received, Ms. Ray shall contact April Lester, Child Care Consultant, PO Box 12948 Wilmington, NC 28405, telephone number 910-824-0954, email april.lester@dhhs.nc.gov, to arrange for a review of child care requirements regarding falsification. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall participate in this mandatory training. During the training, Ms. Lester shall review and discuss a Statement of Understanding acknowledging that all staff have read, understand, and will comply with child care requirements regarding falsification. At the conclusion of the training, staff members shall sign the statements. The original signed statements shall be maintained in each staff member’s personnel file at the child care facility for review by representatives of the Division of Child Development and Early Education upon request. Item #3: On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff except two individuals attended the training on August 1, 2025. The training was recorded on this date. On August 4, 2025, both staff members viewed the video footage and completed the training. This item is in compliance. 4. Within two (2) weeks after this Notice is received, Ms. Ray shall contact Mindy Davis, M.Ed., Early Care & Education Director, Smart Start of New Hanover County, email address mindy.davis@newhanoverkids.org, telephone number 910-815-3731 ext. 1010, to arrange for training that addresses strategies for the supervision of children, including typical behaviors for the ages and developmental stages of children in care and appropriate supervision strategies for the developmental stages of a child’s growth. In addition, Ms. Ray shall contact Ms. Davis during the same timeframe to arrange for training that will address effective communication and professionalism. No children shall be in care during these trainings. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, with responsibility for caring for children shall participate in the mandatory trainings. Documentation of the trainings shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #4: Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled on January 9, 2026. This item is in compliance. 5. Within two (2) weeks after the required training regarding supervision is completed, Ms. Ray shall r revise the facility’s supervision policies and procedures to incorporate strategies learned in the training. The revised policies and procedures should describe, in detail, the steps the facility will take to ensure adequate supervision of children at all times. The policies and procedures shall include, but not be limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one (1) area to another • When children are transitioned from one (1) caregiver to another • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members implementation of the supervision policies and procedures • Procedures for periodic review of the supervision policies and procedures with all staff members, including the review of the policies and procedures in orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members non-compliance with policies and procedures The revised policies and procedures shall be submitted to Allison Davis, Investigations Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 910-800-0079, email Allison.Davis@dhhs.nc.gov, for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation; the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #5: The facility’s revised supervision policies and procedures must be submitted within two weeks of the supervision training being completed. This item is in compliance. 6. Within two (2) weeks after the required training regarding effective communication and professionalism is completed, Ms. Ray shall develop effective communication and professionalism policies and procedures to incorporate strategies learned in the training. The policies and procedures shall describe, in detail, the steps the facility will take to ensure staff’s understanding of effective communication and professionalism. The policies and procedures shall include, but not be limited to, the following: • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with children, other staff members, parents, and other persons who may be present at the facility • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with others while providing care for children off-premises • Unacceptable practices of communication • Strategies for de-escalating potential conflicts and conflict resolution • Steps that will be taken when a verbal or physical altercation occurs at the facility, including contacting law enforcement immediately, protecting the children who are present, and supervising the children that are present if an altercation occurs The policies and procedures shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #6: Effective communication and professionalism policies and procedures must be developed and submitted within two weeks of the required training being completed. This item is in compliance. 7. Within four (4) weeks after this Notice is received, Ms. Ray shall develop a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use. The policy shall include, but not be limited to: • A plan for testing staff members when there are suspicions, concerns, or reports of substance use, including a timeframe for the staff member to submit to a drug test when requested • A requirement that staff members are not allowed to engage in the illegal use of substances or engage in illegal activities at any time, including while off premises and outside of facility work hours • A requirement that illegal substances and/or narcotics, alcohol, tobacco and/or vape pens are not permitted inside the facility or any other locations where enrolled children are in care • A plan for the use and storage of staff members’ personal belongings, including purses, backpacks, or other bags, cell phones, medications, and other possible hazardous items to ensure children do not have access to any hazardous items • Procedures for staff to report any illegal substances found on facility grounds or any impaired staff members to facility administration • Procedures for notifying law enforcement if illegal substances are found on the premises • Consequences for staff members who fail to comply with the facility’s policy • A procedure for regular review of the policy with all staff members including the review of the policy in the orientation of new staff members before they assume child care responsibilities The policy shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policy meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policy shall be immediately implemented, and a copy shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #7: Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. This item in compliance. 8. Within two (2) weeks after this Notice is received, Ms. Ray shall develop a written plan for observation and evaluation of each staff member’s performance while the Probationary License is in effect. The written plan, at a minimum, shall include routine observations of each staff member one (1) time per month while the Probationary License is in effect. The plan shall also include periodic observations after the conclusion of the Probationary License to ensure continual compliance with child care requirements and the facility’s policies/procedures related to supervision of children, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use. The plan shall include, but not be limited to the following: • Individuals who will complete the observations and evaluations with the requirement that observations are conducted by members of management • Development and implementation of a tool to use for the observations that include the date and times of each observation, name and signature of the person observed, signature of the observer, a summary of each observation, areas of noncompliance, and any corrective action taken The written plan shall be submitted to Ms. Davis for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the plan meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the plan shall be immediately implemented, and a copy of the plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. In addition, the observation records for each staff member shall be retained in their personnel file for the duration of their employment at the facility. Item #8: On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. This item is in compliance. 9. Within two (2) weeks after notification from the Division that the stipulations have been met for the policies and procedures regarding supervision, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use, Ms. Ray shall conduct a staff meeting with all staff members to discuss the policies and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #9: Within two weeks of the requirements of the above stipulations being met, Ms. Ray must conduct a staff meeting. This item is in compliance. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09 .1101 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 9/3/2025 Number Present: 49 Completed Date: 9/3/2025 Age: From 0 To 5 Total Minutes: 390 Time In: 08:45 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for an annual compliance visit. Sierra Claytor, Director, assisted us with the visit. The program currently operates with a probationary license issued May 8, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. The last annual compliance visit was completed on September 11, 2024. The last sanitation inspection was completed June 25, 2025, with a “Approved” classification. The last fire inspection was conducted September 24, 2024, and your facility was approved for daytime care only. Prior to the visit the 18-month compliance history score was 86%. The NC Secretary of State website was reviewed today, and The Kiddie Cottage, LLC was listed as current- active. All approved indoor and outdoor spaces were monitored today. Daily schedules and current activity plans were available for review and were being followed. A variety of age-appropriate learning materials was observed in the classroom. Infants in Spaces 3 (orange) had routine care needs met such as napping routines and feedings. Infant feeding schedules and safe sleep checks were monitored and found to be in compliance. Toddlers in space 4 (yellow) and space 5 (blue) ate breakfast that consisted of waffles, mixed fruit, and milk. Adequate handwashing was observed after breakfast. Two-year-old children in Spaces 7 (farm) and 8 (jungle) were observed finishing up from breakfast and transitioning to free play with age appropriate materials and activities. Preschool children in space 10 (space) participated in group circle time before transitioning to outdoor play time. Preschool aged children in space 12 (desert) were observed outside in free play. Activity areas consisted of language, manipulative toys, dramatic play, art, and blocks. Lunch provided for children today and consisted of chicken with cheese quesadillas, corn, mixed fruit, and milk. Today I approved the 2021 Chevrolet Tahoe to be used to transport children after school. We discussed the following child care rules in regard to transportation: 10A NCAC 09 .1001 SEAT AND CHILD SAFETY SEATS IN CHILD CARE CENTERS 10A NCAC 09 .1002 SAFE VEHICLES 10A NCAC 09 .1003 SAFE PROCEDURES 10A NCAC 09 .1004 STAFF/CHILD RATIOS 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS The vehicle was monitored and equipped with a first aid kit and working seatbelts. The children’s emergency information, including identifying information, was observed in a three-ring binder in the office. We reviewed Child Care Rule .1000 – Transportation Standards in detail. A fire extinguisher mounted in the back of the vehicle. Current registration and tags were observed. Emergency information for staff who will be transporting children was observed and the program has developed policies and procedures addressing transporting. Today I was able to confirm that all items listed above were present and the vehicle is now approved for transportation. The following violations were observed today. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. A child's bottle in space 3 (orange) was not labeled with the child's name, and the date. 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The exterior doors in space 3 (orange) and space 12 (desert) are rusting. 15A NCAC 18A .2825(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. The climbing structure on playground 3 is placed over 2-3 inches of mulch rather than the required 6 inches. .0605(j) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Orgel was observed in space 3 (orange) without a permission form from the parent(s). In addition, an epi-pen in space 10 (space) had an emergency action plan but did not have written permission form from the parent(s). 10A NCAC 09 .0803(1)(a & b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic zip lock bags were stored in a low cabinet in space 8 (jungle) rather than a minimum of 5 feet out of reach as required for children under the age of 3. .0604(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan has not been reviewed with all staff. 10A NCAC 09 .0802(a) 1031 Documentation of staff's education, training, and experience was not on file. A staff member who was rehired July 21, 2025, did not have her education, training, and experience completed on her application. .0302(d)(1)(B) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff members hired 6/16/25, 7/21/25, and 7/3/25 have not completed 16 hours of orientation. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff members hired 8/6/25 and 8/11/25 have not completed two weeks of orientation. In addition, a staff member hired 3/21/25 and a staff member hired 4/1/25 who completed their 6 weeks of orientation did not complete six clock hours of training in the required topics within their first two weeks. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Six (6) staff did not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 17, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: Today we discussed the importance of labeling children's bottles with the child's name and date. This helps ensure that the children are being served the appropriate bottles. We discussed administration checking the refrigerators daily to ensure compliance. For licensing, it is required to obtain written parental permission to give prescription and over-the-counter medication. Providers must obtain written permission and instructions for giving OTC and prescription medication from a health care and the child’s parent. Today we discussed administration checking all classroom medication boxes weekly. For the safety of the children, ensure any plastic bags used for storage are kept inaccessible to children under the age of three years old by keeping them at a minimum height of five feet off the floor. Today we discussed administration checking all classrooms weekly for items that may be stowed inappropriately. All medications must be accompanied by written authorizations from parents with complete instructions for administration. Prescription medications must also be in the original container with the pharmacy label attached. Today I suggested that you review medication requirements with staff and periodically check behind them to ensure all requirements are met. Today we discussed administration reviewing medication rules with all staff. Nationally, nearly 70% of playground related injuries are from falls. Fall injuries are the result of two things: 1) The height a child falls from and 2) The material/surface the child falls upon. Provide “soft” resilient surfacing under and around stationary playground equipment. Refer to 10A NCAC 09 .0605(h)(i). Today we discussed adding additional mulch around the climbing structure on playground 3 to ensure the safety of the children in the event of a fall. Each employee's personnel file shall contain an annual staff evaluation and staff development plan. These are to be completed annually. Today we discussed creating a way to track these dates to ensure they are completed within the time frame. Each employee who is expected to have contact with children shall receive six clock hours of training in required topic areas within the first two weeks of employment and 16 hours of on-site orientation within the first six weeks of employment. A list of approved orientation topics and a documentation log along with required timelines can be found on the divisions website at https://ncchildcare.ncdhhs.gov/ under the provider documents tab. Reminders: Today we discussed electrical fans must be covered by a mesh guard or stored 5 feet out of reach. To reduce the spread of germs, blankets for cots/mats may not touch the cot/mat above. Today we discussed storing all blankets in the children's individual cubbies to reduce the spread of germs. Administrative Action Follow-Up: I monitored for compliance with the CAP as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation Item #1: An unannounced visit was conducted on May 30, 2025. No violations were cited. An unannounced visit was conducted on July 10, 2025. No violations were cited. An unannounced visit was conducted on August 25, 2025. No violations were cited. Today multiple violations were observed. 2. Within one (1) week after this Notice is received, Kari Ray, administrator, shall contact Jennifer Garner, Lead Child Care Consultant, telephone number 910-824-1447, email jennifer.j.garner@dhhs.nc.gov, to arrange for a complete review of all child care requirements broken into four (4) training sessions, six (6) point items, five (5) point items, three (3) and four (4) point items, and one (1) and two (2) point items. These rule reviews must be completed before the end of the probationary period. Ms. Ray and all staff members, including full-time, part-time, substitute, and volunteer staff, shall participate in the mandatory trainings. No children shall be in care during the trainings. Documentation of the trainings shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. The documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #2: On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first two trainings sessions were scheduled on August 1, 2025, and October 17, 2025. The training was conducted on August 1, 2025. All staff were present except two individuals. On August 25, 2025, Mr. Grossman contacted Ms. Garner to schedule a make-up session. This item is not in compliance. 3. Within one (1) week after this Notice is received, Ms. Ray shall contact April Lester, Child Care Consultant, PO Box 12948 Wilmington, NC 28405, telephone number 910-824-0954, email april.lester@dhhs.nc.gov, to arrange for a review of child care requirements regarding falsification. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall participate in this mandatory training. During the training, Ms. Lester shall review and discuss a Statement of Understanding acknowledging that all staff have read, understand, and will comply with child care requirements regarding falsification. At the conclusion of the training, staff members shall sign the statements. The original signed statements shall be maintained in each staff member’s personnel file at the child care facility for review by representatives of the Division of Child Development and Early Education upon request. Item #3: On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff except two individuals attended the training on August 1, 2025. The training was recorded on this date. On August 4, 2025, both staff members viewed the video footage and completed the training. This item is in compliance. 4. Within two (2) weeks after this Notice is received, Ms. Ray shall contact Mindy Davis, M.Ed., Early Care & Education Director, Smart Start of New Hanover County, email address mindy.davis@newhanoverkids.org, telephone number 910-815-3731 ext. 1010, to arrange for training that addresses strategies for the supervision of children, including typical behaviors for the ages and developmental stages of children in care and appropriate supervision strategies for the developmental stages of a child’s growth. In addition, Ms. Ray shall contact Ms. Davis during the same timeframe to arrange for training that will address effective communication and professionalism. No children shall be in care during these trainings. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, with responsibility for caring for children shall participate in the mandatory trainings. Documentation of the trainings shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #4: Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled on January 9, 2026. This item is in compliance. 5. Within two (2) weeks after the required training regarding supervision is completed, Ms. Ray shall r revise the facility’s supervision policies and procedures to incorporate strategies learned in the training. The revised policies and procedures should describe, in detail, the steps the facility will take to ensure adequate supervision of children at all times. The policies and procedures shall include, but not be limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one (1) area to another • When children are transitioned from one (1) caregiver to another • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members implementation of the supervision policies and procedures • Procedures for periodic review of the supervision policies and procedures with all staff members, including the review of the policies and procedures in orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members non-compliance with policies and procedures The revised policies and procedures shall be submitted to Allison Davis, Investigations Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 910-800-0079, email Allison.Davis@dhhs.nc.gov, for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation; the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #5: The facility’s revised supervision policies and procedures must be submitted within two weeks of the supervision training being completed. This item is in compliance. 6. Within two (2) weeks after the required training regarding effective communication and professionalism is completed, Ms. Ray shall develop effective communication and professionalism policies and procedures to incorporate strategies learned in the training. The policies and procedures shall describe, in detail, the steps the facility will take to ensure staff’s understanding of effective communication and professionalism. The policies and procedures shall include, but not be limited to, the following: • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with children, other staff members, parents, and other persons who may be present at the facility • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with others while providing care for children off-premises • Unacceptable practices of communication • Strategies for de-escalating potential conflicts and conflict resolution • Steps that will be taken when a verbal or physical altercation occurs at the facility, including contacting law enforcement immediately, protecting the children who are present, and supervising the children that are present if an altercation occurs The policies and procedures shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #6: Effective communication and professionalism policies and procedures must be developed and submitted within two weeks of the required training being completed. This item is in compliance. 7. Within four (4) weeks after this Notice is received, Ms. Ray shall develop a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use. The policy shall include, but not be limited to: • A plan for testing staff members when there are suspicions, concerns, or reports of substance use, including a timeframe for the staff member to submit to a drug test when requested • A requirement that staff members are not allowed to engage in the illegal use of substances or engage in illegal activities at any time, including while off premises and outside of facility work hours • A requirement that illegal substances and/or narcotics, alcohol, tobacco and/or vape pens are not permitted inside the facility or any other locations where enrolled children are in care • A plan for the use and storage of staff members’ personal belongings, including purses, backpacks, or other bags, cell phones, medications, and other possible hazardous items to ensure children do not have access to any hazardous items • Procedures for staff to report any illegal substances found on facility grounds or any impaired staff members to facility administration • Procedures for notifying law enforcement if illegal substances are found on the premises • Consequences for staff members who fail to comply with the facility’s policy • A procedure for regular review of the policy with all staff members including the review of the policy in the orientation of new staff members before they assume child care responsibilities The policy shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policy meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policy shall be immediately implemented, and a copy shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #7: Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. This item in compliance. 8. Within two (2) weeks after this Notice is received, Ms. Ray shall develop a written plan for observation and evaluation of each staff member’s performance while the Probationary License is in effect. The written plan, at a minimum, shall include routine observations of each staff member one (1) time per month while the Probationary License is in effect. The plan shall also include periodic observations after the conclusion of the Probationary License to ensure continual compliance with child care requirements and the facility’s policies/procedures related to supervision of children, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use. The plan shall include, but not be limited to the following: • Individuals who will complete the observations and evaluations with the requirement that observations are conducted by members of management • Development and implementation of a tool to use for the observations that include the date and times of each observation, name and signature of the person observed, signature of the observer, a summary of each observation, areas of noncompliance, and any corrective action taken The written plan shall be submitted to Ms. Davis for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the plan meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the plan shall be immediately implemented, and a copy of the plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. In addition, the observation records for each staff member shall be retained in their personnel file for the duration of their employment at the facility. Item #8: On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. This item is in compliance. 9. Within two (2) weeks after notification from the Division that the stipulations have been met for the policies and procedures regarding supervision, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use, Ms. Ray shall conduct a staff meeting with all staff members to discuss the policies and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #9: Within two weeks of the requirements of the above stipulations being met, Ms. Ray must conduct a staff meeting. This item is in compliance. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09 .1102 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 9/3/2025 Number Present: 49 Completed Date: 9/3/2025 Age: From 0 To 5 Total Minutes: 390 Time In: 08:45 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for an annual compliance visit. Sierra Claytor, Director, assisted us with the visit. The program currently operates with a probationary license issued May 8, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. The last annual compliance visit was completed on September 11, 2024. The last sanitation inspection was completed June 25, 2025, with a “Approved” classification. The last fire inspection was conducted September 24, 2024, and your facility was approved for daytime care only. Prior to the visit the 18-month compliance history score was 86%. The NC Secretary of State website was reviewed today, and The Kiddie Cottage, LLC was listed as current- active. All approved indoor and outdoor spaces were monitored today. Daily schedules and current activity plans were available for review and were being followed. A variety of age-appropriate learning materials was observed in the classroom. Infants in Spaces 3 (orange) had routine care needs met such as napping routines and feedings. Infant feeding schedules and safe sleep checks were monitored and found to be in compliance. Toddlers in space 4 (yellow) and space 5 (blue) ate breakfast that consisted of waffles, mixed fruit, and milk. Adequate handwashing was observed after breakfast. Two-year-old children in Spaces 7 (farm) and 8 (jungle) were observed finishing up from breakfast and transitioning to free play with age appropriate materials and activities. Preschool children in space 10 (space) participated in group circle time before transitioning to outdoor play time. Preschool aged children in space 12 (desert) were observed outside in free play. Activity areas consisted of language, manipulative toys, dramatic play, art, and blocks. Lunch provided for children today and consisted of chicken with cheese quesadillas, corn, mixed fruit, and milk. Today I approved the 2021 Chevrolet Tahoe to be used to transport children after school. We discussed the following child care rules in regard to transportation: 10A NCAC 09 .1001 SEAT AND CHILD SAFETY SEATS IN CHILD CARE CENTERS 10A NCAC 09 .1002 SAFE VEHICLES 10A NCAC 09 .1003 SAFE PROCEDURES 10A NCAC 09 .1004 STAFF/CHILD RATIOS 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS The vehicle was monitored and equipped with a first aid kit and working seatbelts. The children’s emergency information, including identifying information, was observed in a three-ring binder in the office. We reviewed Child Care Rule .1000 – Transportation Standards in detail. A fire extinguisher mounted in the back of the vehicle. Current registration and tags were observed. Emergency information for staff who will be transporting children was observed and the program has developed policies and procedures addressing transporting. Today I was able to confirm that all items listed above were present and the vehicle is now approved for transportation. The following violations were observed today. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. A child's bottle in space 3 (orange) was not labeled with the child's name, and the date. 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The exterior doors in space 3 (orange) and space 12 (desert) are rusting. 15A NCAC 18A .2825(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. The climbing structure on playground 3 is placed over 2-3 inches of mulch rather than the required 6 inches. .0605(j) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Orgel was observed in space 3 (orange) without a permission form from the parent(s). In addition, an epi-pen in space 10 (space) had an emergency action plan but did not have written permission form from the parent(s). 10A NCAC 09 .0803(1)(a & b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic zip lock bags were stored in a low cabinet in space 8 (jungle) rather than a minimum of 5 feet out of reach as required for children under the age of 3. .0604(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan has not been reviewed with all staff. 10A NCAC 09 .0802(a) 1031 Documentation of staff's education, training, and experience was not on file. A staff member who was rehired July 21, 2025, did not have her education, training, and experience completed on her application. .0302(d)(1)(B) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff members hired 6/16/25, 7/21/25, and 7/3/25 have not completed 16 hours of orientation. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff members hired 8/6/25 and 8/11/25 have not completed two weeks of orientation. In addition, a staff member hired 3/21/25 and a staff member hired 4/1/25 who completed their 6 weeks of orientation did not complete six clock hours of training in the required topics within their first two weeks. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Six (6) staff did not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 17, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: Today we discussed the importance of labeling children's bottles with the child's name and date. This helps ensure that the children are being served the appropriate bottles. We discussed administration checking the refrigerators daily to ensure compliance. For licensing, it is required to obtain written parental permission to give prescription and over-the-counter medication. Providers must obtain written permission and instructions for giving OTC and prescription medication from a health care and the child’s parent. Today we discussed administration checking all classroom medication boxes weekly. For the safety of the children, ensure any plastic bags used for storage are kept inaccessible to children under the age of three years old by keeping them at a minimum height of five feet off the floor. Today we discussed administration checking all classrooms weekly for items that may be stowed inappropriately. All medications must be accompanied by written authorizations from parents with complete instructions for administration. Prescription medications must also be in the original container with the pharmacy label attached. Today I suggested that you review medication requirements with staff and periodically check behind them to ensure all requirements are met. Today we discussed administration reviewing medication rules with all staff. Nationally, nearly 70% of playground related injuries are from falls. Fall injuries are the result of two things: 1) The height a child falls from and 2) The material/surface the child falls upon. Provide “soft” resilient surfacing under and around stationary playground equipment. Refer to 10A NCAC 09 .0605(h)(i). Today we discussed adding additional mulch around the climbing structure on playground 3 to ensure the safety of the children in the event of a fall. Each employee's personnel file shall contain an annual staff evaluation and staff development plan. These are to be completed annually. Today we discussed creating a way to track these dates to ensure they are completed within the time frame. Each employee who is expected to have contact with children shall receive six clock hours of training in required topic areas within the first two weeks of employment and 16 hours of on-site orientation within the first six weeks of employment. A list of approved orientation topics and a documentation log along with required timelines can be found on the divisions website at https://ncchildcare.ncdhhs.gov/ under the provider documents tab. Reminders: Today we discussed electrical fans must be covered by a mesh guard or stored 5 feet out of reach. To reduce the spread of germs, blankets for cots/mats may not touch the cot/mat above. Today we discussed storing all blankets in the children's individual cubbies to reduce the spread of germs. Administrative Action Follow-Up: I monitored for compliance with the CAP as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation Item #1: An unannounced visit was conducted on May 30, 2025. No violations were cited. An unannounced visit was conducted on July 10, 2025. No violations were cited. An unannounced visit was conducted on August 25, 2025. No violations were cited. Today multiple violations were observed. 2. Within one (1) week after this Notice is received, Kari Ray, administrator, shall contact Jennifer Garner, Lead Child Care Consultant, telephone number 910-824-1447, email jennifer.j.garner@dhhs.nc.gov, to arrange for a complete review of all child care requirements broken into four (4) training sessions, six (6) point items, five (5) point items, three (3) and four (4) point items, and one (1) and two (2) point items. These rule reviews must be completed before the end of the probationary period. Ms. Ray and all staff members, including full-time, part-time, substitute, and volunteer staff, shall participate in the mandatory trainings. No children shall be in care during the trainings. Documentation of the trainings shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. The documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #2: On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first two trainings sessions were scheduled on August 1, 2025, and October 17, 2025. The training was conducted on August 1, 2025. All staff were present except two individuals. On August 25, 2025, Mr. Grossman contacted Ms. Garner to schedule a make-up session. This item is not in compliance. 3. Within one (1) week after this Notice is received, Ms. Ray shall contact April Lester, Child Care Consultant, PO Box 12948 Wilmington, NC 28405, telephone number 910-824-0954, email april.lester@dhhs.nc.gov, to arrange for a review of child care requirements regarding falsification. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall participate in this mandatory training. During the training, Ms. Lester shall review and discuss a Statement of Understanding acknowledging that all staff have read, understand, and will comply with child care requirements regarding falsification. At the conclusion of the training, staff members shall sign the statements. The original signed statements shall be maintained in each staff member’s personnel file at the child care facility for review by representatives of the Division of Child Development and Early Education upon request. Item #3: On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff except two individuals attended the training on August 1, 2025. The training was recorded on this date. On August 4, 2025, both staff members viewed the video footage and completed the training. This item is in compliance. 4. Within two (2) weeks after this Notice is received, Ms. Ray shall contact Mindy Davis, M.Ed., Early Care & Education Director, Smart Start of New Hanover County, email address mindy.davis@newhanoverkids.org, telephone number 910-815-3731 ext. 1010, to arrange for training that addresses strategies for the supervision of children, including typical behaviors for the ages and developmental stages of children in care and appropriate supervision strategies for the developmental stages of a child’s growth. In addition, Ms. Ray shall contact Ms. Davis during the same timeframe to arrange for training that will address effective communication and professionalism. No children shall be in care during these trainings. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, with responsibility for caring for children shall participate in the mandatory trainings. Documentation of the trainings shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #4: Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled on January 9, 2026. This item is in compliance. 5. Within two (2) weeks after the required training regarding supervision is completed, Ms. Ray shall r revise the facility’s supervision policies and procedures to incorporate strategies learned in the training. The revised policies and procedures should describe, in detail, the steps the facility will take to ensure adequate supervision of children at all times. The policies and procedures shall include, but not be limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one (1) area to another • When children are transitioned from one (1) caregiver to another • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members implementation of the supervision policies and procedures • Procedures for periodic review of the supervision policies and procedures with all staff members, including the review of the policies and procedures in orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members non-compliance with policies and procedures The revised policies and procedures shall be submitted to Allison Davis, Investigations Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 910-800-0079, email Allison.Davis@dhhs.nc.gov, for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation; the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #5: The facility’s revised supervision policies and procedures must be submitted within two weeks of the supervision training being completed. This item is in compliance. 6. Within two (2) weeks after the required training regarding effective communication and professionalism is completed, Ms. Ray shall develop effective communication and professionalism policies and procedures to incorporate strategies learned in the training. The policies and procedures shall describe, in detail, the steps the facility will take to ensure staff’s understanding of effective communication and professionalism. The policies and procedures shall include, but not be limited to, the following: • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with children, other staff members, parents, and other persons who may be present at the facility • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with others while providing care for children off-premises • Unacceptable practices of communication • Strategies for de-escalating potential conflicts and conflict resolution • Steps that will be taken when a verbal or physical altercation occurs at the facility, including contacting law enforcement immediately, protecting the children who are present, and supervising the children that are present if an altercation occurs The policies and procedures shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #6: Effective communication and professionalism policies and procedures must be developed and submitted within two weeks of the required training being completed. This item is in compliance. 7. Within four (4) weeks after this Notice is received, Ms. Ray shall develop a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use. The policy shall include, but not be limited to: • A plan for testing staff members when there are suspicions, concerns, or reports of substance use, including a timeframe for the staff member to submit to a drug test when requested • A requirement that staff members are not allowed to engage in the illegal use of substances or engage in illegal activities at any time, including while off premises and outside of facility work hours • A requirement that illegal substances and/or narcotics, alcohol, tobacco and/or vape pens are not permitted inside the facility or any other locations where enrolled children are in care • A plan for the use and storage of staff members’ personal belongings, including purses, backpacks, or other bags, cell phones, medications, and other possible hazardous items to ensure children do not have access to any hazardous items • Procedures for staff to report any illegal substances found on facility grounds or any impaired staff members to facility administration • Procedures for notifying law enforcement if illegal substances are found on the premises • Consequences for staff members who fail to comply with the facility’s policy • A procedure for regular review of the policy with all staff members including the review of the policy in the orientation of new staff members before they assume child care responsibilities The policy shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policy meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policy shall be immediately implemented, and a copy shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #7: Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. This item in compliance. 8. Within two (2) weeks after this Notice is received, Ms. Ray shall develop a written plan for observation and evaluation of each staff member’s performance while the Probationary License is in effect. The written plan, at a minimum, shall include routine observations of each staff member one (1) time per month while the Probationary License is in effect. The plan shall also include periodic observations after the conclusion of the Probationary License to ensure continual compliance with child care requirements and the facility’s policies/procedures related to supervision of children, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use. The plan shall include, but not be limited to the following: • Individuals who will complete the observations and evaluations with the requirement that observations are conducted by members of management • Development and implementation of a tool to use for the observations that include the date and times of each observation, name and signature of the person observed, signature of the observer, a summary of each observation, areas of noncompliance, and any corrective action taken The written plan shall be submitted to Ms. Davis for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the plan meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the plan shall be immediately implemented, and a copy of the plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. In addition, the observation records for each staff member shall be retained in their personnel file for the duration of their employment at the facility. Item #8: On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. This item is in compliance. 9. Within two (2) weeks after notification from the Division that the stipulations have been met for the policies and procedures regarding supervision, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use, Ms. Ray shall conduct a staff meeting with all staff members to discuss the policies and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #9: Within two weeks of the requirements of the above stipulations being met, Ms. Ray must conduct a staff meeting. This item is in compliance. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09 .1801 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 9/3/2025 Number Present: 49 Completed Date: 9/3/2025 Age: From 0 To 5 Total Minutes: 390 Time In: 08:45 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for an annual compliance visit. Sierra Claytor, Director, assisted us with the visit. The program currently operates with a probationary license issued May 8, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. The last annual compliance visit was completed on September 11, 2024. The last sanitation inspection was completed June 25, 2025, with a “Approved” classification. The last fire inspection was conducted September 24, 2024, and your facility was approved for daytime care only. Prior to the visit the 18-month compliance history score was 86%. The NC Secretary of State website was reviewed today, and The Kiddie Cottage, LLC was listed as current- active. All approved indoor and outdoor spaces were monitored today. Daily schedules and current activity plans were available for review and were being followed. A variety of age-appropriate learning materials was observed in the classroom. Infants in Spaces 3 (orange) had routine care needs met such as napping routines and feedings. Infant feeding schedules and safe sleep checks were monitored and found to be in compliance. Toddlers in space 4 (yellow) and space 5 (blue) ate breakfast that consisted of waffles, mixed fruit, and milk. Adequate handwashing was observed after breakfast. Two-year-old children in Spaces 7 (farm) and 8 (jungle) were observed finishing up from breakfast and transitioning to free play with age appropriate materials and activities. Preschool children in space 10 (space) participated in group circle time before transitioning to outdoor play time. Preschool aged children in space 12 (desert) were observed outside in free play. Activity areas consisted of language, manipulative toys, dramatic play, art, and blocks. Lunch provided for children today and consisted of chicken with cheese quesadillas, corn, mixed fruit, and milk. Today I approved the 2021 Chevrolet Tahoe to be used to transport children after school. We discussed the following child care rules in regard to transportation: 10A NCAC 09 .1001 SEAT AND CHILD SAFETY SEATS IN CHILD CARE CENTERS 10A NCAC 09 .1002 SAFE VEHICLES 10A NCAC 09 .1003 SAFE PROCEDURES 10A NCAC 09 .1004 STAFF/CHILD RATIOS 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS The vehicle was monitored and equipped with a first aid kit and working seatbelts. The children’s emergency information, including identifying information, was observed in a three-ring binder in the office. We reviewed Child Care Rule .1000 – Transportation Standards in detail. A fire extinguisher mounted in the back of the vehicle. Current registration and tags were observed. Emergency information for staff who will be transporting children was observed and the program has developed policies and procedures addressing transporting. Today I was able to confirm that all items listed above were present and the vehicle is now approved for transportation. The following violations were observed today. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. A child's bottle in space 3 (orange) was not labeled with the child's name, and the date. 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The exterior doors in space 3 (orange) and space 12 (desert) are rusting. 15A NCAC 18A .2825(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. The climbing structure on playground 3 is placed over 2-3 inches of mulch rather than the required 6 inches. .0605(j) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Orgel was observed in space 3 (orange) without a permission form from the parent(s). In addition, an epi-pen in space 10 (space) had an emergency action plan but did not have written permission form from the parent(s). 10A NCAC 09 .0803(1)(a & b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic zip lock bags were stored in a low cabinet in space 8 (jungle) rather than a minimum of 5 feet out of reach as required for children under the age of 3. .0604(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan has not been reviewed with all staff. 10A NCAC 09 .0802(a) 1031 Documentation of staff's education, training, and experience was not on file. A staff member who was rehired July 21, 2025, did not have her education, training, and experience completed on her application. .0302(d)(1)(B) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff members hired 6/16/25, 7/21/25, and 7/3/25 have not completed 16 hours of orientation. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff members hired 8/6/25 and 8/11/25 have not completed two weeks of orientation. In addition, a staff member hired 3/21/25 and a staff member hired 4/1/25 who completed their 6 weeks of orientation did not complete six clock hours of training in the required topics within their first two weeks. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Six (6) staff did not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 17, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: Today we discussed the importance of labeling children's bottles with the child's name and date. This helps ensure that the children are being served the appropriate bottles. We discussed administration checking the refrigerators daily to ensure compliance. For licensing, it is required to obtain written parental permission to give prescription and over-the-counter medication. Providers must obtain written permission and instructions for giving OTC and prescription medication from a health care and the child’s parent. Today we discussed administration checking all classroom medication boxes weekly. For the safety of the children, ensure any plastic bags used for storage are kept inaccessible to children under the age of three years old by keeping them at a minimum height of five feet off the floor. Today we discussed administration checking all classrooms weekly for items that may be stowed inappropriately. All medications must be accompanied by written authorizations from parents with complete instructions for administration. Prescription medications must also be in the original container with the pharmacy label attached. Today I suggested that you review medication requirements with staff and periodically check behind them to ensure all requirements are met. Today we discussed administration reviewing medication rules with all staff. Nationally, nearly 70% of playground related injuries are from falls. Fall injuries are the result of two things: 1) The height a child falls from and 2) The material/surface the child falls upon. Provide “soft” resilient surfacing under and around stationary playground equipment. Refer to 10A NCAC 09 .0605(h)(i). Today we discussed adding additional mulch around the climbing structure on playground 3 to ensure the safety of the children in the event of a fall. Each employee's personnel file shall contain an annual staff evaluation and staff development plan. These are to be completed annually. Today we discussed creating a way to track these dates to ensure they are completed within the time frame. Each employee who is expected to have contact with children shall receive six clock hours of training in required topic areas within the first two weeks of employment and 16 hours of on-site orientation within the first six weeks of employment. A list of approved orientation topics and a documentation log along with required timelines can be found on the divisions website at https://ncchildcare.ncdhhs.gov/ under the provider documents tab. Reminders: Today we discussed electrical fans must be covered by a mesh guard or stored 5 feet out of reach. To reduce the spread of germs, blankets for cots/mats may not touch the cot/mat above. Today we discussed storing all blankets in the children's individual cubbies to reduce the spread of germs. Administrative Action Follow-Up: I monitored for compliance with the CAP as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation Item #1: An unannounced visit was conducted on May 30, 2025. No violations were cited. An unannounced visit was conducted on July 10, 2025. No violations were cited. An unannounced visit was conducted on August 25, 2025. No violations were cited. Today multiple violations were observed. 2. Within one (1) week after this Notice is received, Kari Ray, administrator, shall contact Jennifer Garner, Lead Child Care Consultant, telephone number 910-824-1447, email jennifer.j.garner@dhhs.nc.gov, to arrange for a complete review of all child care requirements broken into four (4) training sessions, six (6) point items, five (5) point items, three (3) and four (4) point items, and one (1) and two (2) point items. These rule reviews must be completed before the end of the probationary period. Ms. Ray and all staff members, including full-time, part-time, substitute, and volunteer staff, shall participate in the mandatory trainings. No children shall be in care during the trainings. Documentation of the trainings shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. The documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #2: On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first two trainings sessions were scheduled on August 1, 2025, and October 17, 2025. The training was conducted on August 1, 2025. All staff were present except two individuals. On August 25, 2025, Mr. Grossman contacted Ms. Garner to schedule a make-up session. This item is not in compliance. 3. Within one (1) week after this Notice is received, Ms. Ray shall contact April Lester, Child Care Consultant, PO Box 12948 Wilmington, NC 28405, telephone number 910-824-0954, email april.lester@dhhs.nc.gov, to arrange for a review of child care requirements regarding falsification. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall participate in this mandatory training. During the training, Ms. Lester shall review and discuss a Statement of Understanding acknowledging that all staff have read, understand, and will comply with child care requirements regarding falsification. At the conclusion of the training, staff members shall sign the statements. The original signed statements shall be maintained in each staff member’s personnel file at the child care facility for review by representatives of the Division of Child Development and Early Education upon request. Item #3: On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff except two individuals attended the training on August 1, 2025. The training was recorded on this date. On August 4, 2025, both staff members viewed the video footage and completed the training. This item is in compliance. 4. Within two (2) weeks after this Notice is received, Ms. Ray shall contact Mindy Davis, M.Ed., Early Care & Education Director, Smart Start of New Hanover County, email address mindy.davis@newhanoverkids.org, telephone number 910-815-3731 ext. 1010, to arrange for training that addresses strategies for the supervision of children, including typical behaviors for the ages and developmental stages of children in care and appropriate supervision strategies for the developmental stages of a child’s growth. In addition, Ms. Ray shall contact Ms. Davis during the same timeframe to arrange for training that will address effective communication and professionalism. No children shall be in care during these trainings. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, with responsibility for caring for children shall participate in the mandatory trainings. Documentation of the trainings shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #4: Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled on January 9, 2026. This item is in compliance. 5. Within two (2) weeks after the required training regarding supervision is completed, Ms. Ray shall r revise the facility’s supervision policies and procedures to incorporate strategies learned in the training. The revised policies and procedures should describe, in detail, the steps the facility will take to ensure adequate supervision of children at all times. The policies and procedures shall include, but not be limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one (1) area to another • When children are transitioned from one (1) caregiver to another • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members implementation of the supervision policies and procedures • Procedures for periodic review of the supervision policies and procedures with all staff members, including the review of the policies and procedures in orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members non-compliance with policies and procedures The revised policies and procedures shall be submitted to Allison Davis, Investigations Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 910-800-0079, email Allison.Davis@dhhs.nc.gov, for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation; the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #5: The facility’s revised supervision policies and procedures must be submitted within two weeks of the supervision training being completed. This item is in compliance. 6. Within two (2) weeks after the required training regarding effective communication and professionalism is completed, Ms. Ray shall develop effective communication and professionalism policies and procedures to incorporate strategies learned in the training. The policies and procedures shall describe, in detail, the steps the facility will take to ensure staff’s understanding of effective communication and professionalism. The policies and procedures shall include, but not be limited to, the following: • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with children, other staff members, parents, and other persons who may be present at the facility • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with others while providing care for children off-premises • Unacceptable practices of communication • Strategies for de-escalating potential conflicts and conflict resolution • Steps that will be taken when a verbal or physical altercation occurs at the facility, including contacting law enforcement immediately, protecting the children who are present, and supervising the children that are present if an altercation occurs The policies and procedures shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #6: Effective communication and professionalism policies and procedures must be developed and submitted within two weeks of the required training being completed. This item is in compliance. 7. Within four (4) weeks after this Notice is received, Ms. Ray shall develop a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use. The policy shall include, but not be limited to: • A plan for testing staff members when there are suspicions, concerns, or reports of substance use, including a timeframe for the staff member to submit to a drug test when requested • A requirement that staff members are not allowed to engage in the illegal use of substances or engage in illegal activities at any time, including while off premises and outside of facility work hours • A requirement that illegal substances and/or narcotics, alcohol, tobacco and/or vape pens are not permitted inside the facility or any other locations where enrolled children are in care • A plan for the use and storage of staff members’ personal belongings, including purses, backpacks, or other bags, cell phones, medications, and other possible hazardous items to ensure children do not have access to any hazardous items • Procedures for staff to report any illegal substances found on facility grounds or any impaired staff members to facility administration • Procedures for notifying law enforcement if illegal substances are found on the premises • Consequences for staff members who fail to comply with the facility’s policy • A procedure for regular review of the policy with all staff members including the review of the policy in the orientation of new staff members before they assume child care responsibilities The policy shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policy meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policy shall be immediately implemented, and a copy shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #7: Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. This item in compliance. 8. Within two (2) weeks after this Notice is received, Ms. Ray shall develop a written plan for observation and evaluation of each staff member’s performance while the Probationary License is in effect. The written plan, at a minimum, shall include routine observations of each staff member one (1) time per month while the Probationary License is in effect. The plan shall also include periodic observations after the conclusion of the Probationary License to ensure continual compliance with child care requirements and the facility’s policies/procedures related to supervision of children, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use. The plan shall include, but not be limited to the following: • Individuals who will complete the observations and evaluations with the requirement that observations are conducted by members of management • Development and implementation of a tool to use for the observations that include the date and times of each observation, name and signature of the person observed, signature of the observer, a summary of each observation, areas of noncompliance, and any corrective action taken The written plan shall be submitted to Ms. Davis for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the plan meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the plan shall be immediately implemented, and a copy of the plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. In addition, the observation records for each staff member shall be retained in their personnel file for the duration of their employment at the facility. Item #8: On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. This item is in compliance. 9. Within two (2) weeks after notification from the Division that the stipulations have been met for the policies and procedures regarding supervision, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use, Ms. Ray shall conduct a staff meeting with all staff members to discuss the policies and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #9: Within two weeks of the requirements of the above stipulations being met, Ms. Ray must conduct a staff meeting. This item is in compliance. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09 .1803 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 9/3/2025 Number Present: 49 Completed Date: 9/3/2025 Age: From 0 To 5 Total Minutes: 390 Time In: 08:45 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for an annual compliance visit. Sierra Claytor, Director, assisted us with the visit. The program currently operates with a probationary license issued May 8, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. The last annual compliance visit was completed on September 11, 2024. The last sanitation inspection was completed June 25, 2025, with a “Approved” classification. The last fire inspection was conducted September 24, 2024, and your facility was approved for daytime care only. Prior to the visit the 18-month compliance history score was 86%. The NC Secretary of State website was reviewed today, and The Kiddie Cottage, LLC was listed as current- active. All approved indoor and outdoor spaces were monitored today. Daily schedules and current activity plans were available for review and were being followed. A variety of age-appropriate learning materials was observed in the classroom. Infants in Spaces 3 (orange) had routine care needs met such as napping routines and feedings. Infant feeding schedules and safe sleep checks were monitored and found to be in compliance. Toddlers in space 4 (yellow) and space 5 (blue) ate breakfast that consisted of waffles, mixed fruit, and milk. Adequate handwashing was observed after breakfast. Two-year-old children in Spaces 7 (farm) and 8 (jungle) were observed finishing up from breakfast and transitioning to free play with age appropriate materials and activities. Preschool children in space 10 (space) participated in group circle time before transitioning to outdoor play time. Preschool aged children in space 12 (desert) were observed outside in free play. Activity areas consisted of language, manipulative toys, dramatic play, art, and blocks. Lunch provided for children today and consisted of chicken with cheese quesadillas, corn, mixed fruit, and milk. Today I approved the 2021 Chevrolet Tahoe to be used to transport children after school. We discussed the following child care rules in regard to transportation: 10A NCAC 09 .1001 SEAT AND CHILD SAFETY SEATS IN CHILD CARE CENTERS 10A NCAC 09 .1002 SAFE VEHICLES 10A NCAC 09 .1003 SAFE PROCEDURES 10A NCAC 09 .1004 STAFF/CHILD RATIOS 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS The vehicle was monitored and equipped with a first aid kit and working seatbelts. The children’s emergency information, including identifying information, was observed in a three-ring binder in the office. We reviewed Child Care Rule .1000 – Transportation Standards in detail. A fire extinguisher mounted in the back of the vehicle. Current registration and tags were observed. Emergency information for staff who will be transporting children was observed and the program has developed policies and procedures addressing transporting. Today I was able to confirm that all items listed above were present and the vehicle is now approved for transportation. The following violations were observed today. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. A child's bottle in space 3 (orange) was not labeled with the child's name, and the date. 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The exterior doors in space 3 (orange) and space 12 (desert) are rusting. 15A NCAC 18A .2825(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. The climbing structure on playground 3 is placed over 2-3 inches of mulch rather than the required 6 inches. .0605(j) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Orgel was observed in space 3 (orange) without a permission form from the parent(s). In addition, an epi-pen in space 10 (space) had an emergency action plan but did not have written permission form from the parent(s). 10A NCAC 09 .0803(1)(a & b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic zip lock bags were stored in a low cabinet in space 8 (jungle) rather than a minimum of 5 feet out of reach as required for children under the age of 3. .0604(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan has not been reviewed with all staff. 10A NCAC 09 .0802(a) 1031 Documentation of staff's education, training, and experience was not on file. A staff member who was rehired July 21, 2025, did not have her education, training, and experience completed on her application. .0302(d)(1)(B) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff members hired 6/16/25, 7/21/25, and 7/3/25 have not completed 16 hours of orientation. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff members hired 8/6/25 and 8/11/25 have not completed two weeks of orientation. In addition, a staff member hired 3/21/25 and a staff member hired 4/1/25 who completed their 6 weeks of orientation did not complete six clock hours of training in the required topics within their first two weeks. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Six (6) staff did not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 17, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: Today we discussed the importance of labeling children's bottles with the child's name and date. This helps ensure that the children are being served the appropriate bottles. We discussed administration checking the refrigerators daily to ensure compliance. For licensing, it is required to obtain written parental permission to give prescription and over-the-counter medication. Providers must obtain written permission and instructions for giving OTC and prescription medication from a health care and the child’s parent. Today we discussed administration checking all classroom medication boxes weekly. For the safety of the children, ensure any plastic bags used for storage are kept inaccessible to children under the age of three years old by keeping them at a minimum height of five feet off the floor. Today we discussed administration checking all classrooms weekly for items that may be stowed inappropriately. All medications must be accompanied by written authorizations from parents with complete instructions for administration. Prescription medications must also be in the original container with the pharmacy label attached. Today I suggested that you review medication requirements with staff and periodically check behind them to ensure all requirements are met. Today we discussed administration reviewing medication rules with all staff. Nationally, nearly 70% of playground related injuries are from falls. Fall injuries are the result of two things: 1) The height a child falls from and 2) The material/surface the child falls upon. Provide “soft” resilient surfacing under and around stationary playground equipment. Refer to 10A NCAC 09 .0605(h)(i). Today we discussed adding additional mulch around the climbing structure on playground 3 to ensure the safety of the children in the event of a fall. Each employee's personnel file shall contain an annual staff evaluation and staff development plan. These are to be completed annually. Today we discussed creating a way to track these dates to ensure they are completed within the time frame. Each employee who is expected to have contact with children shall receive six clock hours of training in required topic areas within the first two weeks of employment and 16 hours of on-site orientation within the first six weeks of employment. A list of approved orientation topics and a documentation log along with required timelines can be found on the divisions website at https://ncchildcare.ncdhhs.gov/ under the provider documents tab. Reminders: Today we discussed electrical fans must be covered by a mesh guard or stored 5 feet out of reach. To reduce the spread of germs, blankets for cots/mats may not touch the cot/mat above. Today we discussed storing all blankets in the children's individual cubbies to reduce the spread of germs. Administrative Action Follow-Up: I monitored for compliance with the CAP as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation Item #1: An unannounced visit was conducted on May 30, 2025. No violations were cited. An unannounced visit was conducted on July 10, 2025. No violations were cited. An unannounced visit was conducted on August 25, 2025. No violations were cited. Today multiple violations were observed. 2. Within one (1) week after this Notice is received, Kari Ray, administrator, shall contact Jennifer Garner, Lead Child Care Consultant, telephone number 910-824-1447, email jennifer.j.garner@dhhs.nc.gov, to arrange for a complete review of all child care requirements broken into four (4) training sessions, six (6) point items, five (5) point items, three (3) and four (4) point items, and one (1) and two (2) point items. These rule reviews must be completed before the end of the probationary period. Ms. Ray and all staff members, including full-time, part-time, substitute, and volunteer staff, shall participate in the mandatory trainings. No children shall be in care during the trainings. Documentation of the trainings shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. The documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #2: On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first two trainings sessions were scheduled on August 1, 2025, and October 17, 2025. The training was conducted on August 1, 2025. All staff were present except two individuals. On August 25, 2025, Mr. Grossman contacted Ms. Garner to schedule a make-up session. This item is not in compliance. 3. Within one (1) week after this Notice is received, Ms. Ray shall contact April Lester, Child Care Consultant, PO Box 12948 Wilmington, NC 28405, telephone number 910-824-0954, email april.lester@dhhs.nc.gov, to arrange for a review of child care requirements regarding falsification. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall participate in this mandatory training. During the training, Ms. Lester shall review and discuss a Statement of Understanding acknowledging that all staff have read, understand, and will comply with child care requirements regarding falsification. At the conclusion of the training, staff members shall sign the statements. The original signed statements shall be maintained in each staff member’s personnel file at the child care facility for review by representatives of the Division of Child Development and Early Education upon request. Item #3: On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff except two individuals attended the training on August 1, 2025. The training was recorded on this date. On August 4, 2025, both staff members viewed the video footage and completed the training. This item is in compliance. 4. Within two (2) weeks after this Notice is received, Ms. Ray shall contact Mindy Davis, M.Ed., Early Care & Education Director, Smart Start of New Hanover County, email address mindy.davis@newhanoverkids.org, telephone number 910-815-3731 ext. 1010, to arrange for training that addresses strategies for the supervision of children, including typical behaviors for the ages and developmental stages of children in care and appropriate supervision strategies for the developmental stages of a child’s growth. In addition, Ms. Ray shall contact Ms. Davis during the same timeframe to arrange for training that will address effective communication and professionalism. No children shall be in care during these trainings. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, with responsibility for caring for children shall participate in the mandatory trainings. Documentation of the trainings shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #4: Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled on January 9, 2026. This item is in compliance. 5. Within two (2) weeks after the required training regarding supervision is completed, Ms. Ray shall r revise the facility’s supervision policies and procedures to incorporate strategies learned in the training. The revised policies and procedures should describe, in detail, the steps the facility will take to ensure adequate supervision of children at all times. The policies and procedures shall include, but not be limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one (1) area to another • When children are transitioned from one (1) caregiver to another • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members implementation of the supervision policies and procedures • Procedures for periodic review of the supervision policies and procedures with all staff members, including the review of the policies and procedures in orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members non-compliance with policies and procedures The revised policies and procedures shall be submitted to Allison Davis, Investigations Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 910-800-0079, email Allison.Davis@dhhs.nc.gov, for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation; the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #5: The facility’s revised supervision policies and procedures must be submitted within two weeks of the supervision training being completed. This item is in compliance. 6. Within two (2) weeks after the required training regarding effective communication and professionalism is completed, Ms. Ray shall develop effective communication and professionalism policies and procedures to incorporate strategies learned in the training. The policies and procedures shall describe, in detail, the steps the facility will take to ensure staff’s understanding of effective communication and professionalism. The policies and procedures shall include, but not be limited to, the following: • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with children, other staff members, parents, and other persons who may be present at the facility • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with others while providing care for children off-premises • Unacceptable practices of communication • Strategies for de-escalating potential conflicts and conflict resolution • Steps that will be taken when a verbal or physical altercation occurs at the facility, including contacting law enforcement immediately, protecting the children who are present, and supervising the children that are present if an altercation occurs The policies and procedures shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #6: Effective communication and professionalism policies and procedures must be developed and submitted within two weeks of the required training being completed. This item is in compliance. 7. Within four (4) weeks after this Notice is received, Ms. Ray shall develop a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use. The policy shall include, but not be limited to: • A plan for testing staff members when there are suspicions, concerns, or reports of substance use, including a timeframe for the staff member to submit to a drug test when requested • A requirement that staff members are not allowed to engage in the illegal use of substances or engage in illegal activities at any time, including while off premises and outside of facility work hours • A requirement that illegal substances and/or narcotics, alcohol, tobacco and/or vape pens are not permitted inside the facility or any other locations where enrolled children are in care • A plan for the use and storage of staff members’ personal belongings, including purses, backpacks, or other bags, cell phones, medications, and other possible hazardous items to ensure children do not have access to any hazardous items • Procedures for staff to report any illegal substances found on facility grounds or any impaired staff members to facility administration • Procedures for notifying law enforcement if illegal substances are found on the premises • Consequences for staff members who fail to comply with the facility’s policy • A procedure for regular review of the policy with all staff members including the review of the policy in the orientation of new staff members before they assume child care responsibilities The policy shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policy meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policy shall be immediately implemented, and a copy shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #7: Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. This item in compliance. 8. Within two (2) weeks after this Notice is received, Ms. Ray shall develop a written plan for observation and evaluation of each staff member’s performance while the Probationary License is in effect. The written plan, at a minimum, shall include routine observations of each staff member one (1) time per month while the Probationary License is in effect. The plan shall also include periodic observations after the conclusion of the Probationary License to ensure continual compliance with child care requirements and the facility’s policies/procedures related to supervision of children, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use. The plan shall include, but not be limited to the following: • Individuals who will complete the observations and evaluations with the requirement that observations are conducted by members of management • Development and implementation of a tool to use for the observations that include the date and times of each observation, name and signature of the person observed, signature of the observer, a summary of each observation, areas of noncompliance, and any corrective action taken The written plan shall be submitted to Ms. Davis for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the plan meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the plan shall be immediately implemented, and a copy of the plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. In addition, the observation records for each staff member shall be retained in their personnel file for the duration of their employment at the facility. Item #8: On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. This item is in compliance. 9. Within two (2) weeks after notification from the Division that the stipulations have been met for the policies and procedures regarding supervision, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use, Ms. Ray shall conduct a staff meeting with all staff members to discuss the policies and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #9: Within two weeks of the requirements of the above stipulations being met, Ms. Ray must conduct a staff meeting. This item is in compliance. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09 .2318 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 9/3/2025 Number Present: 49 Completed Date: 9/3/2025 Age: From 0 To 5 Total Minutes: 390 Time In: 08:45 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for an annual compliance visit. Sierra Claytor, Director, assisted us with the visit. The program currently operates with a probationary license issued May 8, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. The last annual compliance visit was completed on September 11, 2024. The last sanitation inspection was completed June 25, 2025, with a “Approved” classification. The last fire inspection was conducted September 24, 2024, and your facility was approved for daytime care only. Prior to the visit the 18-month compliance history score was 86%. The NC Secretary of State website was reviewed today, and The Kiddie Cottage, LLC was listed as current- active. All approved indoor and outdoor spaces were monitored today. Daily schedules and current activity plans were available for review and were being followed. A variety of age-appropriate learning materials was observed in the classroom. Infants in Spaces 3 (orange) had routine care needs met such as napping routines and feedings. Infant feeding schedules and safe sleep checks were monitored and found to be in compliance. Toddlers in space 4 (yellow) and space 5 (blue) ate breakfast that consisted of waffles, mixed fruit, and milk. Adequate handwashing was observed after breakfast. Two-year-old children in Spaces 7 (farm) and 8 (jungle) were observed finishing up from breakfast and transitioning to free play with age appropriate materials and activities. Preschool children in space 10 (space) participated in group circle time before transitioning to outdoor play time. Preschool aged children in space 12 (desert) were observed outside in free play. Activity areas consisted of language, manipulative toys, dramatic play, art, and blocks. Lunch provided for children today and consisted of chicken with cheese quesadillas, corn, mixed fruit, and milk. Today I approved the 2021 Chevrolet Tahoe to be used to transport children after school. We discussed the following child care rules in regard to transportation: 10A NCAC 09 .1001 SEAT AND CHILD SAFETY SEATS IN CHILD CARE CENTERS 10A NCAC 09 .1002 SAFE VEHICLES 10A NCAC 09 .1003 SAFE PROCEDURES 10A NCAC 09 .1004 STAFF/CHILD RATIOS 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS The vehicle was monitored and equipped with a first aid kit and working seatbelts. The children’s emergency information, including identifying information, was observed in a three-ring binder in the office. We reviewed Child Care Rule .1000 – Transportation Standards in detail. A fire extinguisher mounted in the back of the vehicle. Current registration and tags were observed. Emergency information for staff who will be transporting children was observed and the program has developed policies and procedures addressing transporting. Today I was able to confirm that all items listed above were present and the vehicle is now approved for transportation. The following violations were observed today. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. A child's bottle in space 3 (orange) was not labeled with the child's name, and the date. 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The exterior doors in space 3 (orange) and space 12 (desert) are rusting. 15A NCAC 18A .2825(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. The climbing structure on playground 3 is placed over 2-3 inches of mulch rather than the required 6 inches. .0605(j) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Orgel was observed in space 3 (orange) without a permission form from the parent(s). In addition, an epi-pen in space 10 (space) had an emergency action plan but did not have written permission form from the parent(s). 10A NCAC 09 .0803(1)(a & b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic zip lock bags were stored in a low cabinet in space 8 (jungle) rather than a minimum of 5 feet out of reach as required for children under the age of 3. .0604(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan has not been reviewed with all staff. 10A NCAC 09 .0802(a) 1031 Documentation of staff's education, training, and experience was not on file. A staff member who was rehired July 21, 2025, did not have her education, training, and experience completed on her application. .0302(d)(1)(B) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff members hired 6/16/25, 7/21/25, and 7/3/25 have not completed 16 hours of orientation. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff members hired 8/6/25 and 8/11/25 have not completed two weeks of orientation. In addition, a staff member hired 3/21/25 and a staff member hired 4/1/25 who completed their 6 weeks of orientation did not complete six clock hours of training in the required topics within their first two weeks. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Six (6) staff did not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 17, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: Today we discussed the importance of labeling children's bottles with the child's name and date. This helps ensure that the children are being served the appropriate bottles. We discussed administration checking the refrigerators daily to ensure compliance. For licensing, it is required to obtain written parental permission to give prescription and over-the-counter medication. Providers must obtain written permission and instructions for giving OTC and prescription medication from a health care and the child’s parent. Today we discussed administration checking all classroom medication boxes weekly. For the safety of the children, ensure any plastic bags used for storage are kept inaccessible to children under the age of three years old by keeping them at a minimum height of five feet off the floor. Today we discussed administration checking all classrooms weekly for items that may be stowed inappropriately. All medications must be accompanied by written authorizations from parents with complete instructions for administration. Prescription medications must also be in the original container with the pharmacy label attached. Today I suggested that you review medication requirements with staff and periodically check behind them to ensure all requirements are met. Today we discussed administration reviewing medication rules with all staff. Nationally, nearly 70% of playground related injuries are from falls. Fall injuries are the result of two things: 1) The height a child falls from and 2) The material/surface the child falls upon. Provide “soft” resilient surfacing under and around stationary playground equipment. Refer to 10A NCAC 09 .0605(h)(i). Today we discussed adding additional mulch around the climbing structure on playground 3 to ensure the safety of the children in the event of a fall. Each employee's personnel file shall contain an annual staff evaluation and staff development plan. These are to be completed annually. Today we discussed creating a way to track these dates to ensure they are completed within the time frame. Each employee who is expected to have contact with children shall receive six clock hours of training in required topic areas within the first two weeks of employment and 16 hours of on-site orientation within the first six weeks of employment. A list of approved orientation topics and a documentation log along with required timelines can be found on the divisions website at https://ncchildcare.ncdhhs.gov/ under the provider documents tab. Reminders: Today we discussed electrical fans must be covered by a mesh guard or stored 5 feet out of reach. To reduce the spread of germs, blankets for cots/mats may not touch the cot/mat above. Today we discussed storing all blankets in the children's individual cubbies to reduce the spread of germs. Administrative Action Follow-Up: I monitored for compliance with the CAP as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation Item #1: An unannounced visit was conducted on May 30, 2025. No violations were cited. An unannounced visit was conducted on July 10, 2025. No violations were cited. An unannounced visit was conducted on August 25, 2025. No violations were cited. Today multiple violations were observed. 2. Within one (1) week after this Notice is received, Kari Ray, administrator, shall contact Jennifer Garner, Lead Child Care Consultant, telephone number 910-824-1447, email jennifer.j.garner@dhhs.nc.gov, to arrange for a complete review of all child care requirements broken into four (4) training sessions, six (6) point items, five (5) point items, three (3) and four (4) point items, and one (1) and two (2) point items. These rule reviews must be completed before the end of the probationary period. Ms. Ray and all staff members, including full-time, part-time, substitute, and volunteer staff, shall participate in the mandatory trainings. No children shall be in care during the trainings. Documentation of the trainings shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. The documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #2: On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first two trainings sessions were scheduled on August 1, 2025, and October 17, 2025. The training was conducted on August 1, 2025. All staff were present except two individuals. On August 25, 2025, Mr. Grossman contacted Ms. Garner to schedule a make-up session. This item is not in compliance. 3. Within one (1) week after this Notice is received, Ms. Ray shall contact April Lester, Child Care Consultant, PO Box 12948 Wilmington, NC 28405, telephone number 910-824-0954, email april.lester@dhhs.nc.gov, to arrange for a review of child care requirements regarding falsification. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall participate in this mandatory training. During the training, Ms. Lester shall review and discuss a Statement of Understanding acknowledging that all staff have read, understand, and will comply with child care requirements regarding falsification. At the conclusion of the training, staff members shall sign the statements. The original signed statements shall be maintained in each staff member’s personnel file at the child care facility for review by representatives of the Division of Child Development and Early Education upon request. Item #3: On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff except two individuals attended the training on August 1, 2025. The training was recorded on this date. On August 4, 2025, both staff members viewed the video footage and completed the training. This item is in compliance. 4. Within two (2) weeks after this Notice is received, Ms. Ray shall contact Mindy Davis, M.Ed., Early Care & Education Director, Smart Start of New Hanover County, email address mindy.davis@newhanoverkids.org, telephone number 910-815-3731 ext. 1010, to arrange for training that addresses strategies for the supervision of children, including typical behaviors for the ages and developmental stages of children in care and appropriate supervision strategies for the developmental stages of a child’s growth. In addition, Ms. Ray shall contact Ms. Davis during the same timeframe to arrange for training that will address effective communication and professionalism. No children shall be in care during these trainings. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, with responsibility for caring for children shall participate in the mandatory trainings. Documentation of the trainings shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #4: Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled on January 9, 2026. This item is in compliance. 5. Within two (2) weeks after the required training regarding supervision is completed, Ms. Ray shall r revise the facility’s supervision policies and procedures to incorporate strategies learned in the training. The revised policies and procedures should describe, in detail, the steps the facility will take to ensure adequate supervision of children at all times. The policies and procedures shall include, but not be limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one (1) area to another • When children are transitioned from one (1) caregiver to another • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members implementation of the supervision policies and procedures • Procedures for periodic review of the supervision policies and procedures with all staff members, including the review of the policies and procedures in orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members non-compliance with policies and procedures The revised policies and procedures shall be submitted to Allison Davis, Investigations Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 910-800-0079, email Allison.Davis@dhhs.nc.gov, for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation; the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #5: The facility’s revised supervision policies and procedures must be submitted within two weeks of the supervision training being completed. This item is in compliance. 6. Within two (2) weeks after the required training regarding effective communication and professionalism is completed, Ms. Ray shall develop effective communication and professionalism policies and procedures to incorporate strategies learned in the training. The policies and procedures shall describe, in detail, the steps the facility will take to ensure staff’s understanding of effective communication and professionalism. The policies and procedures shall include, but not be limited to, the following: • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with children, other staff members, parents, and other persons who may be present at the facility • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with others while providing care for children off-premises • Unacceptable practices of communication • Strategies for de-escalating potential conflicts and conflict resolution • Steps that will be taken when a verbal or physical altercation occurs at the facility, including contacting law enforcement immediately, protecting the children who are present, and supervising the children that are present if an altercation occurs The policies and procedures shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #6: Effective communication and professionalism policies and procedures must be developed and submitted within two weeks of the required training being completed. This item is in compliance. 7. Within four (4) weeks after this Notice is received, Ms. Ray shall develop a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use. The policy shall include, but not be limited to: • A plan for testing staff members when there are suspicions, concerns, or reports of substance use, including a timeframe for the staff member to submit to a drug test when requested • A requirement that staff members are not allowed to engage in the illegal use of substances or engage in illegal activities at any time, including while off premises and outside of facility work hours • A requirement that illegal substances and/or narcotics, alcohol, tobacco and/or vape pens are not permitted inside the facility or any other locations where enrolled children are in care • A plan for the use and storage of staff members’ personal belongings, including purses, backpacks, or other bags, cell phones, medications, and other possible hazardous items to ensure children do not have access to any hazardous items • Procedures for staff to report any illegal substances found on facility grounds or any impaired staff members to facility administration • Procedures for notifying law enforcement if illegal substances are found on the premises • Consequences for staff members who fail to comply with the facility’s policy • A procedure for regular review of the policy with all staff members including the review of the policy in the orientation of new staff members before they assume child care responsibilities The policy shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policy meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policy shall be immediately implemented, and a copy shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #7: Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. This item in compliance. 8. Within two (2) weeks after this Notice is received, Ms. Ray shall develop a written plan for observation and evaluation of each staff member’s performance while the Probationary License is in effect. The written plan, at a minimum, shall include routine observations of each staff member one (1) time per month while the Probationary License is in effect. The plan shall also include periodic observations after the conclusion of the Probationary License to ensure continual compliance with child care requirements and the facility’s policies/procedures related to supervision of children, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use. The plan shall include, but not be limited to the following: • Individuals who will complete the observations and evaluations with the requirement that observations are conducted by members of management • Development and implementation of a tool to use for the observations that include the date and times of each observation, name and signature of the person observed, signature of the observer, a summary of each observation, areas of noncompliance, and any corrective action taken The written plan shall be submitted to Ms. Davis for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the plan meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the plan shall be immediately implemented, and a copy of the plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. In addition, the observation records for each staff member shall be retained in their personnel file for the duration of their employment at the facility. Item #8: On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. This item is in compliance. 9. Within two (2) weeks after notification from the Division that the stipulations have been met for the policies and procedures regarding supervision, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use, Ms. Ray shall conduct a staff meeting with all staff members to discuss the policies and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #9: Within two weeks of the requirements of the above stipulations being met, Ms. Ray must conduct a staff meeting. This item is in compliance. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09 .2703 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 9/3/2025 Number Present: 49 Completed Date: 9/3/2025 Age: From 0 To 5 Total Minutes: 390 Time In: 08:45 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for an annual compliance visit. Sierra Claytor, Director, assisted us with the visit. The program currently operates with a probationary license issued May 8, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. The last annual compliance visit was completed on September 11, 2024. The last sanitation inspection was completed June 25, 2025, with a “Approved” classification. The last fire inspection was conducted September 24, 2024, and your facility was approved for daytime care only. Prior to the visit the 18-month compliance history score was 86%. The NC Secretary of State website was reviewed today, and The Kiddie Cottage, LLC was listed as current- active. All approved indoor and outdoor spaces were monitored today. Daily schedules and current activity plans were available for review and were being followed. A variety of age-appropriate learning materials was observed in the classroom. Infants in Spaces 3 (orange) had routine care needs met such as napping routines and feedings. Infant feeding schedules and safe sleep checks were monitored and found to be in compliance. Toddlers in space 4 (yellow) and space 5 (blue) ate breakfast that consisted of waffles, mixed fruit, and milk. Adequate handwashing was observed after breakfast. Two-year-old children in Spaces 7 (farm) and 8 (jungle) were observed finishing up from breakfast and transitioning to free play with age appropriate materials and activities. Preschool children in space 10 (space) participated in group circle time before transitioning to outdoor play time. Preschool aged children in space 12 (desert) were observed outside in free play. Activity areas consisted of language, manipulative toys, dramatic play, art, and blocks. Lunch provided for children today and consisted of chicken with cheese quesadillas, corn, mixed fruit, and milk. Today I approved the 2021 Chevrolet Tahoe to be used to transport children after school. We discussed the following child care rules in regard to transportation: 10A NCAC 09 .1001 SEAT AND CHILD SAFETY SEATS IN CHILD CARE CENTERS 10A NCAC 09 .1002 SAFE VEHICLES 10A NCAC 09 .1003 SAFE PROCEDURES 10A NCAC 09 .1004 STAFF/CHILD RATIOS 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS The vehicle was monitored and equipped with a first aid kit and working seatbelts. The children’s emergency information, including identifying information, was observed in a three-ring binder in the office. We reviewed Child Care Rule .1000 – Transportation Standards in detail. A fire extinguisher mounted in the back of the vehicle. Current registration and tags were observed. Emergency information for staff who will be transporting children was observed and the program has developed policies and procedures addressing transporting. Today I was able to confirm that all items listed above were present and the vehicle is now approved for transportation. The following violations were observed today. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. A child's bottle in space 3 (orange) was not labeled with the child's name, and the date. 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The exterior doors in space 3 (orange) and space 12 (desert) are rusting. 15A NCAC 18A .2825(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. The climbing structure on playground 3 is placed over 2-3 inches of mulch rather than the required 6 inches. .0605(j) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Orgel was observed in space 3 (orange) without a permission form from the parent(s). In addition, an epi-pen in space 10 (space) had an emergency action plan but did not have written permission form from the parent(s). 10A NCAC 09 .0803(1)(a & b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic zip lock bags were stored in a low cabinet in space 8 (jungle) rather than a minimum of 5 feet out of reach as required for children under the age of 3. .0604(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan has not been reviewed with all staff. 10A NCAC 09 .0802(a) 1031 Documentation of staff's education, training, and experience was not on file. A staff member who was rehired July 21, 2025, did not have her education, training, and experience completed on her application. .0302(d)(1)(B) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff members hired 6/16/25, 7/21/25, and 7/3/25 have not completed 16 hours of orientation. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff members hired 8/6/25 and 8/11/25 have not completed two weeks of orientation. In addition, a staff member hired 3/21/25 and a staff member hired 4/1/25 who completed their 6 weeks of orientation did not complete six clock hours of training in the required topics within their first two weeks. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Six (6) staff did not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 17, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: Today we discussed the importance of labeling children's bottles with the child's name and date. This helps ensure that the children are being served the appropriate bottles. We discussed administration checking the refrigerators daily to ensure compliance. For licensing, it is required to obtain written parental permission to give prescription and over-the-counter medication. Providers must obtain written permission and instructions for giving OTC and prescription medication from a health care and the child’s parent. Today we discussed administration checking all classroom medication boxes weekly. For the safety of the children, ensure any plastic bags used for storage are kept inaccessible to children under the age of three years old by keeping them at a minimum height of five feet off the floor. Today we discussed administration checking all classrooms weekly for items that may be stowed inappropriately. All medications must be accompanied by written authorizations from parents with complete instructions for administration. Prescription medications must also be in the original container with the pharmacy label attached. Today I suggested that you review medication requirements with staff and periodically check behind them to ensure all requirements are met. Today we discussed administration reviewing medication rules with all staff. Nationally, nearly 70% of playground related injuries are from falls. Fall injuries are the result of two things: 1) The height a child falls from and 2) The material/surface the child falls upon. Provide “soft” resilient surfacing under and around stationary playground equipment. Refer to 10A NCAC 09 .0605(h)(i). Today we discussed adding additional mulch around the climbing structure on playground 3 to ensure the safety of the children in the event of a fall. Each employee's personnel file shall contain an annual staff evaluation and staff development plan. These are to be completed annually. Today we discussed creating a way to track these dates to ensure they are completed within the time frame. Each employee who is expected to have contact with children shall receive six clock hours of training in required topic areas within the first two weeks of employment and 16 hours of on-site orientation within the first six weeks of employment. A list of approved orientation topics and a documentation log along with required timelines can be found on the divisions website at https://ncchildcare.ncdhhs.gov/ under the provider documents tab. Reminders: Today we discussed electrical fans must be covered by a mesh guard or stored 5 feet out of reach. To reduce the spread of germs, blankets for cots/mats may not touch the cot/mat above. Today we discussed storing all blankets in the children's individual cubbies to reduce the spread of germs. Administrative Action Follow-Up: I monitored for compliance with the CAP as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation Item #1: An unannounced visit was conducted on May 30, 2025. No violations were cited. An unannounced visit was conducted on July 10, 2025. No violations were cited. An unannounced visit was conducted on August 25, 2025. No violations were cited. Today multiple violations were observed. 2. Within one (1) week after this Notice is received, Kari Ray, administrator, shall contact Jennifer Garner, Lead Child Care Consultant, telephone number 910-824-1447, email jennifer.j.garner@dhhs.nc.gov, to arrange for a complete review of all child care requirements broken into four (4) training sessions, six (6) point items, five (5) point items, three (3) and four (4) point items, and one (1) and two (2) point items. These rule reviews must be completed before the end of the probationary period. Ms. Ray and all staff members, including full-time, part-time, substitute, and volunteer staff, shall participate in the mandatory trainings. No children shall be in care during the trainings. Documentation of the trainings shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. The documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #2: On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first two trainings sessions were scheduled on August 1, 2025, and October 17, 2025. The training was conducted on August 1, 2025. All staff were present except two individuals. On August 25, 2025, Mr. Grossman contacted Ms. Garner to schedule a make-up session. This item is not in compliance. 3. Within one (1) week after this Notice is received, Ms. Ray shall contact April Lester, Child Care Consultant, PO Box 12948 Wilmington, NC 28405, telephone number 910-824-0954, email april.lester@dhhs.nc.gov, to arrange for a review of child care requirements regarding falsification. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall participate in this mandatory training. During the training, Ms. Lester shall review and discuss a Statement of Understanding acknowledging that all staff have read, understand, and will comply with child care requirements regarding falsification. At the conclusion of the training, staff members shall sign the statements. The original signed statements shall be maintained in each staff member’s personnel file at the child care facility for review by representatives of the Division of Child Development and Early Education upon request. Item #3: On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff except two individuals attended the training on August 1, 2025. The training was recorded on this date. On August 4, 2025, both staff members viewed the video footage and completed the training. This item is in compliance. 4. Within two (2) weeks after this Notice is received, Ms. Ray shall contact Mindy Davis, M.Ed., Early Care & Education Director, Smart Start of New Hanover County, email address mindy.davis@newhanoverkids.org, telephone number 910-815-3731 ext. 1010, to arrange for training that addresses strategies for the supervision of children, including typical behaviors for the ages and developmental stages of children in care and appropriate supervision strategies for the developmental stages of a child’s growth. In addition, Ms. Ray shall contact Ms. Davis during the same timeframe to arrange for training that will address effective communication and professionalism. No children shall be in care during these trainings. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, with responsibility for caring for children shall participate in the mandatory trainings. Documentation of the trainings shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #4: Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled on January 9, 2026. This item is in compliance. 5. Within two (2) weeks after the required training regarding supervision is completed, Ms. Ray shall r revise the facility’s supervision policies and procedures to incorporate strategies learned in the training. The revised policies and procedures should describe, in detail, the steps the facility will take to ensure adequate supervision of children at all times. The policies and procedures shall include, but not be limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one (1) area to another • When children are transitioned from one (1) caregiver to another • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members implementation of the supervision policies and procedures • Procedures for periodic review of the supervision policies and procedures with all staff members, including the review of the policies and procedures in orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members non-compliance with policies and procedures The revised policies and procedures shall be submitted to Allison Davis, Investigations Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 910-800-0079, email Allison.Davis@dhhs.nc.gov, for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation; the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #5: The facility’s revised supervision policies and procedures must be submitted within two weeks of the supervision training being completed. This item is in compliance. 6. Within two (2) weeks after the required training regarding effective communication and professionalism is completed, Ms. Ray shall develop effective communication and professionalism policies and procedures to incorporate strategies learned in the training. The policies and procedures shall describe, in detail, the steps the facility will take to ensure staff’s understanding of effective communication and professionalism. The policies and procedures shall include, but not be limited to, the following: • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with children, other staff members, parents, and other persons who may be present at the facility • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with others while providing care for children off-premises • Unacceptable practices of communication • Strategies for de-escalating potential conflicts and conflict resolution • Steps that will be taken when a verbal or physical altercation occurs at the facility, including contacting law enforcement immediately, protecting the children who are present, and supervising the children that are present if an altercation occurs The policies and procedures shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #6: Effective communication and professionalism policies and procedures must be developed and submitted within two weeks of the required training being completed. This item is in compliance. 7. Within four (4) weeks after this Notice is received, Ms. Ray shall develop a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use. The policy shall include, but not be limited to: • A plan for testing staff members when there are suspicions, concerns, or reports of substance use, including a timeframe for the staff member to submit to a drug test when requested • A requirement that staff members are not allowed to engage in the illegal use of substances or engage in illegal activities at any time, including while off premises and outside of facility work hours • A requirement that illegal substances and/or narcotics, alcohol, tobacco and/or vape pens are not permitted inside the facility or any other locations where enrolled children are in care • A plan for the use and storage of staff members’ personal belongings, including purses, backpacks, or other bags, cell phones, medications, and other possible hazardous items to ensure children do not have access to any hazardous items • Procedures for staff to report any illegal substances found on facility grounds or any impaired staff members to facility administration • Procedures for notifying law enforcement if illegal substances are found on the premises • Consequences for staff members who fail to comply with the facility’s policy • A procedure for regular review of the policy with all staff members including the review of the policy in the orientation of new staff members before they assume child care responsibilities The policy shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policy meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policy shall be immediately implemented, and a copy shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #7: Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. This item in compliance. 8. Within two (2) weeks after this Notice is received, Ms. Ray shall develop a written plan for observation and evaluation of each staff member’s performance while the Probationary License is in effect. The written plan, at a minimum, shall include routine observations of each staff member one (1) time per month while the Probationary License is in effect. The plan shall also include periodic observations after the conclusion of the Probationary License to ensure continual compliance with child care requirements and the facility’s policies/procedures related to supervision of children, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use. The plan shall include, but not be limited to the following: • Individuals who will complete the observations and evaluations with the requirement that observations are conducted by members of management • Development and implementation of a tool to use for the observations that include the date and times of each observation, name and signature of the person observed, signature of the observer, a summary of each observation, areas of noncompliance, and any corrective action taken The written plan shall be submitted to Ms. Davis for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the plan meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the plan shall be immediately implemented, and a copy of the plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. In addition, the observation records for each staff member shall be retained in their personnel file for the duration of their employment at the facility. Item #8: On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. This item is in compliance. 9. Within two (2) weeks after notification from the Division that the stipulations have been met for the policies and procedures regarding supervision, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use, Ms. Ray shall conduct a staff meeting with all staff members to discuss the policies and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #9: Within two weeks of the requirements of the above stipulations being met, Ms. Ray must conduct a staff meeting. This item is in compliance. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    10A NCAC 09. 0701 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 9/3/2025 Number Present: 49 Completed Date: 9/3/2025 Age: From 0 To 5 Total Minutes: 390 Time In: 08:45 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for an annual compliance visit. Sierra Claytor, Director, assisted us with the visit. The program currently operates with a probationary license issued May 8, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. The last annual compliance visit was completed on September 11, 2024. The last sanitation inspection was completed June 25, 2025, with a “Approved” classification. The last fire inspection was conducted September 24, 2024, and your facility was approved for daytime care only. Prior to the visit the 18-month compliance history score was 86%. The NC Secretary of State website was reviewed today, and The Kiddie Cottage, LLC was listed as current- active. All approved indoor and outdoor spaces were monitored today. Daily schedules and current activity plans were available for review and were being followed. A variety of age-appropriate learning materials was observed in the classroom. Infants in Spaces 3 (orange) had routine care needs met such as napping routines and feedings. Infant feeding schedules and safe sleep checks were monitored and found to be in compliance. Toddlers in space 4 (yellow) and space 5 (blue) ate breakfast that consisted of waffles, mixed fruit, and milk. Adequate handwashing was observed after breakfast. Two-year-old children in Spaces 7 (farm) and 8 (jungle) were observed finishing up from breakfast and transitioning to free play with age appropriate materials and activities. Preschool children in space 10 (space) participated in group circle time before transitioning to outdoor play time. Preschool aged children in space 12 (desert) were observed outside in free play. Activity areas consisted of language, manipulative toys, dramatic play, art, and blocks. Lunch provided for children today and consisted of chicken with cheese quesadillas, corn, mixed fruit, and milk. Today I approved the 2021 Chevrolet Tahoe to be used to transport children after school. We discussed the following child care rules in regard to transportation: 10A NCAC 09 .1001 SEAT AND CHILD SAFETY SEATS IN CHILD CARE CENTERS 10A NCAC 09 .1002 SAFE VEHICLES 10A NCAC 09 .1003 SAFE PROCEDURES 10A NCAC 09 .1004 STAFF/CHILD RATIOS 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS The vehicle was monitored and equipped with a first aid kit and working seatbelts. The children’s emergency information, including identifying information, was observed in a three-ring binder in the office. We reviewed Child Care Rule .1000 – Transportation Standards in detail. A fire extinguisher mounted in the back of the vehicle. Current registration and tags were observed. Emergency information for staff who will be transporting children was observed and the program has developed policies and procedures addressing transporting. Today I was able to confirm that all items listed above were present and the vehicle is now approved for transportation. The following violations were observed today. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. A child's bottle in space 3 (orange) was not labeled with the child's name, and the date. 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The exterior doors in space 3 (orange) and space 12 (desert) are rusting. 15A NCAC 18A .2825(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. The climbing structure on playground 3 is placed over 2-3 inches of mulch rather than the required 6 inches. .0605(j) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Orgel was observed in space 3 (orange) without a permission form from the parent(s). In addition, an epi-pen in space 10 (space) had an emergency action plan but did not have written permission form from the parent(s). 10A NCAC 09 .0803(1)(a & b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic zip lock bags were stored in a low cabinet in space 8 (jungle) rather than a minimum of 5 feet out of reach as required for children under the age of 3. .0604(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan has not been reviewed with all staff. 10A NCAC 09 .0802(a) 1031 Documentation of staff's education, training, and experience was not on file. A staff member who was rehired July 21, 2025, did not have her education, training, and experience completed on her application. .0302(d)(1)(B) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff members hired 6/16/25, 7/21/25, and 7/3/25 have not completed 16 hours of orientation. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff members hired 8/6/25 and 8/11/25 have not completed two weeks of orientation. In addition, a staff member hired 3/21/25 and a staff member hired 4/1/25 who completed their 6 weeks of orientation did not complete six clock hours of training in the required topics within their first two weeks. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Six (6) staff did not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 17, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: Today we discussed the importance of labeling children's bottles with the child's name and date. This helps ensure that the children are being served the appropriate bottles. We discussed administration checking the refrigerators daily to ensure compliance. For licensing, it is required to obtain written parental permission to give prescription and over-the-counter medication. Providers must obtain written permission and instructions for giving OTC and prescription medication from a health care and the child’s parent. Today we discussed administration checking all classroom medication boxes weekly. For the safety of the children, ensure any plastic bags used for storage are kept inaccessible to children under the age of three years old by keeping them at a minimum height of five feet off the floor. Today we discussed administration checking all classrooms weekly for items that may be stowed inappropriately. All medications must be accompanied by written authorizations from parents with complete instructions for administration. Prescription medications must also be in the original container with the pharmacy label attached. Today I suggested that you review medication requirements with staff and periodically check behind them to ensure all requirements are met. Today we discussed administration reviewing medication rules with all staff. Nationally, nearly 70% of playground related injuries are from falls. Fall injuries are the result of two things: 1) The height a child falls from and 2) The material/surface the child falls upon. Provide “soft” resilient surfacing under and around stationary playground equipment. Refer to 10A NCAC 09 .0605(h)(i). Today we discussed adding additional mulch around the climbing structure on playground 3 to ensure the safety of the children in the event of a fall. Each employee's personnel file shall contain an annual staff evaluation and staff development plan. These are to be completed annually. Today we discussed creating a way to track these dates to ensure they are completed within the time frame. Each employee who is expected to have contact with children shall receive six clock hours of training in required topic areas within the first two weeks of employment and 16 hours of on-site orientation within the first six weeks of employment. A list of approved orientation topics and a documentation log along with required timelines can be found on the divisions website at https://ncchildcare.ncdhhs.gov/ under the provider documents tab. Reminders: Today we discussed electrical fans must be covered by a mesh guard or stored 5 feet out of reach. To reduce the spread of germs, blankets for cots/mats may not touch the cot/mat above. Today we discussed storing all blankets in the children's individual cubbies to reduce the spread of germs. Administrative Action Follow-Up: I monitored for compliance with the CAP as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation Item #1: An unannounced visit was conducted on May 30, 2025. No violations were cited. An unannounced visit was conducted on July 10, 2025. No violations were cited. An unannounced visit was conducted on August 25, 2025. No violations were cited. Today multiple violations were observed. 2. Within one (1) week after this Notice is received, Kari Ray, administrator, shall contact Jennifer Garner, Lead Child Care Consultant, telephone number 910-824-1447, email jennifer.j.garner@dhhs.nc.gov, to arrange for a complete review of all child care requirements broken into four (4) training sessions, six (6) point items, five (5) point items, three (3) and four (4) point items, and one (1) and two (2) point items. These rule reviews must be completed before the end of the probationary period. Ms. Ray and all staff members, including full-time, part-time, substitute, and volunteer staff, shall participate in the mandatory trainings. No children shall be in care during the trainings. Documentation of the trainings shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. The documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #2: On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first two trainings sessions were scheduled on August 1, 2025, and October 17, 2025. The training was conducted on August 1, 2025. All staff were present except two individuals. On August 25, 2025, Mr. Grossman contacted Ms. Garner to schedule a make-up session. This item is not in compliance. 3. Within one (1) week after this Notice is received, Ms. Ray shall contact April Lester, Child Care Consultant, PO Box 12948 Wilmington, NC 28405, telephone number 910-824-0954, email april.lester@dhhs.nc.gov, to arrange for a review of child care requirements regarding falsification. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall participate in this mandatory training. During the training, Ms. Lester shall review and discuss a Statement of Understanding acknowledging that all staff have read, understand, and will comply with child care requirements regarding falsification. At the conclusion of the training, staff members shall sign the statements. The original signed statements shall be maintained in each staff member’s personnel file at the child care facility for review by representatives of the Division of Child Development and Early Education upon request. Item #3: On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff except two individuals attended the training on August 1, 2025. The training was recorded on this date. On August 4, 2025, both staff members viewed the video footage and completed the training. This item is in compliance. 4. Within two (2) weeks after this Notice is received, Ms. Ray shall contact Mindy Davis, M.Ed., Early Care & Education Director, Smart Start of New Hanover County, email address mindy.davis@newhanoverkids.org, telephone number 910-815-3731 ext. 1010, to arrange for training that addresses strategies for the supervision of children, including typical behaviors for the ages and developmental stages of children in care and appropriate supervision strategies for the developmental stages of a child’s growth. In addition, Ms. Ray shall contact Ms. Davis during the same timeframe to arrange for training that will address effective communication and professionalism. No children shall be in care during these trainings. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, with responsibility for caring for children shall participate in the mandatory trainings. Documentation of the trainings shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #4: Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled on January 9, 2026. This item is in compliance. 5. Within two (2) weeks after the required training regarding supervision is completed, Ms. Ray shall r revise the facility’s supervision policies and procedures to incorporate strategies learned in the training. The revised policies and procedures should describe, in detail, the steps the facility will take to ensure adequate supervision of children at all times. The policies and procedures shall include, but not be limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one (1) area to another • When children are transitioned from one (1) caregiver to another • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members implementation of the supervision policies and procedures • Procedures for periodic review of the supervision policies and procedures with all staff members, including the review of the policies and procedures in orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members non-compliance with policies and procedures The revised policies and procedures shall be submitted to Allison Davis, Investigations Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 910-800-0079, email Allison.Davis@dhhs.nc.gov, for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation; the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #5: The facility’s revised supervision policies and procedures must be submitted within two weeks of the supervision training being completed. This item is in compliance. 6. Within two (2) weeks after the required training regarding effective communication and professionalism is completed, Ms. Ray shall develop effective communication and professionalism policies and procedures to incorporate strategies learned in the training. The policies and procedures shall describe, in detail, the steps the facility will take to ensure staff’s understanding of effective communication and professionalism. The policies and procedures shall include, but not be limited to, the following: • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with children, other staff members, parents, and other persons who may be present at the facility • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with others while providing care for children off-premises • Unacceptable practices of communication • Strategies for de-escalating potential conflicts and conflict resolution • Steps that will be taken when a verbal or physical altercation occurs at the facility, including contacting law enforcement immediately, protecting the children who are present, and supervising the children that are present if an altercation occurs The policies and procedures shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #6: Effective communication and professionalism policies and procedures must be developed and submitted within two weeks of the required training being completed. This item is in compliance. 7. Within four (4) weeks after this Notice is received, Ms. Ray shall develop a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use. The policy shall include, but not be limited to: • A plan for testing staff members when there are suspicions, concerns, or reports of substance use, including a timeframe for the staff member to submit to a drug test when requested • A requirement that staff members are not allowed to engage in the illegal use of substances or engage in illegal activities at any time, including while off premises and outside of facility work hours • A requirement that illegal substances and/or narcotics, alcohol, tobacco and/or vape pens are not permitted inside the facility or any other locations where enrolled children are in care • A plan for the use and storage of staff members’ personal belongings, including purses, backpacks, or other bags, cell phones, medications, and other possible hazardous items to ensure children do not have access to any hazardous items • Procedures for staff to report any illegal substances found on facility grounds or any impaired staff members to facility administration • Procedures for notifying law enforcement if illegal substances are found on the premises • Consequences for staff members who fail to comply with the facility’s policy • A procedure for regular review of the policy with all staff members including the review of the policy in the orientation of new staff members before they assume child care responsibilities The policy shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policy meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policy shall be immediately implemented, and a copy shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #7: Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. This item in compliance. 8. Within two (2) weeks after this Notice is received, Ms. Ray shall develop a written plan for observation and evaluation of each staff member’s performance while the Probationary License is in effect. The written plan, at a minimum, shall include routine observations of each staff member one (1) time per month while the Probationary License is in effect. The plan shall also include periodic observations after the conclusion of the Probationary License to ensure continual compliance with child care requirements and the facility’s policies/procedures related to supervision of children, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use. The plan shall include, but not be limited to the following: • Individuals who will complete the observations and evaluations with the requirement that observations are conducted by members of management • Development and implementation of a tool to use for the observations that include the date and times of each observation, name and signature of the person observed, signature of the observer, a summary of each observation, areas of noncompliance, and any corrective action taken The written plan shall be submitted to Ms. Davis for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the plan meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the plan shall be immediately implemented, and a copy of the plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. In addition, the observation records for each staff member shall be retained in their personnel file for the duration of their employment at the facility. Item #8: On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. This item is in compliance. 9. Within two (2) weeks after notification from the Division that the stipulations have been met for the policies and procedures regarding supervision, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use, Ms. Ray shall conduct a staff meeting with all staff members to discuss the policies and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #9: Within two weeks of the requirements of the above stipulations being met, Ms. Ray must conduct a staff meeting. This item is in compliance. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

  • Violation

    NC GS 110-90 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 9/3/2025 Number Present: 49 Completed Date: 9/3/2025 Age: From 0 To 5 Total Minutes: 390 Time In: 08:45 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for an annual compliance visit. Sierra Claytor, Director, assisted us with the visit. The program currently operates with a probationary license issued May 8, 2025. Restrictions on the permit include: daytime care only; and children in care on ground level only. The last annual compliance visit was completed on September 11, 2024. The last sanitation inspection was completed June 25, 2025, with a “Approved” classification. The last fire inspection was conducted September 24, 2024, and your facility was approved for daytime care only. Prior to the visit the 18-month compliance history score was 86%. The NC Secretary of State website was reviewed today, and The Kiddie Cottage, LLC was listed as current- active. All approved indoor and outdoor spaces were monitored today. Daily schedules and current activity plans were available for review and were being followed. A variety of age-appropriate learning materials was observed in the classroom. Infants in Spaces 3 (orange) had routine care needs met such as napping routines and feedings. Infant feeding schedules and safe sleep checks were monitored and found to be in compliance. Toddlers in space 4 (yellow) and space 5 (blue) ate breakfast that consisted of waffles, mixed fruit, and milk. Adequate handwashing was observed after breakfast. Two-year-old children in Spaces 7 (farm) and 8 (jungle) were observed finishing up from breakfast and transitioning to free play with age appropriate materials and activities. Preschool children in space 10 (space) participated in group circle time before transitioning to outdoor play time. Preschool aged children in space 12 (desert) were observed outside in free play. Activity areas consisted of language, manipulative toys, dramatic play, art, and blocks. Lunch provided for children today and consisted of chicken with cheese quesadillas, corn, mixed fruit, and milk. Today I approved the 2021 Chevrolet Tahoe to be used to transport children after school. We discussed the following child care rules in regard to transportation: 10A NCAC 09 .1001 SEAT AND CHILD SAFETY SEATS IN CHILD CARE CENTERS 10A NCAC 09 .1002 SAFE VEHICLES 10A NCAC 09 .1003 SAFE PROCEDURES 10A NCAC 09 .1004 STAFF/CHILD RATIOS 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS The vehicle was monitored and equipped with a first aid kit and working seatbelts. The children’s emergency information, including identifying information, was observed in a three-ring binder in the office. We reviewed Child Care Rule .1000 – Transportation Standards in detail. A fire extinguisher mounted in the back of the vehicle. Current registration and tags were observed. Emergency information for staff who will be transporting children was observed and the program has developed policies and procedures addressing transporting. Today I was able to confirm that all items listed above were present and the vehicle is now approved for transportation. The following violations were observed today. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. A child's bottle in space 3 (orange) was not labeled with the child's name, and the date. 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The exterior doors in space 3 (orange) and space 12 (desert) are rusting. 15A NCAC 18A .2825(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. The climbing structure on playground 3 is placed over 2-3 inches of mulch rather than the required 6 inches. .0605(j) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Orgel was observed in space 3 (orange) without a permission form from the parent(s). In addition, an epi-pen in space 10 (space) had an emergency action plan but did not have written permission form from the parent(s). 10A NCAC 09 .0803(1)(a & b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic zip lock bags were stored in a low cabinet in space 8 (jungle) rather than a minimum of 5 feet out of reach as required for children under the age of 3. .0604(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan has not been reviewed with all staff. 10A NCAC 09 .0802(a) 1031 Documentation of staff's education, training, and experience was not on file. A staff member who was rehired July 21, 2025, did not have her education, training, and experience completed on her application. .0302(d)(1)(B) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff members hired 6/16/25, 7/21/25, and 7/3/25 have not completed 16 hours of orientation. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff members hired 8/6/25 and 8/11/25 have not completed two weeks of orientation. In addition, a staff member hired 3/21/25 and a staff member hired 4/1/25 who completed their 6 weeks of orientation did not complete six clock hours of training in the required topics within their first two weeks. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Six (6) staff did not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 17, 2025, 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 that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to April.Lester@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Technical Assistance: Today we discussed the importance of labeling children's bottles with the child's name and date. This helps ensure that the children are being served the appropriate bottles. We discussed administration checking the refrigerators daily to ensure compliance. For licensing, it is required to obtain written parental permission to give prescription and over-the-counter medication. Providers must obtain written permission and instructions for giving OTC and prescription medication from a health care and the child’s parent. Today we discussed administration checking all classroom medication boxes weekly. For the safety of the children, ensure any plastic bags used for storage are kept inaccessible to children under the age of three years old by keeping them at a minimum height of five feet off the floor. Today we discussed administration checking all classrooms weekly for items that may be stowed inappropriately. All medications must be accompanied by written authorizations from parents with complete instructions for administration. Prescription medications must also be in the original container with the pharmacy label attached. Today I suggested that you review medication requirements with staff and periodically check behind them to ensure all requirements are met. Today we discussed administration reviewing medication rules with all staff. Nationally, nearly 70% of playground related injuries are from falls. Fall injuries are the result of two things: 1) The height a child falls from and 2) The material/surface the child falls upon. Provide “soft” resilient surfacing under and around stationary playground equipment. Refer to 10A NCAC 09 .0605(h)(i). Today we discussed adding additional mulch around the climbing structure on playground 3 to ensure the safety of the children in the event of a fall. Each employee's personnel file shall contain an annual staff evaluation and staff development plan. These are to be completed annually. Today we discussed creating a way to track these dates to ensure they are completed within the time frame. Each employee who is expected to have contact with children shall receive six clock hours of training in required topic areas within the first two weeks of employment and 16 hours of on-site orientation within the first six weeks of employment. A list of approved orientation topics and a documentation log along with required timelines can be found on the divisions website at https://ncchildcare.ncdhhs.gov/ under the provider documents tab. Reminders: Today we discussed electrical fans must be covered by a mesh guard or stored 5 feet out of reach. To reduce the spread of germs, blankets for cots/mats may not touch the cot/mat above. Today we discussed storing all blankets in the children's individual cubbies to reduce the spread of germs. Administrative Action Follow-Up: I monitored for compliance with the CAP as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2 (b)&(d) and Child Care Rule 10A NCAC 09 .2703(e) regarding criminal background checks • North Carolina General Statute § 110-105.4 and North Carolina General Statute § 110-91 regarding reporting suspicions of child abuse/neglect/maltreatment • North Carolina General Statute § 110-91(10) and Child Care Rule 10A NCAC 09 .1803(a) regarding the care, treatment, and discipline of children • North Carolina General Statute § 110-91(14) regarding falsification • North Carolina General Statute § 110-91(12) regarding daily schedules and activity plans • North Carolina General Statute § 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratios • North Carolina General Statute § 110-91(1)&(4-5) regarding approved space • North Carolina General Statute § 110-102 regarding children’s records • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rules 10A NCAC 09 .0606 regarding safe sleep policies and practices • Child Care Rules 10A NCAC 09 .0604 regarding safety requirements • Child Care Rules 10A NCAC 09 .0605 regarding outdoor learning environments • Child Care Rules 10A NCAC 09. 0701(a) regarding health standards • Child Care Rules 10A NCAC 09 .0803 regarding administering medication • Child Care Rule 10A NCAC 09 .2318 regarding record retention • Child Care Rules 10A NCAC 09 .0302 regarding application for a child care license • Child Care Rule 10A NCAC 09 .1102 regarding health and safety training requirements • Child Care Rule 10A NCAC 09 .1101 regarding new staff orientation requirements • Child Care Rules 10A NCAC 09 .0901 and .0902 regarding nutrition • Child Care Rules 10A NCAC 09 .1003 regarding transportation safe procedures • Sanitation Rule 15A NCAC 18A .2800 regarding sanitation Item #1: An unannounced visit was conducted on May 30, 2025. No violations were cited. An unannounced visit was conducted on July 10, 2025. No violations were cited. An unannounced visit was conducted on August 25, 2025. No violations were cited. Today multiple violations were observed. 2. Within one (1) week after this Notice is received, Kari Ray, administrator, shall contact Jennifer Garner, Lead Child Care Consultant, telephone number 910-824-1447, email jennifer.j.garner@dhhs.nc.gov, to arrange for a complete review of all child care requirements broken into four (4) training sessions, six (6) point items, five (5) point items, three (3) and four (4) point items, and one (1) and two (2) point items. These rule reviews must be completed before the end of the probationary period. Ms. Ray and all staff members, including full-time, part-time, substitute, and volunteer staff, shall participate in the mandatory trainings. No children shall be in care during the trainings. Documentation of the trainings shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. The documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #2: On May 27, 2025, Ms. Garner received an email from Ms. Ray requesting to set up the four training sessions. The first two trainings sessions were scheduled on August 1, 2025, and October 17, 2025. The training was conducted on August 1, 2025. All staff were present except two individuals. On August 25, 2025, Mr. Grossman contacted Ms. Garner to schedule a make-up session. This item is not in compliance. 3. Within one (1) week after this Notice is received, Ms. Ray shall contact April Lester, Child Care Consultant, PO Box 12948 Wilmington, NC 28405, telephone number 910-824-0954, email april.lester@dhhs.nc.gov, to arrange for a review of child care requirements regarding falsification. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall participate in this mandatory training. During the training, Ms. Lester shall review and discuss a Statement of Understanding acknowledging that all staff have read, understand, and will comply with child care requirements regarding falsification. At the conclusion of the training, staff members shall sign the statements. The original signed statements shall be maintained in each staff member’s personnel file at the child care facility for review by representatives of the Division of Child Development and Early Education upon request. Item #3: On May 27, 2025, Ms. Lester received an email from Ms. Ray requesting to set up the required training, which was scheduled for August 1, 2025. All staff except two individuals attended the training on August 1, 2025. The training was recorded on this date. On August 4, 2025, both staff members viewed the video footage and completed the training. This item is in compliance. 4. Within two (2) weeks after this Notice is received, Ms. Ray shall contact Mindy Davis, M.Ed., Early Care & Education Director, Smart Start of New Hanover County, email address mindy.davis@newhanoverkids.org, telephone number 910-815-3731 ext. 1010, to arrange for training that addresses strategies for the supervision of children, including typical behaviors for the ages and developmental stages of children in care and appropriate supervision strategies for the developmental stages of a child’s growth. In addition, Ms. Ray shall contact Ms. Davis during the same timeframe to arrange for training that will address effective communication and professionalism. No children shall be in care during these trainings. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, with responsibility for caring for children shall participate in the mandatory trainings. Documentation of the trainings shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #4: Ms. Ray contacted Smart Start of New Hanover County on May 29, 2025, to arrange both training sessions. On June 9, 2025, Ms. Ray followed up with Smart Start of New Hanover County and confirmed the following training dates: Supervision with Children scheduled on October 17, 2025, and Communication & Professionalism scheduled on January 9, 2026. This item is in compliance. 5. Within two (2) weeks after the required training regarding supervision is completed, Ms. Ray shall r revise the facility’s supervision policies and procedures to incorporate strategies learned in the training. The revised policies and procedures should describe, in detail, the steps the facility will take to ensure adequate supervision of children at all times. The policies and procedures shall include, but not be limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one (1) area to another • When children are transitioned from one (1) caregiver to another • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members implementation of the supervision policies and procedures • Procedures for periodic review of the supervision policies and procedures with all staff members, including the review of the policies and procedures in orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members non-compliance with policies and procedures The revised policies and procedures shall be submitted to Allison Davis, Investigations Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 910-800-0079, email Allison.Davis@dhhs.nc.gov, for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation; the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #5: The facility’s revised supervision policies and procedures must be submitted within two weeks of the supervision training being completed. This item is in compliance. 6. Within two (2) weeks after the required training regarding effective communication and professionalism is completed, Ms. Ray shall develop effective communication and professionalism policies and procedures to incorporate strategies learned in the training. The policies and procedures shall describe, in detail, the steps the facility will take to ensure staff’s understanding of effective communication and professionalism. The policies and procedures shall include, but not be limited to, the following: • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with children, other staff members, parents, and other persons who may be present at the facility • Effective and acceptable practices for owner/administrators/staff members to maintain professionalism and communicate with others while providing care for children off-premises • Unacceptable practices of communication • Strategies for de-escalating potential conflicts and conflict resolution • Steps that will be taken when a verbal or physical altercation occurs at the facility, including contacting law enforcement immediately, protecting the children who are present, and supervising the children that are present if an altercation occurs The policies and procedures shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policies and procedures meet the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policies and procedures shall be immediately implemented and a copy of them shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #6: Effective communication and professionalism policies and procedures must be developed and submitted within two weeks of the required training being completed. This item is in compliance. 7. Within four (4) weeks after this Notice is received, Ms. Ray shall develop a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use. The policy shall include, but not be limited to: • A plan for testing staff members when there are suspicions, concerns, or reports of substance use, including a timeframe for the staff member to submit to a drug test when requested • A requirement that staff members are not allowed to engage in the illegal use of substances or engage in illegal activities at any time, including while off premises and outside of facility work hours • A requirement that illegal substances and/or narcotics, alcohol, tobacco and/or vape pens are not permitted inside the facility or any other locations where enrolled children are in care • A plan for the use and storage of staff members’ personal belongings, including purses, backpacks, or other bags, cell phones, medications, and other possible hazardous items to ensure children do not have access to any hazardous items • Procedures for staff to report any illegal substances found on facility grounds or any impaired staff members to facility administration • Procedures for notifying law enforcement if illegal substances are found on the premises • Consequences for staff members who fail to comply with the facility’s policy • A procedure for regular review of the policy with all staff members including the review of the policy in the orientation of new staff members before they assume child care responsibilities The policy shall be submitted to Ms. Davis for approval. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the policy meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the policy shall be immediately implemented, and a copy shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #7: Ms. Ray must develop and submit a policy related to illegal and/or impairing drugs, vaping, smoking, and alcohol use by June 18, 2025. As of the visit on July 10, 2025, the proposed policy had not been submitted to DCDEE. Mr. Grossman submitted the proposed policy on July 22, 2025, which was reviewed and emailed to my supervisor. On July 23, 2025, my supervisor sent the policy to me with comments. This item in compliance. 8. Within two (2) weeks after this Notice is received, Ms. Ray shall develop a written plan for observation and evaluation of each staff member’s performance while the Probationary License is in effect. The written plan, at a minimum, shall include routine observations of each staff member one (1) time per month while the Probationary License is in effect. The plan shall also include periodic observations after the conclusion of the Probationary License to ensure continual compliance with child care requirements and the facility’s policies/procedures related to supervision of children, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use. The plan shall include, but not be limited to the following: • Individuals who will complete the observations and evaluations with the requirement that observations are conducted by members of management • Development and implementation of a tool to use for the observations that include the date and times of each observation, name and signature of the person observed, signature of the observer, a summary of each observation, areas of noncompliance, and any corrective action taken The written plan shall be submitted to Ms. Davis for review. Ms. Davis shall notify Ms. Ray, orally and in writing, as to whether the plan meets the stipulation or if modifications are needed. Upon receiving notification that it meets the requirements of the stipulation, the plan shall be immediately implemented, and a copy of the plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. In addition, the observation records for each staff member shall be retained in their personnel file for the duration of their employment at the facility. Item #8: On June 4, 2025, Ms. Ray and Mr. Grossman submitted a written plan for observation and evaluation. I reviewed the plan and returned it to Ms. Ray and Mr. Grossman the following day with suggested revisions due to me and copied to my supervisor by June 9, 2025. Ms. Ray submitted the revised policy to me on June 9, 2025, and emailed it to my supervisor on June 10, 2025. My supervisor emailed this to me for review on July 23, 2025. This item is in compliance. 9. Within two (2) weeks after notification from the Division that the stipulations have been met for the policies and procedures regarding supervision, effective communication and professionalism, and illegal and/or impairing drugs, vaping, smoking, and alcohol use, Ms. Ray shall conduct a staff meeting with all staff members to discuss the policies and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Item #9: Within two weeks of the requirements of the above stipulations being met, Ms. Ray must conduct a staff meeting. This item is in compliance. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. 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

Aug 25, 2025 — Unannounced
No violations cited
Clean
Aug 11, 2025 — Announced
No violations cited
Clean
Jul 10, 2025 — Unannounced
No violations cited
Clean
May 30, 2025 — Unannounced
No violations cited
Clean
Apr 16, 2025 — Unannounced
No violations cited
Clean
Apr 9, 2025 — Unannounced
No violations cited
Clean
Mar 11, 2025 — Admin Action Follow-Up Lic
1 violation cited
1 violation
  • Violation

    NC GS 110-90 · Violation

    Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 3/11/2025 Number Present: 53 Completed Date: 3/11/2025 Age: From 0 To 5 Total Minutes: 120 Time In: 09:30 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of my Administrative Action follow-up visit was to monitor compliance with applicable child care requirements pertinent to this visit type. This facility currently operates under Administrative Action - Revocation. Kari Ray, Director, assisted with the visit. The program currently operates with a one-star license, issued January 6, 2022. Restrictions on the permit include: daytime care only; and children in care on ground level only. Prior to the visit the 18-month compliance history score was 85%. A Final Notice of Revocation was issued and hand delivered January 27, 2025, and the program has appealed the decision. As discussed, you must continue to post the Administrative Action and maintain compliance with all applicable child care requirements pending the outcome of the appeal. Unannounced follow-up visits will continue every 4-6 weeks as well. Today it was observed that the Administrative Action and Cover Letter were posted near the entrance as required. Supervision, staff/child ratios, CRP/First Aid, special training, storage of hazardous substances, storage of medication, adequate approved space, staff records, program records, license posted, and permit restrictions were monitored today. All indoor and outdoor approved spaces were monitored today. Children were observed in free play with age-appropriate materials and activities. Staff/child interactions were positive and nurturing. Lunch for today consisted of ravioli, green beans, peaches, and milk. The following violations were observed and must be corrected immediately. Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff members First Aid certification expired February 2025. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff members CPR certification expired February 2025. .1102(d) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before March 25, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: April Lester, Child Care Consultant PO Box 12948 Wilmington, NC 28405 April.Lester@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: For the health and safety of the children, all staff members are required to obtain CPR and First Aid certification and keep it current. Renewing these certifications is crucial for staff to be refreshed in first aid and other lifesaving techniques as well as receiving the most up to date information. I suggest you set a reminder on your calendar to keep track of expiration dates and/or seek out training from additional approved agencies when staff are not able to attend courses offered locally or at the facility. The staff and training worksheet is a tool for you to use to ensure all staff records are current. Today we discussed the importance of keeping this tool up-to-date to help you track important due dates. Reminders: Follow-up visits will continue to be conducted every 4-6 weeks throughout the appeal process. At the completion of the visit, this visit summary was reviewed, signed, and left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov or Lynette Robbins, Licensing Supervisor, 910-824-0235, Lynette.Robbins@dhhs.nc.gov if you have questions. 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

Feb 12, 2025 — Unannounced
No violations cited
Clean
Jan 27, 2025 — Unannounced
No violations cited
Clean
Jan 21, 2025 — Unannounced
No violations cited
Clean
Dec 18, 2024 — Unannounced
No violations cited
Clean

Questions to ask on your tour

Generated from this facility's specific inspection record

  1. 1The Mar 23, 2026 inspection noted: “Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 3/23/2026 Number Prese…” — what has changed since then?
  2. 2The Dec 16, 2025 inspection noted: “Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 12/16/2025 Number Pres…” — what has changed since then?
  3. 3The Oct 13, 2025 inspection noted: “Name of Operation: THE KIDDIE COTTAGE, LLC Facility ID: 65001050 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 10/13/2025 Number Pres…” — what has changed since then?

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