Children Need Attention Learning Center

10A NCAC 09 .1706 · Violation

Name of Operation: CHILDREN NEED ATTENTION LEARNING CENTER Facility ID: 34000513 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 1/29/2026 Number Present: 1 Completed Date: 1/29/2026 Age: From 2 To 2 Total Minutes: 250 Time In: 10:50 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant, with Valeria Glover, Operator. Your program currently operates with a 5-Star license. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschoolers at any time; children in care on ground level only; and serves no more than two children under age one. Ms. Glover stated she is currently providing only first shift care. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. One child was present during the visit; she was observed playing with toys, painting with water colors, participating in general routines, and engaging in activities, songs, and stories with Ms. Glover during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 2/05/2025. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator during the visit. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The last fire drill was conducted on 1/05/2026. The most recent shelter-in-place drill was documented on 1/05/2026. The last outdoor inspection was documented on 1/05/2026. There are currently no pets at the facility. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. Ms. Glover stated she does not transport children enrolled or participate in aquatic or off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 708 Indoor stairs with more than two steps were not made inaccessible to children two years of age or younger. The indoor stairs with greater than two steps were observed accessible to a child two years of age. 10 A NCAC 09 .1719(a)(29) 716 Electrical outlets not in use were not covered. Two outlets located on a power strip sitting on top of a desk less than five feet from the ground and accessible to children were observed without safety covers. 10A NCAC .1719(a)(27) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. • On the playground used by children, one metal hinge on the fencing was observed to be heavily rusted with two rusted screws poking outward which were observed to be sharp to the touch. One rusted nail, sharp to the touch, was observed protruding through the fencing on the back right side of the playground. Two metal brackets securing outdoor pipes lining the base of the home on the playground were observed to be rusted through and sharp to the touch. One section of chain located hanging from the fencing to the left of the shed door was observed to be heavily rusted. A section of rope attached to a heavily rusted metal piece was observed frozen inside a flower pot. 10A NCAC 09 .1719 (a) 1831 A valid qualification letter was not on file and available for review at the facility. A physical copy of the operator's granddaughter’s CBC Qualification letter was not observed on file for review. G.S. 110-90.2 (b) & (d) & .2703(e) .1702(b)(1) 1846 An individual over the age of 15, who resides in a family child care home or a center located in a residence on a permanent or temporary basis, or those who had their 16th birthday after the initial licensing of a family child care home; did not complete and submit required forms within five business days. The Criminal Background Check Qualification letter for the operator’s granddaughter who turned sixteen years of age on 9/04/2025 was not issued until 11/14/2025 (expires 11/14/2030). G.S. 110-90.2 & .2703(q) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The Criminal Background Check Qualification letter for the operator’s granddaughter who turned sixteen years of age on 9/04/2025 was not observed linked to the facility’s ABCMS facility profile. G.S. 110-90.2 & .2703(r) 1923 Jump ropes and rubber bands were accessible to children under five years of age, without adult supervision. One unlatched desk drawer located in the space designated for child care was observed to have an open plastic bag of rubber bands accessible to children under the age of three. .1719(a)(19) 1962 Activity plans did not include activities intended to stimulate the developmental domains, in accordance with NC Foundations for Early Learning and Development. The written activity plan reflected activities like "Tummy Time" and "Baby Aerobics" which are no longer developmentally appropriate for a child two years of age. 10A NCAC 09 .1718(a)(8)(A)(i-iv) 2048 Products that are labeled “keep out of reach of children” with an additional warning(s) on the label, were not kept in locked storage while children were in care. • One bottle of Liquid Plumr labeled Keep Out of Reach of Children with additional warnings was observed stored in an unlatched cabinet beneath the sink in the bathroom accessed by children. This item was placed into locked storage during the visit. One small spray bottle of room scent spray with two warnings was observed unlocked and stored greater than five feet from the ground on a shelf in the bathroom accessed by children. This item was placed into locked storage during the visit. Greater than three individual sized bottles of hand sanitizer were observed inside an unlatched plastic supply closet less than five feet from the ground in the space designated for child care; Mrs. Glover placed these items into locked storage during the visit. One package of alcohol wipes was observed on a desktop less than five feet from the ground in unlocked storage, accessible to children in the space designated for child care; Mrs. Glover placed these wipes into locked storage during the visit. Two aerosol cans of Rustoleum spray paint were observed in unlocked storage on the ground inside the fenced area which houses the air conditioning unit. 10A NCAC 09 .1719(a)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 2/12/2026. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 4948 Martin View Lane Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided following today’s visit: • One unlatched desk drawer located in the space designated for child care was observed to have an open plastic bag of rubber bands accessible to children under the age of three. Ms. Glover made these rubber bands inaccessible to children during the visit. Rubber bands can be a potential choking hazard. You may consider monitoring the space designated for child care daily prior to children arriving to ensure there are no items present which could present a safety hazard to children. • One bottle of Liquid Plumr labeled Keep Out of Reach of Children with additional warnings was observed stored in an unlatched cabinet beneath the sink in the bathroom accessed by children. This item was placed into locked storage during the visit. One small spray bottle of room scent spray with two warnings was observed unlocked and stored greater than five feet from the ground on a shelf in the bathroom accessed by children. This item was placed into locked storage during the visit. Greater than three individual sized bottles of hand sanitizer were observed inside an unlatched plastic supply closet less than five feet from the ground in the space designated for child care; Mrs. Glover placed these items into locked storage during the visit. One package of alcohol wipes was observed on a desktop less than five feet from the ground in unlocked storage, accessible to children in the space designated for child care; Mrs. Glover placed these wipes into locked storage during the visit. Two aerosol cans of Rustoleum spray paint were observed in unlocked storage on the ground inside the fenced area which houses the air conditioning unit. It is essential for the indoor and outdoor environment to be free of products which can be harmful to children if handled, ingested, or inhaled. Ms. Glover did not remove these cans from the playground during the visit because there was a significant amount of ice on the ground, and it was not safe to do so. You may consider monitoring the space designated for child care and outdoor environment daily prior to children arriving to ensure there are no items present which could present a safety hazard to children and that all areas containing these items are securely locked. • Two outlets located on a power strip sitting on top of a desk less than five feet from the ground and accessible to children were observed without safety covers. Mrs. Glover placed safety covers in each outlet during the visit. The indoor stairs with greater than two steps were observed accessible to a child two years of age; Mrs. Glover placed the baby gate in front of the stairs during the visit.You may consider monitoring the space designated for child care daily prior to children arriving to ensure no safety hazards are present. • On the playground used by children, one metal hinge on the fencing was observed to be heavily rusted with two rusted screws poking outward which were observed to be sharp to the touch. One rusted nail, sharp to the touch, was observed protruding through the fencing on the back right side of the playground. Two metal brackets securing outdoor pipes lining the base of the home on the playground were observed to be rusted through and sharp to the touch. One section of chain located hanging from the fencing to the left of the shed door was observed to be heavily rusted. A section of rope attached to a heavily rusted metal piece was observed frozen inside a flower pot. It is important for the outdoor environment to be a safe place for children to explore and engage with at all times. These items could not be addressed during the visit because there was a significant amount of ice on the ground, and it was not safe to do so. Mrs. Glover stated these would be fixed as soon as it is safe to walk outside in the playground area. - The written activity plan reflected activities like "Tummy Time" and "Baby Aerobics" which are no longer developmentally appropriate for a child two years of age. It is important for lesson plans to address the five developmental domains of the NC Early Learning Foundations in ways that are developmentally appropriate to the ages and stages of children currently enrolled. You may consider referencing the NC FELD manual provided to you during my visit on 7/24/2025 as you update your current lesson plans. • The Criminal Background Check Qualification letter for the operator’s granddaughter who turned sixteen years of age on 9/04/2025 was not issued until 11/14/2025 (expires 11/14/2030), and she had not yet been linked to the facility’s ABCMS facility profile. Additionally, a physical copy of her granddaughter’s CBC Qualification letter was not observed on file for review. It is necessary for all staff members to be linked to the FCCH’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Also, any individual over the age of 15 who resides, in a child care facility on either a temporary or permanent basis shall complete the CBC qualification process within 5 days of either moving into the facility or within 5 days after their 16th birthday. Mrs. Glover stated she had not received anything via mail after completing the fingerprinting process, and we discussed her granddaughter can log into the ABCMS system using her individual NCID to access and print her CBC Qualification letter. If you need additional assistance in linking this qualification letter to your facility profile please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Consultation provided following today’s visit: The following Child Care Rules were reviewed with Mrs. Glover during the visit: 10A NCAC 09 .1706 NUTRITION STANDARDS (c) regarding nutrition opt out information Complete an additional .5 on-going training hours before 2/05/2026. Remember to renew your ITS SIDS certification before 9/21/2026 and to update your EPR Plan before 2/14/2026. • You must notify your consultant 30 days prior to changing the ownership status of your facility. As the Hold Harmless period has ended, and preparations for the new QRIS Modernization process are underway, I have included the link below to DCDEE’s NC Child Care Commission’s QRIS Modernization Plan (QRIS Reform) website link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Consider participating in an outreach assessment: https://ncrlap.org/Resources/pages/outreachassessments/ • Visit the NCRLAP website: Get Ready for the 3s (ECERS-3, ITERS-3, FCCERS-3) https://ncrlap.org/Resources/pages/get-ready-for-3s/ Additionally, you may consider reaching out to local partners at Child Care Resource Center and/or Smart Start of Forsyth County. Their teams are working diligently to support programs with training and more detailed information on the ERS-3 at this time. Beginning in October, child care consultants began 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. Mrs. Glover stated she is considering retiring from child care in August, 2026. Mrs. Glover has not had greater than two children enrolled at her facility since 2021. I also shared with Mrs. Glover she has the option of reducing in Stars if she wishes to remain licensed and operating, but she stated she is leaning toward retirement and will keep me updated as the year goes on. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1718 · Violation

Name of Operation: CHILDREN NEED ATTENTION LEARNING CENTER Facility ID: 34000513 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 1/29/2026 Number Present: 1 Completed Date: 1/29/2026 Age: From 2 To 2 Total Minutes: 250 Time In: 10:50 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant, with Valeria Glover, Operator. Your program currently operates with a 5-Star license. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschoolers at any time; children in care on ground level only; and serves no more than two children under age one. Ms. Glover stated she is currently providing only first shift care. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. One child was present during the visit; she was observed playing with toys, painting with water colors, participating in general routines, and engaging in activities, songs, and stories with Ms. Glover during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 2/05/2025. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator during the visit. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The last fire drill was conducted on 1/05/2026. The most recent shelter-in-place drill was documented on 1/05/2026. The last outdoor inspection was documented on 1/05/2026. There are currently no pets at the facility. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. Ms. Glover stated she does not transport children enrolled or participate in aquatic or off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 708 Indoor stairs with more than two steps were not made inaccessible to children two years of age or younger. The indoor stairs with greater than two steps were observed accessible to a child two years of age. 10 A NCAC 09 .1719(a)(29) 716 Electrical outlets not in use were not covered. Two outlets located on a power strip sitting on top of a desk less than five feet from the ground and accessible to children were observed without safety covers. 10A NCAC .1719(a)(27) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. • On the playground used by children, one metal hinge on the fencing was observed to be heavily rusted with two rusted screws poking outward which were observed to be sharp to the touch. One rusted nail, sharp to the touch, was observed protruding through the fencing on the back right side of the playground. Two metal brackets securing outdoor pipes lining the base of the home on the playground were observed to be rusted through and sharp to the touch. One section of chain located hanging from the fencing to the left of the shed door was observed to be heavily rusted. A section of rope attached to a heavily rusted metal piece was observed frozen inside a flower pot. 10A NCAC 09 .1719 (a) 1831 A valid qualification letter was not on file and available for review at the facility. A physical copy of the operator's granddaughter’s CBC Qualification letter was not observed on file for review. G.S. 110-90.2 (b) & (d) & .2703(e) .1702(b)(1) 1846 An individual over the age of 15, who resides in a family child care home or a center located in a residence on a permanent or temporary basis, or those who had their 16th birthday after the initial licensing of a family child care home; did not complete and submit required forms within five business days. The Criminal Background Check Qualification letter for the operator’s granddaughter who turned sixteen years of age on 9/04/2025 was not issued until 11/14/2025 (expires 11/14/2030). G.S. 110-90.2 & .2703(q) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The Criminal Background Check Qualification letter for the operator’s granddaughter who turned sixteen years of age on 9/04/2025 was not observed linked to the facility’s ABCMS facility profile. G.S. 110-90.2 & .2703(r) 1923 Jump ropes and rubber bands were accessible to children under five years of age, without adult supervision. One unlatched desk drawer located in the space designated for child care was observed to have an open plastic bag of rubber bands accessible to children under the age of three. .1719(a)(19) 1962 Activity plans did not include activities intended to stimulate the developmental domains, in accordance with NC Foundations for Early Learning and Development. The written activity plan reflected activities like "Tummy Time" and "Baby Aerobics" which are no longer developmentally appropriate for a child two years of age. 10A NCAC 09 .1718(a)(8)(A)(i-iv) 2048 Products that are labeled “keep out of reach of children” with an additional warning(s) on the label, were not kept in locked storage while children were in care. • One bottle of Liquid Plumr labeled Keep Out of Reach of Children with additional warnings was observed stored in an unlatched cabinet beneath the sink in the bathroom accessed by children. This item was placed into locked storage during the visit. One small spray bottle of room scent spray with two warnings was observed unlocked and stored greater than five feet from the ground on a shelf in the bathroom accessed by children. This item was placed into locked storage during the visit. Greater than three individual sized bottles of hand sanitizer were observed inside an unlatched plastic supply closet less than five feet from the ground in the space designated for child care; Mrs. Glover placed these items into locked storage during the visit. One package of alcohol wipes was observed on a desktop less than five feet from the ground in unlocked storage, accessible to children in the space designated for child care; Mrs. Glover placed these wipes into locked storage during the visit. Two aerosol cans of Rustoleum spray paint were observed in unlocked storage on the ground inside the fenced area which houses the air conditioning unit. 10A NCAC 09 .1719(a)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 2/12/2026. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 4948 Martin View Lane Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided following today’s visit: • One unlatched desk drawer located in the space designated for child care was observed to have an open plastic bag of rubber bands accessible to children under the age of three. Ms. Glover made these rubber bands inaccessible to children during the visit. Rubber bands can be a potential choking hazard. You may consider monitoring the space designated for child care daily prior to children arriving to ensure there are no items present which could present a safety hazard to children. • One bottle of Liquid Plumr labeled Keep Out of Reach of Children with additional warnings was observed stored in an unlatched cabinet beneath the sink in the bathroom accessed by children. This item was placed into locked storage during the visit. One small spray bottle of room scent spray with two warnings was observed unlocked and stored greater than five feet from the ground on a shelf in the bathroom accessed by children. This item was placed into locked storage during the visit. Greater than three individual sized bottles of hand sanitizer were observed inside an unlatched plastic supply closet less than five feet from the ground in the space designated for child care; Mrs. Glover placed these items into locked storage during the visit. One package of alcohol wipes was observed on a desktop less than five feet from the ground in unlocked storage, accessible to children in the space designated for child care; Mrs. Glover placed these wipes into locked storage during the visit. Two aerosol cans of Rustoleum spray paint were observed in unlocked storage on the ground inside the fenced area which houses the air conditioning unit. It is essential for the indoor and outdoor environment to be free of products which can be harmful to children if handled, ingested, or inhaled. Ms. Glover did not remove these cans from the playground during the visit because there was a significant amount of ice on the ground, and it was not safe to do so. You may consider monitoring the space designated for child care and outdoor environment daily prior to children arriving to ensure there are no items present which could present a safety hazard to children and that all areas containing these items are securely locked. • Two outlets located on a power strip sitting on top of a desk less than five feet from the ground and accessible to children were observed without safety covers. Mrs. Glover placed safety covers in each outlet during the visit. The indoor stairs with greater than two steps were observed accessible to a child two years of age; Mrs. Glover placed the baby gate in front of the stairs during the visit.You may consider monitoring the space designated for child care daily prior to children arriving to ensure no safety hazards are present. • On the playground used by children, one metal hinge on the fencing was observed to be heavily rusted with two rusted screws poking outward which were observed to be sharp to the touch. One rusted nail, sharp to the touch, was observed protruding through the fencing on the back right side of the playground. Two metal brackets securing outdoor pipes lining the base of the home on the playground were observed to be rusted through and sharp to the touch. One section of chain located hanging from the fencing to the left of the shed door was observed to be heavily rusted. A section of rope attached to a heavily rusted metal piece was observed frozen inside a flower pot. It is important for the outdoor environment to be a safe place for children to explore and engage with at all times. These items could not be addressed during the visit because there was a significant amount of ice on the ground, and it was not safe to do so. Mrs. Glover stated these would be fixed as soon as it is safe to walk outside in the playground area. - The written activity plan reflected activities like "Tummy Time" and "Baby Aerobics" which are no longer developmentally appropriate for a child two years of age. It is important for lesson plans to address the five developmental domains of the NC Early Learning Foundations in ways that are developmentally appropriate to the ages and stages of children currently enrolled. You may consider referencing the NC FELD manual provided to you during my visit on 7/24/2025 as you update your current lesson plans. • The Criminal Background Check Qualification letter for the operator’s granddaughter who turned sixteen years of age on 9/04/2025 was not issued until 11/14/2025 (expires 11/14/2030), and she had not yet been linked to the facility’s ABCMS facility profile. Additionally, a physical copy of her granddaughter’s CBC Qualification letter was not observed on file for review. It is necessary for all staff members to be linked to the FCCH’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Also, any individual over the age of 15 who resides, in a child care facility on either a temporary or permanent basis shall complete the CBC qualification process within 5 days of either moving into the facility or within 5 days after their 16th birthday. Mrs. Glover stated she had not received anything via mail after completing the fingerprinting process, and we discussed her granddaughter can log into the ABCMS system using her individual NCID to access and print her CBC Qualification letter. If you need additional assistance in linking this qualification letter to your facility profile please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Consultation provided following today’s visit: The following Child Care Rules were reviewed with Mrs. Glover during the visit: 10A NCAC 09 .1706 NUTRITION STANDARDS (c) regarding nutrition opt out information Complete an additional .5 on-going training hours before 2/05/2026. Remember to renew your ITS SIDS certification before 9/21/2026 and to update your EPR Plan before 2/14/2026. • You must notify your consultant 30 days prior to changing the ownership status of your facility. As the Hold Harmless period has ended, and preparations for the new QRIS Modernization process are underway, I have included the link below to DCDEE’s NC Child Care Commission’s QRIS Modernization Plan (QRIS Reform) website link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Consider participating in an outreach assessment: https://ncrlap.org/Resources/pages/outreachassessments/ • Visit the NCRLAP website: Get Ready for the 3s (ECERS-3, ITERS-3, FCCERS-3) https://ncrlap.org/Resources/pages/get-ready-for-3s/ Additionally, you may consider reaching out to local partners at Child Care Resource Center and/or Smart Start of Forsyth County. Their teams are working diligently to support programs with training and more detailed information on the ERS-3 at this time. Beginning in October, child care consultants began 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. Mrs. Glover stated she is considering retiring from child care in August, 2026. Mrs. Glover has not had greater than two children enrolled at her facility since 2021. I also shared with Mrs. Glover she has the option of reducing in Stars if she wishes to remain licensed and operating, but she stated she is leaning toward retirement and will keep me updated as the year goes on. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1719 · Violation

Name of Operation: CHILDREN NEED ATTENTION LEARNING CENTER Facility ID: 34000513 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 1/29/2026 Number Present: 1 Completed Date: 1/29/2026 Age: From 2 To 2 Total Minutes: 250 Time In: 10:50 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant, with Valeria Glover, Operator. Your program currently operates with a 5-Star license. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschoolers at any time; children in care on ground level only; and serves no more than two children under age one. Ms. Glover stated she is currently providing only first shift care. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. One child was present during the visit; she was observed playing with toys, painting with water colors, participating in general routines, and engaging in activities, songs, and stories with Ms. Glover during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 2/05/2025. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator during the visit. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The last fire drill was conducted on 1/05/2026. The most recent shelter-in-place drill was documented on 1/05/2026. The last outdoor inspection was documented on 1/05/2026. There are currently no pets at the facility. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. Ms. Glover stated she does not transport children enrolled or participate in aquatic or off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 708 Indoor stairs with more than two steps were not made inaccessible to children two years of age or younger. The indoor stairs with greater than two steps were observed accessible to a child two years of age. 10 A NCAC 09 .1719(a)(29) 716 Electrical outlets not in use were not covered. Two outlets located on a power strip sitting on top of a desk less than five feet from the ground and accessible to children were observed without safety covers. 10A NCAC .1719(a)(27) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. • On the playground used by children, one metal hinge on the fencing was observed to be heavily rusted with two rusted screws poking outward which were observed to be sharp to the touch. One rusted nail, sharp to the touch, was observed protruding through the fencing on the back right side of the playground. Two metal brackets securing outdoor pipes lining the base of the home on the playground were observed to be rusted through and sharp to the touch. One section of chain located hanging from the fencing to the left of the shed door was observed to be heavily rusted. A section of rope attached to a heavily rusted metal piece was observed frozen inside a flower pot. 10A NCAC 09 .1719 (a) 1831 A valid qualification letter was not on file and available for review at the facility. A physical copy of the operator's granddaughter’s CBC Qualification letter was not observed on file for review. G.S. 110-90.2 (b) & (d) & .2703(e) .1702(b)(1) 1846 An individual over the age of 15, who resides in a family child care home or a center located in a residence on a permanent or temporary basis, or those who had their 16th birthday after the initial licensing of a family child care home; did not complete and submit required forms within five business days. The Criminal Background Check Qualification letter for the operator’s granddaughter who turned sixteen years of age on 9/04/2025 was not issued until 11/14/2025 (expires 11/14/2030). G.S. 110-90.2 & .2703(q) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The Criminal Background Check Qualification letter for the operator’s granddaughter who turned sixteen years of age on 9/04/2025 was not observed linked to the facility’s ABCMS facility profile. G.S. 110-90.2 & .2703(r) 1923 Jump ropes and rubber bands were accessible to children under five years of age, without adult supervision. One unlatched desk drawer located in the space designated for child care was observed to have an open plastic bag of rubber bands accessible to children under the age of three. .1719(a)(19) 1962 Activity plans did not include activities intended to stimulate the developmental domains, in accordance with NC Foundations for Early Learning and Development. The written activity plan reflected activities like "Tummy Time" and "Baby Aerobics" which are no longer developmentally appropriate for a child two years of age. 10A NCAC 09 .1718(a)(8)(A)(i-iv) 2048 Products that are labeled “keep out of reach of children” with an additional warning(s) on the label, were not kept in locked storage while children were in care. • One bottle of Liquid Plumr labeled Keep Out of Reach of Children with additional warnings was observed stored in an unlatched cabinet beneath the sink in the bathroom accessed by children. This item was placed into locked storage during the visit. One small spray bottle of room scent spray with two warnings was observed unlocked and stored greater than five feet from the ground on a shelf in the bathroom accessed by children. This item was placed into locked storage during the visit. Greater than three individual sized bottles of hand sanitizer were observed inside an unlatched plastic supply closet less than five feet from the ground in the space designated for child care; Mrs. Glover placed these items into locked storage during the visit. One package of alcohol wipes was observed on a desktop less than five feet from the ground in unlocked storage, accessible to children in the space designated for child care; Mrs. Glover placed these wipes into locked storage during the visit. Two aerosol cans of Rustoleum spray paint were observed in unlocked storage on the ground inside the fenced area which houses the air conditioning unit. 10A NCAC 09 .1719(a)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 2/12/2026. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 4948 Martin View Lane Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided following today’s visit: • One unlatched desk drawer located in the space designated for child care was observed to have an open plastic bag of rubber bands accessible to children under the age of three. Ms. Glover made these rubber bands inaccessible to children during the visit. Rubber bands can be a potential choking hazard. You may consider monitoring the space designated for child care daily prior to children arriving to ensure there are no items present which could present a safety hazard to children. • One bottle of Liquid Plumr labeled Keep Out of Reach of Children with additional warnings was observed stored in an unlatched cabinet beneath the sink in the bathroom accessed by children. This item was placed into locked storage during the visit. One small spray bottle of room scent spray with two warnings was observed unlocked and stored greater than five feet from the ground on a shelf in the bathroom accessed by children. This item was placed into locked storage during the visit. Greater than three individual sized bottles of hand sanitizer were observed inside an unlatched plastic supply closet less than five feet from the ground in the space designated for child care; Mrs. Glover placed these items into locked storage during the visit. One package of alcohol wipes was observed on a desktop less than five feet from the ground in unlocked storage, accessible to children in the space designated for child care; Mrs. Glover placed these wipes into locked storage during the visit. Two aerosol cans of Rustoleum spray paint were observed in unlocked storage on the ground inside the fenced area which houses the air conditioning unit. It is essential for the indoor and outdoor environment to be free of products which can be harmful to children if handled, ingested, or inhaled. Ms. Glover did not remove these cans from the playground during the visit because there was a significant amount of ice on the ground, and it was not safe to do so. You may consider monitoring the space designated for child care and outdoor environment daily prior to children arriving to ensure there are no items present which could present a safety hazard to children and that all areas containing these items are securely locked. • Two outlets located on a power strip sitting on top of a desk less than five feet from the ground and accessible to children were observed without safety covers. Mrs. Glover placed safety covers in each outlet during the visit. The indoor stairs with greater than two steps were observed accessible to a child two years of age; Mrs. Glover placed the baby gate in front of the stairs during the visit.You may consider monitoring the space designated for child care daily prior to children arriving to ensure no safety hazards are present. • On the playground used by children, one metal hinge on the fencing was observed to be heavily rusted with two rusted screws poking outward which were observed to be sharp to the touch. One rusted nail, sharp to the touch, was observed protruding through the fencing on the back right side of the playground. Two metal brackets securing outdoor pipes lining the base of the home on the playground were observed to be rusted through and sharp to the touch. One section of chain located hanging from the fencing to the left of the shed door was observed to be heavily rusted. A section of rope attached to a heavily rusted metal piece was observed frozen inside a flower pot. It is important for the outdoor environment to be a safe place for children to explore and engage with at all times. These items could not be addressed during the visit because there was a significant amount of ice on the ground, and it was not safe to do so. Mrs. Glover stated these would be fixed as soon as it is safe to walk outside in the playground area. - The written activity plan reflected activities like "Tummy Time" and "Baby Aerobics" which are no longer developmentally appropriate for a child two years of age. It is important for lesson plans to address the five developmental domains of the NC Early Learning Foundations in ways that are developmentally appropriate to the ages and stages of children currently enrolled. You may consider referencing the NC FELD manual provided to you during my visit on 7/24/2025 as you update your current lesson plans. • The Criminal Background Check Qualification letter for the operator’s granddaughter who turned sixteen years of age on 9/04/2025 was not issued until 11/14/2025 (expires 11/14/2030), and she had not yet been linked to the facility’s ABCMS facility profile. Additionally, a physical copy of her granddaughter’s CBC Qualification letter was not observed on file for review. It is necessary for all staff members to be linked to the FCCH’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Also, any individual over the age of 15 who resides, in a child care facility on either a temporary or permanent basis shall complete the CBC qualification process within 5 days of either moving into the facility or within 5 days after their 16th birthday. Mrs. Glover stated she had not received anything via mail after completing the fingerprinting process, and we discussed her granddaughter can log into the ABCMS system using her individual NCID to access and print her CBC Qualification letter. If you need additional assistance in linking this qualification letter to your facility profile please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Consultation provided following today’s visit: The following Child Care Rules were reviewed with Mrs. Glover during the visit: 10A NCAC 09 .1706 NUTRITION STANDARDS (c) regarding nutrition opt out information Complete an additional .5 on-going training hours before 2/05/2026. Remember to renew your ITS SIDS certification before 9/21/2026 and to update your EPR Plan before 2/14/2026. • You must notify your consultant 30 days prior to changing the ownership status of your facility. As the Hold Harmless period has ended, and preparations for the new QRIS Modernization process are underway, I have included the link below to DCDEE’s NC Child Care Commission’s QRIS Modernization Plan (QRIS Reform) website link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Consider participating in an outreach assessment: https://ncrlap.org/Resources/pages/outreachassessments/ • Visit the NCRLAP website: Get Ready for the 3s (ECERS-3, ITERS-3, FCCERS-3) https://ncrlap.org/Resources/pages/get-ready-for-3s/ Additionally, you may consider reaching out to local partners at Child Care Resource Center and/or Smart Start of Forsyth County. Their teams are working diligently to support programs with training and more detailed information on the ERS-3 at this time. Beginning in October, child care consultants began 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. Mrs. Glover stated she is considering retiring from child care in August, 2026. Mrs. Glover has not had greater than two children enrolled at her facility since 2021. I also shared with Mrs. Glover she has the option of reducing in Stars if she wishes to remain licensed and operating, but she stated she is leaning toward retirement and will keep me updated as the year goes on. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: CHILDREN NEED ATTENTION LEARNING CENTER Facility ID: 34000513 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 1/29/2026 Number Present: 1 Completed Date: 1/29/2026 Age: From 2 To 2 Total Minutes: 250 Time In: 10:50 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant, with Valeria Glover, Operator. Your program currently operates with a 5-Star license. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschoolers at any time; children in care on ground level only; and serves no more than two children under age one. Ms. Glover stated she is currently providing only first shift care. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. One child was present during the visit; she was observed playing with toys, painting with water colors, participating in general routines, and engaging in activities, songs, and stories with Ms. Glover during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 2/05/2025. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator during the visit. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The last fire drill was conducted on 1/05/2026. The most recent shelter-in-place drill was documented on 1/05/2026. The last outdoor inspection was documented on 1/05/2026. There are currently no pets at the facility. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. Ms. Glover stated she does not transport children enrolled or participate in aquatic or off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 708 Indoor stairs with more than two steps were not made inaccessible to children two years of age or younger. The indoor stairs with greater than two steps were observed accessible to a child two years of age. 10 A NCAC 09 .1719(a)(29) 716 Electrical outlets not in use were not covered. Two outlets located on a power strip sitting on top of a desk less than five feet from the ground and accessible to children were observed without safety covers. 10A NCAC .1719(a)(27) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. • On the playground used by children, one metal hinge on the fencing was observed to be heavily rusted with two rusted screws poking outward which were observed to be sharp to the touch. One rusted nail, sharp to the touch, was observed protruding through the fencing on the back right side of the playground. Two metal brackets securing outdoor pipes lining the base of the home on the playground were observed to be rusted through and sharp to the touch. One section of chain located hanging from the fencing to the left of the shed door was observed to be heavily rusted. A section of rope attached to a heavily rusted metal piece was observed frozen inside a flower pot. 10A NCAC 09 .1719 (a) 1831 A valid qualification letter was not on file and available for review at the facility. A physical copy of the operator's granddaughter’s CBC Qualification letter was not observed on file for review. G.S. 110-90.2 (b) & (d) & .2703(e) .1702(b)(1) 1846 An individual over the age of 15, who resides in a family child care home or a center located in a residence on a permanent or temporary basis, or those who had their 16th birthday after the initial licensing of a family child care home; did not complete and submit required forms within five business days. The Criminal Background Check Qualification letter for the operator’s granddaughter who turned sixteen years of age on 9/04/2025 was not issued until 11/14/2025 (expires 11/14/2030). G.S. 110-90.2 & .2703(q) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The Criminal Background Check Qualification letter for the operator’s granddaughter who turned sixteen years of age on 9/04/2025 was not observed linked to the facility’s ABCMS facility profile. G.S. 110-90.2 & .2703(r) 1923 Jump ropes and rubber bands were accessible to children under five years of age, without adult supervision. One unlatched desk drawer located in the space designated for child care was observed to have an open plastic bag of rubber bands accessible to children under the age of three. .1719(a)(19) 1962 Activity plans did not include activities intended to stimulate the developmental domains, in accordance with NC Foundations for Early Learning and Development. The written activity plan reflected activities like "Tummy Time" and "Baby Aerobics" which are no longer developmentally appropriate for a child two years of age. 10A NCAC 09 .1718(a)(8)(A)(i-iv) 2048 Products that are labeled “keep out of reach of children” with an additional warning(s) on the label, were not kept in locked storage while children were in care. • One bottle of Liquid Plumr labeled Keep Out of Reach of Children with additional warnings was observed stored in an unlatched cabinet beneath the sink in the bathroom accessed by children. This item was placed into locked storage during the visit. One small spray bottle of room scent spray with two warnings was observed unlocked and stored greater than five feet from the ground on a shelf in the bathroom accessed by children. This item was placed into locked storage during the visit. Greater than three individual sized bottles of hand sanitizer were observed inside an unlatched plastic supply closet less than five feet from the ground in the space designated for child care; Mrs. Glover placed these items into locked storage during the visit. One package of alcohol wipes was observed on a desktop less than five feet from the ground in unlocked storage, accessible to children in the space designated for child care; Mrs. Glover placed these wipes into locked storage during the visit. Two aerosol cans of Rustoleum spray paint were observed in unlocked storage on the ground inside the fenced area which houses the air conditioning unit. 10A NCAC 09 .1719(a)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 2/12/2026. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 4948 Martin View Lane Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided following today’s visit: • One unlatched desk drawer located in the space designated for child care was observed to have an open plastic bag of rubber bands accessible to children under the age of three. Ms. Glover made these rubber bands inaccessible to children during the visit. Rubber bands can be a potential choking hazard. You may consider monitoring the space designated for child care daily prior to children arriving to ensure there are no items present which could present a safety hazard to children. • One bottle of Liquid Plumr labeled Keep Out of Reach of Children with additional warnings was observed stored in an unlatched cabinet beneath the sink in the bathroom accessed by children. This item was placed into locked storage during the visit. One small spray bottle of room scent spray with two warnings was observed unlocked and stored greater than five feet from the ground on a shelf in the bathroom accessed by children. This item was placed into locked storage during the visit. Greater than three individual sized bottles of hand sanitizer were observed inside an unlatched plastic supply closet less than five feet from the ground in the space designated for child care; Mrs. Glover placed these items into locked storage during the visit. One package of alcohol wipes was observed on a desktop less than five feet from the ground in unlocked storage, accessible to children in the space designated for child care; Mrs. Glover placed these wipes into locked storage during the visit. Two aerosol cans of Rustoleum spray paint were observed in unlocked storage on the ground inside the fenced area which houses the air conditioning unit. It is essential for the indoor and outdoor environment to be free of products which can be harmful to children if handled, ingested, or inhaled. Ms. Glover did not remove these cans from the playground during the visit because there was a significant amount of ice on the ground, and it was not safe to do so. You may consider monitoring the space designated for child care and outdoor environment daily prior to children arriving to ensure there are no items present which could present a safety hazard to children and that all areas containing these items are securely locked. • Two outlets located on a power strip sitting on top of a desk less than five feet from the ground and accessible to children were observed without safety covers. Mrs. Glover placed safety covers in each outlet during the visit. The indoor stairs with greater than two steps were observed accessible to a child two years of age; Mrs. Glover placed the baby gate in front of the stairs during the visit.You may consider monitoring the space designated for child care daily prior to children arriving to ensure no safety hazards are present. • On the playground used by children, one metal hinge on the fencing was observed to be heavily rusted with two rusted screws poking outward which were observed to be sharp to the touch. One rusted nail, sharp to the touch, was observed protruding through the fencing on the back right side of the playground. Two metal brackets securing outdoor pipes lining the base of the home on the playground were observed to be rusted through and sharp to the touch. One section of chain located hanging from the fencing to the left of the shed door was observed to be heavily rusted. A section of rope attached to a heavily rusted metal piece was observed frozen inside a flower pot. It is important for the outdoor environment to be a safe place for children to explore and engage with at all times. These items could not be addressed during the visit because there was a significant amount of ice on the ground, and it was not safe to do so. Mrs. Glover stated these would be fixed as soon as it is safe to walk outside in the playground area. - The written activity plan reflected activities like "Tummy Time" and "Baby Aerobics" which are no longer developmentally appropriate for a child two years of age. It is important for lesson plans to address the five developmental domains of the NC Early Learning Foundations in ways that are developmentally appropriate to the ages and stages of children currently enrolled. You may consider referencing the NC FELD manual provided to you during my visit on 7/24/2025 as you update your current lesson plans. • The Criminal Background Check Qualification letter for the operator’s granddaughter who turned sixteen years of age on 9/04/2025 was not issued until 11/14/2025 (expires 11/14/2030), and she had not yet been linked to the facility’s ABCMS facility profile. Additionally, a physical copy of her granddaughter’s CBC Qualification letter was not observed on file for review. It is necessary for all staff members to be linked to the FCCH’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Also, any individual over the age of 15 who resides, in a child care facility on either a temporary or permanent basis shall complete the CBC qualification process within 5 days of either moving into the facility or within 5 days after their 16th birthday. Mrs. Glover stated she had not received anything via mail after completing the fingerprinting process, and we discussed her granddaughter can log into the ABCMS system using her individual NCID to access and print her CBC Qualification letter. If you need additional assistance in linking this qualification letter to your facility profile please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Consultation provided following today’s visit: The following Child Care Rules were reviewed with Mrs. Glover during the visit: 10A NCAC 09 .1706 NUTRITION STANDARDS (c) regarding nutrition opt out information Complete an additional .5 on-going training hours before 2/05/2026. Remember to renew your ITS SIDS certification before 9/21/2026 and to update your EPR Plan before 2/14/2026. • You must notify your consultant 30 days prior to changing the ownership status of your facility. As the Hold Harmless period has ended, and preparations for the new QRIS Modernization process are underway, I have included the link below to DCDEE’s NC Child Care Commission’s QRIS Modernization Plan (QRIS Reform) website link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Consider participating in an outreach assessment: https://ncrlap.org/Resources/pages/outreachassessments/ • Visit the NCRLAP website: Get Ready for the 3s (ECERS-3, ITERS-3, FCCERS-3) https://ncrlap.org/Resources/pages/get-ready-for-3s/ Additionally, you may consider reaching out to local partners at Child Care Resource Center and/or Smart Start of Forsyth County. Their teams are working diligently to support programs with training and more detailed information on the ERS-3 at this time. Beginning in October, child care consultants began 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. Mrs. Glover stated she is considering retiring from child care in August, 2026. Mrs. Glover has not had greater than two children enrolled at her facility since 2021. I also shared with Mrs. Glover she has the option of reducing in Stars if she wishes to remain licensed and operating, but she stated she is leaning toward retirement and will keep me updated as the year goes on. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: CHILDREN NEED ATTENTION LEARNING CENTER Facility ID: 34000513 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 1/29/2026 Number Present: 1 Completed Date: 1/29/2026 Age: From 2 To 2 Total Minutes: 250 Time In: 10:50 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant, with Valeria Glover, Operator. Your program currently operates with a 5-Star license. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschoolers at any time; children in care on ground level only; and serves no more than two children under age one. Ms. Glover stated she is currently providing only first shift care. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. One child was present during the visit; she was observed playing with toys, painting with water colors, participating in general routines, and engaging in activities, songs, and stories with Ms. Glover during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 2/05/2025. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator during the visit. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The last fire drill was conducted on 1/05/2026. The most recent shelter-in-place drill was documented on 1/05/2026. The last outdoor inspection was documented on 1/05/2026. There are currently no pets at the facility. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. Ms. Glover stated she does not transport children enrolled or participate in aquatic or off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 708 Indoor stairs with more than two steps were not made inaccessible to children two years of age or younger. The indoor stairs with greater than two steps were observed accessible to a child two years of age. 10 A NCAC 09 .1719(a)(29) 716 Electrical outlets not in use were not covered. Two outlets located on a power strip sitting on top of a desk less than five feet from the ground and accessible to children were observed without safety covers. 10A NCAC .1719(a)(27) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. • On the playground used by children, one metal hinge on the fencing was observed to be heavily rusted with two rusted screws poking outward which were observed to be sharp to the touch. One rusted nail, sharp to the touch, was observed protruding through the fencing on the back right side of the playground. Two metal brackets securing outdoor pipes lining the base of the home on the playground were observed to be rusted through and sharp to the touch. One section of chain located hanging from the fencing to the left of the shed door was observed to be heavily rusted. A section of rope attached to a heavily rusted metal piece was observed frozen inside a flower pot. 10A NCAC 09 .1719 (a) 1831 A valid qualification letter was not on file and available for review at the facility. A physical copy of the operator's granddaughter’s CBC Qualification letter was not observed on file for review. G.S. 110-90.2 (b) & (d) & .2703(e) .1702(b)(1) 1846 An individual over the age of 15, who resides in a family child care home or a center located in a residence on a permanent or temporary basis, or those who had their 16th birthday after the initial licensing of a family child care home; did not complete and submit required forms within five business days. The Criminal Background Check Qualification letter for the operator’s granddaughter who turned sixteen years of age on 9/04/2025 was not issued until 11/14/2025 (expires 11/14/2030). G.S. 110-90.2 & .2703(q) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The Criminal Background Check Qualification letter for the operator’s granddaughter who turned sixteen years of age on 9/04/2025 was not observed linked to the facility’s ABCMS facility profile. G.S. 110-90.2 & .2703(r) 1923 Jump ropes and rubber bands were accessible to children under five years of age, without adult supervision. One unlatched desk drawer located in the space designated for child care was observed to have an open plastic bag of rubber bands accessible to children under the age of three. .1719(a)(19) 1962 Activity plans did not include activities intended to stimulate the developmental domains, in accordance with NC Foundations for Early Learning and Development. The written activity plan reflected activities like "Tummy Time" and "Baby Aerobics" which are no longer developmentally appropriate for a child two years of age. 10A NCAC 09 .1718(a)(8)(A)(i-iv) 2048 Products that are labeled “keep out of reach of children” with an additional warning(s) on the label, were not kept in locked storage while children were in care. • One bottle of Liquid Plumr labeled Keep Out of Reach of Children with additional warnings was observed stored in an unlatched cabinet beneath the sink in the bathroom accessed by children. This item was placed into locked storage during the visit. One small spray bottle of room scent spray with two warnings was observed unlocked and stored greater than five feet from the ground on a shelf in the bathroom accessed by children. This item was placed into locked storage during the visit. Greater than three individual sized bottles of hand sanitizer were observed inside an unlatched plastic supply closet less than five feet from the ground in the space designated for child care; Mrs. Glover placed these items into locked storage during the visit. One package of alcohol wipes was observed on a desktop less than five feet from the ground in unlocked storage, accessible to children in the space designated for child care; Mrs. Glover placed these wipes into locked storage during the visit. Two aerosol cans of Rustoleum spray paint were observed in unlocked storage on the ground inside the fenced area which houses the air conditioning unit. 10A NCAC 09 .1719(a)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 2/12/2026. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 4948 Martin View Lane Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided following today’s visit: • One unlatched desk drawer located in the space designated for child care was observed to have an open plastic bag of rubber bands accessible to children under the age of three. Ms. Glover made these rubber bands inaccessible to children during the visit. Rubber bands can be a potential choking hazard. You may consider monitoring the space designated for child care daily prior to children arriving to ensure there are no items present which could present a safety hazard to children. • One bottle of Liquid Plumr labeled Keep Out of Reach of Children with additional warnings was observed stored in an unlatched cabinet beneath the sink in the bathroom accessed by children. This item was placed into locked storage during the visit. One small spray bottle of room scent spray with two warnings was observed unlocked and stored greater than five feet from the ground on a shelf in the bathroom accessed by children. This item was placed into locked storage during the visit. Greater than three individual sized bottles of hand sanitizer were observed inside an unlatched plastic supply closet less than five feet from the ground in the space designated for child care; Mrs. Glover placed these items into locked storage during the visit. One package of alcohol wipes was observed on a desktop less than five feet from the ground in unlocked storage, accessible to children in the space designated for child care; Mrs. Glover placed these wipes into locked storage during the visit. Two aerosol cans of Rustoleum spray paint were observed in unlocked storage on the ground inside the fenced area which houses the air conditioning unit. It is essential for the indoor and outdoor environment to be free of products which can be harmful to children if handled, ingested, or inhaled. Ms. Glover did not remove these cans from the playground during the visit because there was a significant amount of ice on the ground, and it was not safe to do so. You may consider monitoring the space designated for child care and outdoor environment daily prior to children arriving to ensure there are no items present which could present a safety hazard to children and that all areas containing these items are securely locked. • Two outlets located on a power strip sitting on top of a desk less than five feet from the ground and accessible to children were observed without safety covers. Mrs. Glover placed safety covers in each outlet during the visit. The indoor stairs with greater than two steps were observed accessible to a child two years of age; Mrs. Glover placed the baby gate in front of the stairs during the visit.You may consider monitoring the space designated for child care daily prior to children arriving to ensure no safety hazards are present. • On the playground used by children, one metal hinge on the fencing was observed to be heavily rusted with two rusted screws poking outward which were observed to be sharp to the touch. One rusted nail, sharp to the touch, was observed protruding through the fencing on the back right side of the playground. Two metal brackets securing outdoor pipes lining the base of the home on the playground were observed to be rusted through and sharp to the touch. One section of chain located hanging from the fencing to the left of the shed door was observed to be heavily rusted. A section of rope attached to a heavily rusted metal piece was observed frozen inside a flower pot. It is important for the outdoor environment to be a safe place for children to explore and engage with at all times. These items could not be addressed during the visit because there was a significant amount of ice on the ground, and it was not safe to do so. Mrs. Glover stated these would be fixed as soon as it is safe to walk outside in the playground area. - The written activity plan reflected activities like "Tummy Time" and "Baby Aerobics" which are no longer developmentally appropriate for a child two years of age. It is important for lesson plans to address the five developmental domains of the NC Early Learning Foundations in ways that are developmentally appropriate to the ages and stages of children currently enrolled. You may consider referencing the NC FELD manual provided to you during my visit on 7/24/2025 as you update your current lesson plans. • The Criminal Background Check Qualification letter for the operator’s granddaughter who turned sixteen years of age on 9/04/2025 was not issued until 11/14/2025 (expires 11/14/2030), and she had not yet been linked to the facility’s ABCMS facility profile. Additionally, a physical copy of her granddaughter’s CBC Qualification letter was not observed on file for review. It is necessary for all staff members to be linked to the FCCH’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Also, any individual over the age of 15 who resides, in a child care facility on either a temporary or permanent basis shall complete the CBC qualification process within 5 days of either moving into the facility or within 5 days after their 16th birthday. Mrs. Glover stated she had not received anything via mail after completing the fingerprinting process, and we discussed her granddaughter can log into the ABCMS system using her individual NCID to access and print her CBC Qualification letter. If you need additional assistance in linking this qualification letter to your facility profile please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Consultation provided following today’s visit: The following Child Care Rules were reviewed with Mrs. Glover during the visit: 10A NCAC 09 .1706 NUTRITION STANDARDS (c) regarding nutrition opt out information Complete an additional .5 on-going training hours before 2/05/2026. Remember to renew your ITS SIDS certification before 9/21/2026 and to update your EPR Plan before 2/14/2026. • You must notify your consultant 30 days prior to changing the ownership status of your facility. As the Hold Harmless period has ended, and preparations for the new QRIS Modernization process are underway, I have included the link below to DCDEE’s NC Child Care Commission’s QRIS Modernization Plan (QRIS Reform) website link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Consider participating in an outreach assessment: https://ncrlap.org/Resources/pages/outreachassessments/ • Visit the NCRLAP website: Get Ready for the 3s (ECERS-3, ITERS-3, FCCERS-3) https://ncrlap.org/Resources/pages/get-ready-for-3s/ Additionally, you may consider reaching out to local partners at Child Care Resource Center and/or Smart Start of Forsyth County. Their teams are working diligently to support programs with training and more detailed information on the ERS-3 at this time. Beginning in October, child care consultants began 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. Mrs. Glover stated she is considering retiring from child care in August, 2026. Mrs. Glover has not had greater than two children enrolled at her facility since 2021. I also shared with Mrs. Glover she has the option of reducing in Stars if she wishes to remain licensed and operating, but she stated she is leaning toward retirement and will keep me updated as the year goes on. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0102 · Violation

Name of Operation: CHILDREN NEED ATTENTION LEARNING CENTER Facility ID: 34000513 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 7/24/2025 Number Present: 1 Completed Date: 7/24/2025 Age: From 1 To 1 Total Minutes: 125 Time In: 10:55 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted Valeria Glover, Operator. Your program currently operates with a 5-Star license effective 12/18/2017. Restrictions include 1st, 2nd, and 3rd shift care, a maximum of five preschool children at any time, children in care on ground level only, and no more than two children less than one year of age. Mrs. Glover stated she is only operating first shift care at this time. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Mrs. Glover stated she, her husband, and her minor granddaughter are the only individuals living in the home. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed the child in care playing with toys, engaging in conversations and activities with Mrs. Glover, and participating in general routines during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, ITS-SIDS, and Criminal Background Checks. No medications were observed, nor reported. Storage of hazardous items was monitored today. The most recent playground inspection was recorded 7/09/2025. A fire drill was recorded on 7/07/2025. A shelter-in-place drill for the facility was recorded on 7/08/2025. There are no pets reported at this facility. The program does not provide transportation or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. One canister of powdered Comet cleanser and one bottle of liquid cleanser labeled Keep Out of Reach of Children with additional warnings was observed stored five feet up, but in unlocked storage on a shelf in the bathroom used by children. Two aerosol canisters of wasp/hornet spray were observed stored greater than five feet up, but in unlocked storage in the outdoor playground. One bottle of liquid grill fluid was observed sitting on a fence post less than five feet from the ground on the playground. .1719 (a)(7) 708 Indoor stairs with more than two steps were not made inaccessible to children two years of age or younger. The entrance on the right to the indoor stairwell did not have a baby gate or other barrier in place to make the stairs inaccessible; one child one year of age was in care. 10 A NCAC 09 .1719(a)(29) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. A serrated knife, staple remover with one staple attached, screwdriver, and two pairs of adult scissors, all observed to be sharp to the touch, were observed either on top of an adult desk, or inside an unlatched desk drawer, less than five feet from the ground in the space designated for child care. On the playground, one metal wedge and one metal tool head, both observed to be sharp to the touch, were observed on the ground near the right corner of the locked shed. One small board was observed to be leaning against the inside of the fence which had a rusting nail protruding from the board; this nail was not sharp to the touch. 10A NCAC 09 .1719 (a) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, the operator’s and her husband’s CBCs were also not yet linked to this profile. G.S. 110-90.2 & .2703(r) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. A piece of fabric weed block was observed wedged in a piece of garden fencing less that five feet from the ground. .1719(a)(18) 1924 Balloons were accessible to children. Two inflated balloons were observed accessible to children on the floor of the space designated for child care. .1719(a)(19) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 8/07/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided during today’s visit: A facility profile for Criminal Background Checks had not been created; hence, the operator’s and her husband’s CBCs were also not yet linked to this profile. It is necessary for all staff members to be linked to the FCCH’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Mrs. Glover stated she has the instructions I sent via email to complete this process, but that she did not realize she needed to create a Facility Profile because she does not have an additional caregiver. I also stated I would resend all ABCMS emails to Mrs. Glover for easier reference following my visit. We additionally discussed Mrs. Glover will also link her granddaughter's CBC Qualification Letter to her facility once she turns 16 years of age. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Consultation provided during today’s visit: The following Child Care Rule was discussed with Mrs. Glover during the visit: 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (q) Any individual over the age of 15 who resides, as defined in 10A NCAC 09 .0102(40), in a child care facility on either a temporary or permanent basis shall comply with the requirements of Paragraph (a) of this Rule within 5 days of either moving into the facility or within 5 days after their 16th birthday. 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) (4, 7, and8 8) regarding hand washing Please monitor the outdoor benches for developing rust, and cover any areas which may be beginning to develop rust. A copy of the NC FELD was provided to Mrs. Glover during the visit. Ms. Glover asked if she could bring the small, plastic slide from inside (which connects to a water hose to create a small water slide), outdoors for use for water play; I stated this could be used for water play, but that no small inflatable or plastic pool could be placed at the bottom of this slide. At the completion of the visit, this visit summary was reviewed with and provided to you, and you were given the opportunity to ask questions regarding the visit. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1719 · Violation

Name of Operation: CHILDREN NEED ATTENTION LEARNING CENTER Facility ID: 34000513 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 7/24/2025 Number Present: 1 Completed Date: 7/24/2025 Age: From 1 To 1 Total Minutes: 125 Time In: 10:55 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted Valeria Glover, Operator. Your program currently operates with a 5-Star license effective 12/18/2017. Restrictions include 1st, 2nd, and 3rd shift care, a maximum of five preschool children at any time, children in care on ground level only, and no more than two children less than one year of age. Mrs. Glover stated she is only operating first shift care at this time. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Mrs. Glover stated she, her husband, and her minor granddaughter are the only individuals living in the home. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed the child in care playing with toys, engaging in conversations and activities with Mrs. Glover, and participating in general routines during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, ITS-SIDS, and Criminal Background Checks. No medications were observed, nor reported. Storage of hazardous items was monitored today. The most recent playground inspection was recorded 7/09/2025. A fire drill was recorded on 7/07/2025. A shelter-in-place drill for the facility was recorded on 7/08/2025. There are no pets reported at this facility. The program does not provide transportation or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. One canister of powdered Comet cleanser and one bottle of liquid cleanser labeled Keep Out of Reach of Children with additional warnings was observed stored five feet up, but in unlocked storage on a shelf in the bathroom used by children. Two aerosol canisters of wasp/hornet spray were observed stored greater than five feet up, but in unlocked storage in the outdoor playground. One bottle of liquid grill fluid was observed sitting on a fence post less than five feet from the ground on the playground. .1719 (a)(7) 708 Indoor stairs with more than two steps were not made inaccessible to children two years of age or younger. The entrance on the right to the indoor stairwell did not have a baby gate or other barrier in place to make the stairs inaccessible; one child one year of age was in care. 10 A NCAC 09 .1719(a)(29) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. A serrated knife, staple remover with one staple attached, screwdriver, and two pairs of adult scissors, all observed to be sharp to the touch, were observed either on top of an adult desk, or inside an unlatched desk drawer, less than five feet from the ground in the space designated for child care. On the playground, one metal wedge and one metal tool head, both observed to be sharp to the touch, were observed on the ground near the right corner of the locked shed. One small board was observed to be leaning against the inside of the fence which had a rusting nail protruding from the board; this nail was not sharp to the touch. 10A NCAC 09 .1719 (a) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, the operator’s and her husband’s CBCs were also not yet linked to this profile. G.S. 110-90.2 & .2703(r) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. A piece of fabric weed block was observed wedged in a piece of garden fencing less that five feet from the ground. .1719(a)(18) 1924 Balloons were accessible to children. Two inflated balloons were observed accessible to children on the floor of the space designated for child care. .1719(a)(19) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 8/07/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided during today’s visit: A facility profile for Criminal Background Checks had not been created; hence, the operator’s and her husband’s CBCs were also not yet linked to this profile. It is necessary for all staff members to be linked to the FCCH’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Mrs. Glover stated she has the instructions I sent via email to complete this process, but that she did not realize she needed to create a Facility Profile because she does not have an additional caregiver. I also stated I would resend all ABCMS emails to Mrs. Glover for easier reference following my visit. We additionally discussed Mrs. Glover will also link her granddaughter's CBC Qualification Letter to her facility once she turns 16 years of age. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Consultation provided during today’s visit: The following Child Care Rule was discussed with Mrs. Glover during the visit: 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (q) Any individual over the age of 15 who resides, as defined in 10A NCAC 09 .0102(40), in a child care facility on either a temporary or permanent basis shall comply with the requirements of Paragraph (a) of this Rule within 5 days of either moving into the facility or within 5 days after their 16th birthday. 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) (4, 7, and8 8) regarding hand washing Please monitor the outdoor benches for developing rust, and cover any areas which may be beginning to develop rust. A copy of the NC FELD was provided to Mrs. Glover during the visit. Ms. Glover asked if she could bring the small, plastic slide from inside (which connects to a water hose to create a small water slide), outdoors for use for water play; I stated this could be used for water play, but that no small inflatable or plastic pool could be placed at the bottom of this slide. At the completion of the visit, this visit summary was reviewed with and provided to you, and you were given the opportunity to ask questions regarding the visit. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1725 · Violation

Name of Operation: CHILDREN NEED ATTENTION LEARNING CENTER Facility ID: 34000513 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 7/24/2025 Number Present: 1 Completed Date: 7/24/2025 Age: From 1 To 1 Total Minutes: 125 Time In: 10:55 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted Valeria Glover, Operator. Your program currently operates with a 5-Star license effective 12/18/2017. Restrictions include 1st, 2nd, and 3rd shift care, a maximum of five preschool children at any time, children in care on ground level only, and no more than two children less than one year of age. Mrs. Glover stated she is only operating first shift care at this time. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Mrs. Glover stated she, her husband, and her minor granddaughter are the only individuals living in the home. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed the child in care playing with toys, engaging in conversations and activities with Mrs. Glover, and participating in general routines during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, ITS-SIDS, and Criminal Background Checks. No medications were observed, nor reported. Storage of hazardous items was monitored today. The most recent playground inspection was recorded 7/09/2025. A fire drill was recorded on 7/07/2025. A shelter-in-place drill for the facility was recorded on 7/08/2025. There are no pets reported at this facility. The program does not provide transportation or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. One canister of powdered Comet cleanser and one bottle of liquid cleanser labeled Keep Out of Reach of Children with additional warnings was observed stored five feet up, but in unlocked storage on a shelf in the bathroom used by children. Two aerosol canisters of wasp/hornet spray were observed stored greater than five feet up, but in unlocked storage in the outdoor playground. One bottle of liquid grill fluid was observed sitting on a fence post less than five feet from the ground on the playground. .1719 (a)(7) 708 Indoor stairs with more than two steps were not made inaccessible to children two years of age or younger. The entrance on the right to the indoor stairwell did not have a baby gate or other barrier in place to make the stairs inaccessible; one child one year of age was in care. 10 A NCAC 09 .1719(a)(29) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. A serrated knife, staple remover with one staple attached, screwdriver, and two pairs of adult scissors, all observed to be sharp to the touch, were observed either on top of an adult desk, or inside an unlatched desk drawer, less than five feet from the ground in the space designated for child care. On the playground, one metal wedge and one metal tool head, both observed to be sharp to the touch, were observed on the ground near the right corner of the locked shed. One small board was observed to be leaning against the inside of the fence which had a rusting nail protruding from the board; this nail was not sharp to the touch. 10A NCAC 09 .1719 (a) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, the operator’s and her husband’s CBCs were also not yet linked to this profile. G.S. 110-90.2 & .2703(r) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. A piece of fabric weed block was observed wedged in a piece of garden fencing less that five feet from the ground. .1719(a)(18) 1924 Balloons were accessible to children. Two inflated balloons were observed accessible to children on the floor of the space designated for child care. .1719(a)(19) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 8/07/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided during today’s visit: A facility profile for Criminal Background Checks had not been created; hence, the operator’s and her husband’s CBCs were also not yet linked to this profile. It is necessary for all staff members to be linked to the FCCH’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Mrs. Glover stated she has the instructions I sent via email to complete this process, but that she did not realize she needed to create a Facility Profile because she does not have an additional caregiver. I also stated I would resend all ABCMS emails to Mrs. Glover for easier reference following my visit. We additionally discussed Mrs. Glover will also link her granddaughter's CBC Qualification Letter to her facility once she turns 16 years of age. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Consultation provided during today’s visit: The following Child Care Rule was discussed with Mrs. Glover during the visit: 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (q) Any individual over the age of 15 who resides, as defined in 10A NCAC 09 .0102(40), in a child care facility on either a temporary or permanent basis shall comply with the requirements of Paragraph (a) of this Rule within 5 days of either moving into the facility or within 5 days after their 16th birthday. 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) (4, 7, and8 8) regarding hand washing Please monitor the outdoor benches for developing rust, and cover any areas which may be beginning to develop rust. A copy of the NC FELD was provided to Mrs. Glover during the visit. Ms. Glover asked if she could bring the small, plastic slide from inside (which connects to a water hose to create a small water slide), outdoors for use for water play; I stated this could be used for water play, but that no small inflatable or plastic pool could be placed at the bottom of this slide. At the completion of the visit, this visit summary was reviewed with and provided to you, and you were given the opportunity to ask questions regarding the visit. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2703 · Violation

Name of Operation: CHILDREN NEED ATTENTION LEARNING CENTER Facility ID: 34000513 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 7/24/2025 Number Present: 1 Completed Date: 7/24/2025 Age: From 1 To 1 Total Minutes: 125 Time In: 10:55 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted Valeria Glover, Operator. Your program currently operates with a 5-Star license effective 12/18/2017. Restrictions include 1st, 2nd, and 3rd shift care, a maximum of five preschool children at any time, children in care on ground level only, and no more than two children less than one year of age. Mrs. Glover stated she is only operating first shift care at this time. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Mrs. Glover stated she, her husband, and her minor granddaughter are the only individuals living in the home. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed the child in care playing with toys, engaging in conversations and activities with Mrs. Glover, and participating in general routines during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, ITS-SIDS, and Criminal Background Checks. No medications were observed, nor reported. Storage of hazardous items was monitored today. The most recent playground inspection was recorded 7/09/2025. A fire drill was recorded on 7/07/2025. A shelter-in-place drill for the facility was recorded on 7/08/2025. There are no pets reported at this facility. The program does not provide transportation or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. One canister of powdered Comet cleanser and one bottle of liquid cleanser labeled Keep Out of Reach of Children with additional warnings was observed stored five feet up, but in unlocked storage on a shelf in the bathroom used by children. Two aerosol canisters of wasp/hornet spray were observed stored greater than five feet up, but in unlocked storage in the outdoor playground. One bottle of liquid grill fluid was observed sitting on a fence post less than five feet from the ground on the playground. .1719 (a)(7) 708 Indoor stairs with more than two steps were not made inaccessible to children two years of age or younger. The entrance on the right to the indoor stairwell did not have a baby gate or other barrier in place to make the stairs inaccessible; one child one year of age was in care. 10 A NCAC 09 .1719(a)(29) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. A serrated knife, staple remover with one staple attached, screwdriver, and two pairs of adult scissors, all observed to be sharp to the touch, were observed either on top of an adult desk, or inside an unlatched desk drawer, less than five feet from the ground in the space designated for child care. On the playground, one metal wedge and one metal tool head, both observed to be sharp to the touch, were observed on the ground near the right corner of the locked shed. One small board was observed to be leaning against the inside of the fence which had a rusting nail protruding from the board; this nail was not sharp to the touch. 10A NCAC 09 .1719 (a) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, the operator’s and her husband’s CBCs were also not yet linked to this profile. G.S. 110-90.2 & .2703(r) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. A piece of fabric weed block was observed wedged in a piece of garden fencing less that five feet from the ground. .1719(a)(18) 1924 Balloons were accessible to children. Two inflated balloons were observed accessible to children on the floor of the space designated for child care. .1719(a)(19) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 8/07/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided during today’s visit: A facility profile for Criminal Background Checks had not been created; hence, the operator’s and her husband’s CBCs were also not yet linked to this profile. It is necessary for all staff members to be linked to the FCCH’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Mrs. Glover stated she has the instructions I sent via email to complete this process, but that she did not realize she needed to create a Facility Profile because she does not have an additional caregiver. I also stated I would resend all ABCMS emails to Mrs. Glover for easier reference following my visit. We additionally discussed Mrs. Glover will also link her granddaughter's CBC Qualification Letter to her facility once she turns 16 years of age. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Consultation provided during today’s visit: The following Child Care Rule was discussed with Mrs. Glover during the visit: 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (q) Any individual over the age of 15 who resides, as defined in 10A NCAC 09 .0102(40), in a child care facility on either a temporary or permanent basis shall comply with the requirements of Paragraph (a) of this Rule within 5 days of either moving into the facility or within 5 days after their 16th birthday. 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) (4, 7, and8 8) regarding hand washing Please monitor the outdoor benches for developing rust, and cover any areas which may be beginning to develop rust. A copy of the NC FELD was provided to Mrs. Glover during the visit. Ms. Glover asked if she could bring the small, plastic slide from inside (which connects to a water hose to create a small water slide), outdoors for use for water play; I stated this could be used for water play, but that no small inflatable or plastic pool could be placed at the bottom of this slide. At the completion of the visit, this visit summary was reviewed with and provided to you, and you were given the opportunity to ask questions regarding the visit. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: CHILDREN NEED ATTENTION LEARNING CENTER Facility ID: 34000513 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 7/24/2025 Number Present: 1 Completed Date: 7/24/2025 Age: From 1 To 1 Total Minutes: 125 Time In: 10:55 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted Valeria Glover, Operator. Your program currently operates with a 5-Star license effective 12/18/2017. Restrictions include 1st, 2nd, and 3rd shift care, a maximum of five preschool children at any time, children in care on ground level only, and no more than two children less than one year of age. Mrs. Glover stated she is only operating first shift care at this time. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Mrs. Glover stated she, her husband, and her minor granddaughter are the only individuals living in the home. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed the child in care playing with toys, engaging in conversations and activities with Mrs. Glover, and participating in general routines during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, ITS-SIDS, and Criminal Background Checks. No medications were observed, nor reported. Storage of hazardous items was monitored today. The most recent playground inspection was recorded 7/09/2025. A fire drill was recorded on 7/07/2025. A shelter-in-place drill for the facility was recorded on 7/08/2025. There are no pets reported at this facility. The program does not provide transportation or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. One canister of powdered Comet cleanser and one bottle of liquid cleanser labeled Keep Out of Reach of Children with additional warnings was observed stored five feet up, but in unlocked storage on a shelf in the bathroom used by children. Two aerosol canisters of wasp/hornet spray were observed stored greater than five feet up, but in unlocked storage in the outdoor playground. One bottle of liquid grill fluid was observed sitting on a fence post less than five feet from the ground on the playground. .1719 (a)(7) 708 Indoor stairs with more than two steps were not made inaccessible to children two years of age or younger. The entrance on the right to the indoor stairwell did not have a baby gate or other barrier in place to make the stairs inaccessible; one child one year of age was in care. 10 A NCAC 09 .1719(a)(29) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. A serrated knife, staple remover with one staple attached, screwdriver, and two pairs of adult scissors, all observed to be sharp to the touch, were observed either on top of an adult desk, or inside an unlatched desk drawer, less than five feet from the ground in the space designated for child care. On the playground, one metal wedge and one metal tool head, both observed to be sharp to the touch, were observed on the ground near the right corner of the locked shed. One small board was observed to be leaning against the inside of the fence which had a rusting nail protruding from the board; this nail was not sharp to the touch. 10A NCAC 09 .1719 (a) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, the operator’s and her husband’s CBCs were also not yet linked to this profile. G.S. 110-90.2 & .2703(r) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. A piece of fabric weed block was observed wedged in a piece of garden fencing less that five feet from the ground. .1719(a)(18) 1924 Balloons were accessible to children. Two inflated balloons were observed accessible to children on the floor of the space designated for child care. .1719(a)(19) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 8/07/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided during today’s visit: A facility profile for Criminal Background Checks had not been created; hence, the operator’s and her husband’s CBCs were also not yet linked to this profile. It is necessary for all staff members to be linked to the FCCH’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Mrs. Glover stated she has the instructions I sent via email to complete this process, but that she did not realize she needed to create a Facility Profile because she does not have an additional caregiver. I also stated I would resend all ABCMS emails to Mrs. Glover for easier reference following my visit. We additionally discussed Mrs. Glover will also link her granddaughter's CBC Qualification Letter to her facility once she turns 16 years of age. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Consultation provided during today’s visit: The following Child Care Rule was discussed with Mrs. Glover during the visit: 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (q) Any individual over the age of 15 who resides, as defined in 10A NCAC 09 .0102(40), in a child care facility on either a temporary or permanent basis shall comply with the requirements of Paragraph (a) of this Rule within 5 days of either moving into the facility or within 5 days after their 16th birthday. 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) (4, 7, and8 8) regarding hand washing Please monitor the outdoor benches for developing rust, and cover any areas which may be beginning to develop rust. A copy of the NC FELD was provided to Mrs. Glover during the visit. Ms. Glover asked if she could bring the small, plastic slide from inside (which connects to a water hose to create a small water slide), outdoors for use for water play; I stated this could be used for water play, but that no small inflatable or plastic pool could be placed at the bottom of this slide. At the completion of the visit, this visit summary was reviewed with and provided to you, and you were given the opportunity to ask questions regarding the visit. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: CHILDREN NEED ATTENTION LEARNING CENTER Facility ID: 34000513 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 7/24/2025 Number Present: 1 Completed Date: 7/24/2025 Age: From 1 To 1 Total Minutes: 125 Time In: 10:55 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted Valeria Glover, Operator. Your program currently operates with a 5-Star license effective 12/18/2017. Restrictions include 1st, 2nd, and 3rd shift care, a maximum of five preschool children at any time, children in care on ground level only, and no more than two children less than one year of age. Mrs. Glover stated she is only operating first shift care at this time. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Mrs. Glover stated she, her husband, and her minor granddaughter are the only individuals living in the home. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed the child in care playing with toys, engaging in conversations and activities with Mrs. Glover, and participating in general routines during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, ITS-SIDS, and Criminal Background Checks. No medications were observed, nor reported. Storage of hazardous items was monitored today. The most recent playground inspection was recorded 7/09/2025. A fire drill was recorded on 7/07/2025. A shelter-in-place drill for the facility was recorded on 7/08/2025. There are no pets reported at this facility. The program does not provide transportation or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. One canister of powdered Comet cleanser and one bottle of liquid cleanser labeled Keep Out of Reach of Children with additional warnings was observed stored five feet up, but in unlocked storage on a shelf in the bathroom used by children. Two aerosol canisters of wasp/hornet spray were observed stored greater than five feet up, but in unlocked storage in the outdoor playground. One bottle of liquid grill fluid was observed sitting on a fence post less than five feet from the ground on the playground. .1719 (a)(7) 708 Indoor stairs with more than two steps were not made inaccessible to children two years of age or younger. The entrance on the right to the indoor stairwell did not have a baby gate or other barrier in place to make the stairs inaccessible; one child one year of age was in care. 10 A NCAC 09 .1719(a)(29) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. A serrated knife, staple remover with one staple attached, screwdriver, and two pairs of adult scissors, all observed to be sharp to the touch, were observed either on top of an adult desk, or inside an unlatched desk drawer, less than five feet from the ground in the space designated for child care. On the playground, one metal wedge and one metal tool head, both observed to be sharp to the touch, were observed on the ground near the right corner of the locked shed. One small board was observed to be leaning against the inside of the fence which had a rusting nail protruding from the board; this nail was not sharp to the touch. 10A NCAC 09 .1719 (a) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, the operator’s and her husband’s CBCs were also not yet linked to this profile. G.S. 110-90.2 & .2703(r) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. A piece of fabric weed block was observed wedged in a piece of garden fencing less that five feet from the ground. .1719(a)(18) 1924 Balloons were accessible to children. Two inflated balloons were observed accessible to children on the floor of the space designated for child care. .1719(a)(19) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 8/07/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided during today’s visit: A facility profile for Criminal Background Checks had not been created; hence, the operator’s and her husband’s CBCs were also not yet linked to this profile. It is necessary for all staff members to be linked to the FCCH’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Mrs. Glover stated she has the instructions I sent via email to complete this process, but that she did not realize she needed to create a Facility Profile because she does not have an additional caregiver. I also stated I would resend all ABCMS emails to Mrs. Glover for easier reference following my visit. We additionally discussed Mrs. Glover will also link her granddaughter's CBC Qualification Letter to her facility once she turns 16 years of age. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Consultation provided during today’s visit: The following Child Care Rule was discussed with Mrs. Glover during the visit: 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (q) Any individual over the age of 15 who resides, as defined in 10A NCAC 09 .0102(40), in a child care facility on either a temporary or permanent basis shall comply with the requirements of Paragraph (a) of this Rule within 5 days of either moving into the facility or within 5 days after their 16th birthday. 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) (4, 7, and8 8) regarding hand washing Please monitor the outdoor benches for developing rust, and cover any areas which may be beginning to develop rust. A copy of the NC FELD was provided to Mrs. Glover during the visit. Ms. Glover asked if she could bring the small, plastic slide from inside (which connects to a water hose to create a small water slide), outdoors for use for water play; I stated this could be used for water play, but that no small inflatable or plastic pool could be placed at the bottom of this slide. At the completion of the visit, this visit summary was reviewed with and provided to you, and you were given the opportunity to ask questions regarding the visit. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1719 · Violation

Name of Operation: CHILDREN NEED ATTENTION LEARNING CENTER Facility ID: 34000513 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 2/5/2025 Number Present: 1 Completed Date: 2/5/2025 Age: From 1 To 1 Total Minutes: 160 Time In: 10:50 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant, with Valeria Glover, Operator. Your program currently operates with a 5-Star license. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschoolers at any time; children in care on ground level only; and serves no more than two children under age one. Ms. Glover stated she is currently providing only first shift care. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 87% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. One child was present during the visit; she was observed playing with toys, participating in general routines, engaging in activities, songs, and stories with Ms. Glover, eating lunch, and napping during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 2/15/2024. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator during the visit. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The last fire drill was conducted on 2/03/25. The most recent shelter-in-place drill was documented on 1/25/2025. The last outdoor inspection was documented on 2/03/2025. There are currently no pets at the facility. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. Ms. Glover stated she does not transport children enrolled or participate in aquatic or off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. One spray bottle of Febreeze spray labeled Keep Out of Reach of Children with additional warnings was observed stored greater than five feet from the ground in the bathroom accessed by children, but in unlocked storage. One liquid plug-in was observed plugged in in the bathroom used by children, less than five feet from the ground. A storage closet located in the bathroom accessed by children was observed to be unlocked and to contain items labeled Keep Out of Reach of Children with additional warnings. .1719 (a)(7) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. One unlatched desk drawer located in the space designated for child care was observed to have a roll of plastic liner bags, accessible to children under the age of three. Another box of plastic trash can liners was observed in an unlatched cupboard in the bathroom accessed by children under three years of age. On the playground used by children, one metal hinge on the fencing was observed to be heavily rusted. Two nails, sharp to the touch, were observed protruding through the base of the fencing on the back right side. The head of one screw at the base of the border to the air conditioning unit was observed to be protruding and rusted. The paint on two metal benches located on the playground was observed to be flaking, exposing rust in greater than three areas. 10A NCAC 09 .1719 (a) 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The Emergency Preparedness and Response Plan had not been updated in the Risk Management Portal since 9/11/2023. .1714(e ) 1990 Infant feeding plans did not include the required information, including but not limited to the type and amount of milk, formula and food, and the frequency of feedings, and/or was not available for reference. The infant feeding plan for one child enrolled had not been updated by the parent to include the child’s current diet. .1706(i) 2025 Operator and/or staff members did not complete a professional development plan within one year of employment. The Professional Development Plan for the operator was observed to have been last updated in January, 2024. .1703(i) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 2/19/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided following today’s visit: • One unlatched desk drawer located in the space designated for child care was observed to have a roll of plastic liner bags, accessible to children under the age of three. Another box of plastic trash can liners was observed in an unlatched cupboard in the bathroom accessed by children under three years of age. Ms. Glover made these liner bags inaccessible to children during the visit. • One spray bottle of Febreeze spray labeled Keep Out of Reach of Children with additional warnings was observed stored greater than five feet from the ground in the bathroom accessed by children, but in unlocked storage. This item was placed into locked storage during the visit. One liquid plug-in was observed plugged in in the bathroom used by children, less than five feet from the ground; this item was placed into locked storage during the visit. A storage closet located in the bathroom accessed by children was observed to be unlocked and to contain items labeled Keep Out of Reach of Children with additional warnings. This closet was locked during the visit. • The Professional Development Plan for the operator was observed to have been last updated in January, 2024; Ms. Glover updated this plan during the visit. • On the playground used by children, one metal hinge on the fencing was observed to be heavily rusted; Mr. Glover replaced this bracket during the visit. Two nails, sharp to the touch, were observed protruding through the base of the fencing on the back right side. Mr. Glover hammered each of these down during the visit so the sharp ends were not exposed. The head of one screw at the base of the border to the air conditioning unit was observed to be protruding and rusted; Mr. Glover screwed this screw further into the wood, so it was no longer protruding and inaccessible to children. The paint on two metal benches located on the playground was observed to be flaking, exposing rust in greater than three areas; Mr. Glover coated each bench with a new coat of spray paint during the visit. • The Emergency Preparedness and Response Plan had not been updated in the Risk Management Portal since 9/11/2023. Ms. Glover stated she and her granddaughter would access the portal, update the plan, and print it out this afternoon. The infant feeding plan for one child enrolled had not been updated by the parent to include the child’s current diet. It is imperative that all required records are current and on file for review to ensure the health, safety, and quality of care for children enrolled. You may consider creating a reminder to access the Risk Management Portal and update this plan annually. Consultation provided following today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: CHILDREN NEED ATTENTION LEARNING CENTER Facility ID: 34000513 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 2/5/2025 Number Present: 1 Completed Date: 2/5/2025 Age: From 1 To 1 Total Minutes: 160 Time In: 10:50 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant, with Valeria Glover, Operator. Your program currently operates with a 5-Star license. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschoolers at any time; children in care on ground level only; and serves no more than two children under age one. Ms. Glover stated she is currently providing only first shift care. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 87% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. One child was present during the visit; she was observed playing with toys, participating in general routines, engaging in activities, songs, and stories with Ms. Glover, eating lunch, and napping during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 2/15/2024. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator during the visit. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The last fire drill was conducted on 2/03/25. The most recent shelter-in-place drill was documented on 1/25/2025. The last outdoor inspection was documented on 2/03/2025. There are currently no pets at the facility. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. Ms. Glover stated she does not transport children enrolled or participate in aquatic or off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. One spray bottle of Febreeze spray labeled Keep Out of Reach of Children with additional warnings was observed stored greater than five feet from the ground in the bathroom accessed by children, but in unlocked storage. One liquid plug-in was observed plugged in in the bathroom used by children, less than five feet from the ground. A storage closet located in the bathroom accessed by children was observed to be unlocked and to contain items labeled Keep Out of Reach of Children with additional warnings. .1719 (a)(7) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. One unlatched desk drawer located in the space designated for child care was observed to have a roll of plastic liner bags, accessible to children under the age of three. Another box of plastic trash can liners was observed in an unlatched cupboard in the bathroom accessed by children under three years of age. On the playground used by children, one metal hinge on the fencing was observed to be heavily rusted. Two nails, sharp to the touch, were observed protruding through the base of the fencing on the back right side. The head of one screw at the base of the border to the air conditioning unit was observed to be protruding and rusted. The paint on two metal benches located on the playground was observed to be flaking, exposing rust in greater than three areas. 10A NCAC 09 .1719 (a) 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The Emergency Preparedness and Response Plan had not been updated in the Risk Management Portal since 9/11/2023. .1714(e ) 1990 Infant feeding plans did not include the required information, including but not limited to the type and amount of milk, formula and food, and the frequency of feedings, and/or was not available for reference. The infant feeding plan for one child enrolled had not been updated by the parent to include the child’s current diet. .1706(i) 2025 Operator and/or staff members did not complete a professional development plan within one year of employment. The Professional Development Plan for the operator was observed to have been last updated in January, 2024. .1703(i) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 2/19/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided following today’s visit: • One unlatched desk drawer located in the space designated for child care was observed to have a roll of plastic liner bags, accessible to children under the age of three. Another box of plastic trash can liners was observed in an unlatched cupboard in the bathroom accessed by children under three years of age. Ms. Glover made these liner bags inaccessible to children during the visit. • One spray bottle of Febreeze spray labeled Keep Out of Reach of Children with additional warnings was observed stored greater than five feet from the ground in the bathroom accessed by children, but in unlocked storage. This item was placed into locked storage during the visit. One liquid plug-in was observed plugged in in the bathroom used by children, less than five feet from the ground; this item was placed into locked storage during the visit. A storage closet located in the bathroom accessed by children was observed to be unlocked and to contain items labeled Keep Out of Reach of Children with additional warnings. This closet was locked during the visit. • The Professional Development Plan for the operator was observed to have been last updated in January, 2024; Ms. Glover updated this plan during the visit. • On the playground used by children, one metal hinge on the fencing was observed to be heavily rusted; Mr. Glover replaced this bracket during the visit. Two nails, sharp to the touch, were observed protruding through the base of the fencing on the back right side. Mr. Glover hammered each of these down during the visit so the sharp ends were not exposed. The head of one screw at the base of the border to the air conditioning unit was observed to be protruding and rusted; Mr. Glover screwed this screw further into the wood, so it was no longer protruding and inaccessible to children. The paint on two metal benches located on the playground was observed to be flaking, exposing rust in greater than three areas; Mr. Glover coated each bench with a new coat of spray paint during the visit. • The Emergency Preparedness and Response Plan had not been updated in the Risk Management Portal since 9/11/2023. Ms. Glover stated she and her granddaughter would access the portal, update the plan, and print it out this afternoon. The infant feeding plan for one child enrolled had not been updated by the parent to include the child’s current diet. It is imperative that all required records are current and on file for review to ensure the health, safety, and quality of care for children enrolled. You may consider creating a reminder to access the Risk Management Portal and update this plan annually. Consultation provided following today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1719 · Violation

Name of Operation: CHILDREN NEED ATTENTION LEARNING CENTER Facility ID: 34000513 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 8/21/2024 Number Present: 1 Completed Date: 8/21/2024 Age: From 0 To 1 Total Minutes: 100 Time In: 09:50 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Valeria Clover, Operator, assisted me with the visit. Your program currently operates with a 5-Star license effective 12/18/2017. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschool children at any time; children in care on ground level only; and serves no more than two infants under age one. Mrs. Glover stated she is currently only operating first shift care. The program’s compliance history was 89 % prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Mrs. Glover stated she, her husband, and her minor granddaughter live in the home. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed the child in care playing with toys, and engaging in communication, general routines, outdoor time, and other activities with Mrs. Glover during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, ITS-SIDS, and Criminal Background Checks. No medications were observed nor reported. Storage of hazardous items was monitored today. A playground inspection was recorded 8/01/2024. A fire drill was recorded 8/01/2024. The most recent shelter in place drill for the facility was recorded 7/24/2024. There are currently no pets at the home. The program does not provide transportation or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. Inside two unlocked desk drawers, accessible to children, three loose AA and AAA batteries, staples, and a letter opener sharp to the touch were observed. .1719(a)(1)&(17) 704 Items used for starting fires, such as matches, accelerants, and lighters, were not kept in locked storage. Inside an unlocked desk drawer, accessible to children, a multipurpose lighter were observed. .1719(a)(3) 1856 The operator did not complete the Emergency Preparedness and Response in Child Care training within the required timeframe and/or documentation of completion of the training was not on file. A training certificate for EPR was not observed on file for review. .1714(b) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Inside two desk drawers and inside one gift bag located on the ground next to the desk, accessible to children under the age of three years old, a total of three plastic wrappers were observed. .1719(a)(18) 2048 Products that are labeled “keep out of reach of children” with an additional warning(s) on the label, were not kept in locked storage while children were in care. One liquid plug-in was observed stored greater than five feet from the ground, but in unlocked storage; this item is labeled Keep Out of Reach of Children with additional warnings. 10A NCAC 09 .1719(a)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 9/04/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided during today’s visit: One liquid plug-in was observed stored greater than five feet from the ground, but in unlocked storage; this item is labeled Keep Out of Reach of Children with additional warnings. This item was placed into locked storage by Mrs. Glover during the visit. Inside two desk drawers and inside one gift bag located on the ground next to the desk, accessible to children under the age of three years old, a total of three plastic wrappers were observed. Mrs. Glover made each of these wrappers inaccessible to children during the visit. Inside two unlocked desk drawers, accessible to children, three loose AA and AAA batteries, staples, a letter opener sharp to the touch, and a multipurpose lighter were observed. Mrs. Glover placed each of these items into locked or appropriate storage, making these inaccessible to children during the visit. Mrs. Glover was unable to locate her Emergency Preparedness and Response training certificate during the visit; she stated she had completed this training last year. It is important for all required training certificates to be on file for review to show you have received the important information covered in each training. We discussed reaching out to Smart Start of Forsyth County and Child Care Resource Center to not only determine which organization through which you completed this training, but also to request a physical copy of training verification. On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mrs. Glover confirmed during today’s visit that the email was received and provided information that she completed the webinar on 6/27/2024. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: CHILDREN NEED ATTENTION LEARNING CENTER Facility ID: 34000513 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 8/21/2024 Number Present: 1 Completed Date: 8/21/2024 Age: From 0 To 1 Total Minutes: 100 Time In: 09:50 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Valeria Clover, Operator, assisted me with the visit. Your program currently operates with a 5-Star license effective 12/18/2017. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschool children at any time; children in care on ground level only; and serves no more than two infants under age one. Mrs. Glover stated she is currently only operating first shift care. The program’s compliance history was 89 % prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Mrs. Glover stated she, her husband, and her minor granddaughter live in the home. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed the child in care playing with toys, and engaging in communication, general routines, outdoor time, and other activities with Mrs. Glover during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, ITS-SIDS, and Criminal Background Checks. No medications were observed nor reported. Storage of hazardous items was monitored today. A playground inspection was recorded 8/01/2024. A fire drill was recorded 8/01/2024. The most recent shelter in place drill for the facility was recorded 7/24/2024. There are currently no pets at the home. The program does not provide transportation or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. Inside two unlocked desk drawers, accessible to children, three loose AA and AAA batteries, staples, and a letter opener sharp to the touch were observed. .1719(a)(1)&(17) 704 Items used for starting fires, such as matches, accelerants, and lighters, were not kept in locked storage. Inside an unlocked desk drawer, accessible to children, a multipurpose lighter were observed. .1719(a)(3) 1856 The operator did not complete the Emergency Preparedness and Response in Child Care training within the required timeframe and/or documentation of completion of the training was not on file. A training certificate for EPR was not observed on file for review. .1714(b) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Inside two desk drawers and inside one gift bag located on the ground next to the desk, accessible to children under the age of three years old, a total of three plastic wrappers were observed. .1719(a)(18) 2048 Products that are labeled “keep out of reach of children” with an additional warning(s) on the label, were not kept in locked storage while children were in care. One liquid plug-in was observed stored greater than five feet from the ground, but in unlocked storage; this item is labeled Keep Out of Reach of Children with additional warnings. 10A NCAC 09 .1719(a)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 9/04/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided during today’s visit: One liquid plug-in was observed stored greater than five feet from the ground, but in unlocked storage; this item is labeled Keep Out of Reach of Children with additional warnings. This item was placed into locked storage by Mrs. Glover during the visit. Inside two desk drawers and inside one gift bag located on the ground next to the desk, accessible to children under the age of three years old, a total of three plastic wrappers were observed. Mrs. Glover made each of these wrappers inaccessible to children during the visit. Inside two unlocked desk drawers, accessible to children, three loose AA and AAA batteries, staples, a letter opener sharp to the touch, and a multipurpose lighter were observed. Mrs. Glover placed each of these items into locked or appropriate storage, making these inaccessible to children during the visit. Mrs. Glover was unable to locate her Emergency Preparedness and Response training certificate during the visit; she stated she had completed this training last year. It is important for all required training certificates to be on file for review to show you have received the important information covered in each training. We discussed reaching out to Smart Start of Forsyth County and Child Care Resource Center to not only determine which organization through which you completed this training, but also to request a physical copy of training verification. On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mrs. Glover confirmed during today’s visit that the email was received and provided information that she completed the webinar on 6/27/2024. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1712 · Violation

Name of Operation: CHILDREN NEED ATTENTION LEARNING CENTER Facility ID: 34000513 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 2/15/2024 Number Present: 0 Completed Date: 2/15/2024 Age: From 0 To 0 Total Minutes: 255 Time In: 08:15 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant, with Valeria Glover, Operator. Ms. Glover was not at home when I arrived. When I contacted Ms. Glover via phone, she stated she attending an appointment, but was open for operation and requested her husband, Mr. Glover let me into the home to begin monitoring. Ms. Glover returned to the FCCH at approximately 8:30 a.m. No children were in care during my visit today. Ms. Glover stated the one child enrolled was scheduled for an early doctor’s appointment and while she expected the child to attend, her parent may choose to keep the child at home if she is not feeling her best after receiving vaccinations. Your program currently operates with a 5-Star license. Restrictions include 1st, 2nd, and 3rd shift care; serves no more than two infants under age one; children in care on ground level only; maximum of five preschoolers at any time. Ms. Glover stated she currently only provides first shift care. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 92% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. The door to the shed was held closed at the base by a large cement block but did not have a lock. Mr. Glover installed a lock on the shed during the visit. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was not observed during the visit. I observed developmentally appropriate materials and activities were available in the licensed space. The last annual compliance visit was conducted on 3/16/2023. A Verification of Required Information for Operator and Additional Caregivers form was not submitted prior to the visit for the operator; I completed this form during the visit. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The last fire drill was conducted on 2/01/2024. The most recent lockdown drill was documented on 1/03/2024. The last outdoor inspection was documented on 2/03/2024. The Ready to Go File did not contain copies of blank incident reports; Ms. Glover corrected this during the visit. There are currently no pets at the home. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Two bottles of liquid White-Out and one small canister of COVID disinfectant wipes were observed (White-Out: one on the top of a desk and one inside the unlocked drawer) less than five feet from the ground. One individual pump bottle of hand sanitizer was observed on the top of a desk less than five feet from the ground. One tube of Flex Glue was observed in an unlocked closet. One small aerosol bottle of room freshener was observed greater than five feet up, but in unlocked storage on the bathroom shelf. One bottle of water super clarifier was observed greater than five feet from the ground on the playground, but in unlocked storage. All items were labeled Keep Out of Reach of Children with additional warnings. Ms. Glover placed the hand sanitizer greater than five feet from the ground and all other items were placed into locked storage during the visit. No medications were observed nor reported. The program does not provide transportation, participate in off-premise activities, or participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 535 The operator did not provide developmentally appropriate equipment and materials for a variety of outdoor activities which allow for vigorous play, large and small muscle development, and social, emotional, and intellectual development on a daily basis. A variety of outdoor equipment to promote vigorous play was not available. .1718(a)(1) 702 Potentially hazardous items, including but not limited to, power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene, whether or not intended for use by children were not stored in locked areas, removed from the premises, or otherwise inaccessible to children. The door to the shed was held closed at the base by a large cement block but did not have a lock. .1719 (a) (1) 716 Electrical outlets not in use were not covered. Three outlets were observed without safety covers. Ms. Glover covered two of these outlets with safety covers during the visit. 10A NCAC .1719(a)(27) 810 Refrigerator was not maintained at a temperature of 45 degrees Fahrenheit or below and/or was not monitored by a refrigerator thermometer. The refrigerator normally used to store food and drinks for children enrolled was unplugged; mold was observed inside the refrigerator. 10A NCAC 09 .1725(a)(10) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. • An unlocked desk drawer less than five feet from the ground was observed to contain one loose AAA battery and several other batteries of assorted sized, greater than twenty loose push pins, one cough drop, and one strip of staples. Ms. Glover cleaned this drawer out during the visit; she placed the White-Out into locked storage and made all other items inaccessible to children. On the playground, one screw, sharp to the touch was observed on the ground near the shed. This screw was removed from the play area during the visit. One board had become detached from the fence, creating an entrapment hazard measuring 5 inches near the top and exposing two sharp nails; Mr. Glover reattached this board during the visit. Pieces of trash, including a plastic wrapper, two metal cans, sharp to the touch, a plastic water bottle, and thin cardboard were observed on the playground; Mr. Glover disposed of these items during the visit. One metal shovel, one metal hoe, one set of garden shears sharp to the touch, and one metal rod were observed inside the play area in unlocked storage and accessible; Mr. Glover placed these items into locked storage during the visit. Two metal benches were observed to be rusting; Mr. Glover went out during the visit to purchase a paint spray to cover the rusting areas. Fabric weed block was observed emerging from the ground in greater than five places on the playground, creating a potential choking hazard for children under three years of age. Mr. Glover stated he would remove the weed block from the playground. It is important to monitor the outdoor learning environment for any safety issues so children enrolled can safely explore the play area. I recommended Ms. Glover consider adding these items to her outdoor playground inspection and monitoring this area for potential hazards daily prior to children enrolled using the space. 10A NCAC 09 .1719 (a) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The Ready to Go file did not contain copies of blank incident reports. .1714(d)(10) 2048 Products that are labeled “keep out of reach of children” with an additional warning(s) on the label, were not kept in locked storage while children were in care. Two bottles of liquid White-Out and one small canister of COVID disinfectant wipes were observed (one on the top of a desk and one inside the unlocked drawer) less than five feet from the ground. One individual pump bottle of hand sanitizer was observed on the top of a desk less than five feet from the ground. One tube of Flex Glue was observed in an unlocked closet. One small aerosol bottle of room freshener was observed greater than five feet up, but in unlocked storage on the bathroom shelf. One bottle of water super clarifier was observed greater than five feet from the ground on the playground, but in unlocked storage. All items were labeled Keep Out of Reach of Children with additional warnings. 10A NCAC 09 .1719(a)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 2/29/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • Three outlets were observed without safety covers. Ms. Glover covered two of these outlets with safety covers during the visit. It is important to keep all outlets covered with safety covers to ensure children enrolled can explore the indoor environment safely. Ms. Glover stated she would need to purchase additional safety covers; Mr. Glover went out during the visit to purchase these. I recommended Ms. Glover consider keeping several additional safety covers available and inspecting the indoor environment daily, prior to children arriving for any potential safety issues. • The refrigerator normally used to store food and drinks for children enrolled was unplugged; mold was observed inside the refrigerator. It is essential that refrigerator temperatures remain at 45 degrees or less to ensure perishable foods remain at a safe temperature. Ms. Glover stated she had unplugged the refrigerator to defrost and that it would be cleaned thoroughly and plugged in immediately following my visit. Ms. Glover also stated all children's food could be temporarily kept in the refrigerator upstairs, and Mr. Glover would be available to bring this to her, as needed during operating hours of care. • An unlocked desk drawer less than five feet from the ground was observed to contain one loose AAA battery and several other batteries of assorted sizes, greater than twenty loose push pins, one cough drop, and one strip of staples. Ms. Glover cleaned this drawer out during the visit; she placed the White-Out into locked storage and made all other items inaccessible to children. On the playground, one screw, sharp to the touch was observed on the ground near the shed. This screw was removed from the play area during the visit. One board had become detached from the fence, creating an entrapment hazard measuring 5 inches near the top and exposing two sharp nails; Mr. Glover reattached this board during the visit. Pieces of trash, including a plastic wrapper, two metal cans, sharp to the touch, a plastic water bottle, and thin cardboard were observed on the playground; Mr. Glover disposed of these items during the visit. One metal shovel, one metal hoe, one set of garden shears sharp to the touch, and one metal rod were observed inside the play area in unlocked storage and accessible; Mr. Glover placed these items into locked storage during the visit. Two metal benches were observed to be rusting; Mr. Glover went out during the visit to purchase a paint spray to cover the rusting areas. Fabric weed block was observed emerging from the ground in greater than five places on the playground, creating a potential choking hazard for children under three years of age. Mr. Glover stated he would remove the weed block from the playground. It is important to monitor the outdoor learning environment for any safety issues so children enrolled can safely explore the play area. I recommended Ms. Glover consider adding these items to her outdoor playground inspection and monitoring this area for potential hazards daily prior to children enrolled using the space. • A variety of outdoor equipment to promote vigorous play was not available. It is important for children to have access to a variety of play equipment which supports gross motor skills. Ms. Glover stated she currently has one ball and a push toy but will purchase additional developmentally appropriate items for the outdoor play area. I recommended she consider materials which promote running, jumping, climbing, skipping, pushing, pulling, throwing, etc. Consultation provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please be reminded the Criminal Background Checks for you and Mr. Glover expire on 7/17/2024 and 7/18/2024 respectively. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process up to six (6) months prior to the expiration date on your qualifying letter. The following Child Care Rules were thoroughly discussed with Ms. Glover: 10A NCAC 09 .1712 WRITTEN PLAN OF CARE 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (b) At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1714 · Violation

Name of Operation: CHILDREN NEED ATTENTION LEARNING CENTER Facility ID: 34000513 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 2/15/2024 Number Present: 0 Completed Date: 2/15/2024 Age: From 0 To 0 Total Minutes: 255 Time In: 08:15 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant, with Valeria Glover, Operator. Ms. Glover was not at home when I arrived. When I contacted Ms. Glover via phone, she stated she attending an appointment, but was open for operation and requested her husband, Mr. Glover let me into the home to begin monitoring. Ms. Glover returned to the FCCH at approximately 8:30 a.m. No children were in care during my visit today. Ms. Glover stated the one child enrolled was scheduled for an early doctor’s appointment and while she expected the child to attend, her parent may choose to keep the child at home if she is not feeling her best after receiving vaccinations. Your program currently operates with a 5-Star license. Restrictions include 1st, 2nd, and 3rd shift care; serves no more than two infants under age one; children in care on ground level only; maximum of five preschoolers at any time. Ms. Glover stated she currently only provides first shift care. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 92% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. The door to the shed was held closed at the base by a large cement block but did not have a lock. Mr. Glover installed a lock on the shed during the visit. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was not observed during the visit. I observed developmentally appropriate materials and activities were available in the licensed space. The last annual compliance visit was conducted on 3/16/2023. A Verification of Required Information for Operator and Additional Caregivers form was not submitted prior to the visit for the operator; I completed this form during the visit. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The last fire drill was conducted on 2/01/2024. The most recent lockdown drill was documented on 1/03/2024. The last outdoor inspection was documented on 2/03/2024. The Ready to Go File did not contain copies of blank incident reports; Ms. Glover corrected this during the visit. There are currently no pets at the home. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Two bottles of liquid White-Out and one small canister of COVID disinfectant wipes were observed (White-Out: one on the top of a desk and one inside the unlocked drawer) less than five feet from the ground. One individual pump bottle of hand sanitizer was observed on the top of a desk less than five feet from the ground. One tube of Flex Glue was observed in an unlocked closet. One small aerosol bottle of room freshener was observed greater than five feet up, but in unlocked storage on the bathroom shelf. One bottle of water super clarifier was observed greater than five feet from the ground on the playground, but in unlocked storage. All items were labeled Keep Out of Reach of Children with additional warnings. Ms. Glover placed the hand sanitizer greater than five feet from the ground and all other items were placed into locked storage during the visit. No medications were observed nor reported. The program does not provide transportation, participate in off-premise activities, or participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 535 The operator did not provide developmentally appropriate equipment and materials for a variety of outdoor activities which allow for vigorous play, large and small muscle development, and social, emotional, and intellectual development on a daily basis. A variety of outdoor equipment to promote vigorous play was not available. .1718(a)(1) 702 Potentially hazardous items, including but not limited to, power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene, whether or not intended for use by children were not stored in locked areas, removed from the premises, or otherwise inaccessible to children. The door to the shed was held closed at the base by a large cement block but did not have a lock. .1719 (a) (1) 716 Electrical outlets not in use were not covered. Three outlets were observed without safety covers. Ms. Glover covered two of these outlets with safety covers during the visit. 10A NCAC .1719(a)(27) 810 Refrigerator was not maintained at a temperature of 45 degrees Fahrenheit or below and/or was not monitored by a refrigerator thermometer. The refrigerator normally used to store food and drinks for children enrolled was unplugged; mold was observed inside the refrigerator. 10A NCAC 09 .1725(a)(10) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. • An unlocked desk drawer less than five feet from the ground was observed to contain one loose AAA battery and several other batteries of assorted sized, greater than twenty loose push pins, one cough drop, and one strip of staples. Ms. Glover cleaned this drawer out during the visit; she placed the White-Out into locked storage and made all other items inaccessible to children. On the playground, one screw, sharp to the touch was observed on the ground near the shed. This screw was removed from the play area during the visit. One board had become detached from the fence, creating an entrapment hazard measuring 5 inches near the top and exposing two sharp nails; Mr. Glover reattached this board during the visit. Pieces of trash, including a plastic wrapper, two metal cans, sharp to the touch, a plastic water bottle, and thin cardboard were observed on the playground; Mr. Glover disposed of these items during the visit. One metal shovel, one metal hoe, one set of garden shears sharp to the touch, and one metal rod were observed inside the play area in unlocked storage and accessible; Mr. Glover placed these items into locked storage during the visit. Two metal benches were observed to be rusting; Mr. Glover went out during the visit to purchase a paint spray to cover the rusting areas. Fabric weed block was observed emerging from the ground in greater than five places on the playground, creating a potential choking hazard for children under three years of age. Mr. Glover stated he would remove the weed block from the playground. It is important to monitor the outdoor learning environment for any safety issues so children enrolled can safely explore the play area. I recommended Ms. Glover consider adding these items to her outdoor playground inspection and monitoring this area for potential hazards daily prior to children enrolled using the space. 10A NCAC 09 .1719 (a) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The Ready to Go file did not contain copies of blank incident reports. .1714(d)(10) 2048 Products that are labeled “keep out of reach of children” with an additional warning(s) on the label, were not kept in locked storage while children were in care. Two bottles of liquid White-Out and one small canister of COVID disinfectant wipes were observed (one on the top of a desk and one inside the unlocked drawer) less than five feet from the ground. One individual pump bottle of hand sanitizer was observed on the top of a desk less than five feet from the ground. One tube of Flex Glue was observed in an unlocked closet. One small aerosol bottle of room freshener was observed greater than five feet up, but in unlocked storage on the bathroom shelf. One bottle of water super clarifier was observed greater than five feet from the ground on the playground, but in unlocked storage. All items were labeled Keep Out of Reach of Children with additional warnings. 10A NCAC 09 .1719(a)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 2/29/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • Three outlets were observed without safety covers. Ms. Glover covered two of these outlets with safety covers during the visit. It is important to keep all outlets covered with safety covers to ensure children enrolled can explore the indoor environment safely. Ms. Glover stated she would need to purchase additional safety covers; Mr. Glover went out during the visit to purchase these. I recommended Ms. Glover consider keeping several additional safety covers available and inspecting the indoor environment daily, prior to children arriving for any potential safety issues. • The refrigerator normally used to store food and drinks for children enrolled was unplugged; mold was observed inside the refrigerator. It is essential that refrigerator temperatures remain at 45 degrees or less to ensure perishable foods remain at a safe temperature. Ms. Glover stated she had unplugged the refrigerator to defrost and that it would be cleaned thoroughly and plugged in immediately following my visit. Ms. Glover also stated all children's food could be temporarily kept in the refrigerator upstairs, and Mr. Glover would be available to bring this to her, as needed during operating hours of care. • An unlocked desk drawer less than five feet from the ground was observed to contain one loose AAA battery and several other batteries of assorted sizes, greater than twenty loose push pins, one cough drop, and one strip of staples. Ms. Glover cleaned this drawer out during the visit; she placed the White-Out into locked storage and made all other items inaccessible to children. On the playground, one screw, sharp to the touch was observed on the ground near the shed. This screw was removed from the play area during the visit. One board had become detached from the fence, creating an entrapment hazard measuring 5 inches near the top and exposing two sharp nails; Mr. Glover reattached this board during the visit. Pieces of trash, including a plastic wrapper, two metal cans, sharp to the touch, a plastic water bottle, and thin cardboard were observed on the playground; Mr. Glover disposed of these items during the visit. One metal shovel, one metal hoe, one set of garden shears sharp to the touch, and one metal rod were observed inside the play area in unlocked storage and accessible; Mr. Glover placed these items into locked storage during the visit. Two metal benches were observed to be rusting; Mr. Glover went out during the visit to purchase a paint spray to cover the rusting areas. Fabric weed block was observed emerging from the ground in greater than five places on the playground, creating a potential choking hazard for children under three years of age. Mr. Glover stated he would remove the weed block from the playground. It is important to monitor the outdoor learning environment for any safety issues so children enrolled can safely explore the play area. I recommended Ms. Glover consider adding these items to her outdoor playground inspection and monitoring this area for potential hazards daily prior to children enrolled using the space. • A variety of outdoor equipment to promote vigorous play was not available. It is important for children to have access to a variety of play equipment which supports gross motor skills. Ms. Glover stated she currently has one ball and a push toy but will purchase additional developmentally appropriate items for the outdoor play area. I recommended she consider materials which promote running, jumping, climbing, skipping, pushing, pulling, throwing, etc. Consultation provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please be reminded the Criminal Background Checks for you and Mr. Glover expire on 7/17/2024 and 7/18/2024 respectively. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process up to six (6) months prior to the expiration date on your qualifying letter. The following Child Care Rules were thoroughly discussed with Ms. Glover: 10A NCAC 09 .1712 WRITTEN PLAN OF CARE 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (b) At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1719 · Violation

Name of Operation: CHILDREN NEED ATTENTION LEARNING CENTER Facility ID: 34000513 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 2/15/2024 Number Present: 0 Completed Date: 2/15/2024 Age: From 0 To 0 Total Minutes: 255 Time In: 08:15 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant, with Valeria Glover, Operator. Ms. Glover was not at home when I arrived. When I contacted Ms. Glover via phone, she stated she attending an appointment, but was open for operation and requested her husband, Mr. Glover let me into the home to begin monitoring. Ms. Glover returned to the FCCH at approximately 8:30 a.m. No children were in care during my visit today. Ms. Glover stated the one child enrolled was scheduled for an early doctor’s appointment and while she expected the child to attend, her parent may choose to keep the child at home if she is not feeling her best after receiving vaccinations. Your program currently operates with a 5-Star license. Restrictions include 1st, 2nd, and 3rd shift care; serves no more than two infants under age one; children in care on ground level only; maximum of five preschoolers at any time. Ms. Glover stated she currently only provides first shift care. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 92% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. The door to the shed was held closed at the base by a large cement block but did not have a lock. Mr. Glover installed a lock on the shed during the visit. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was not observed during the visit. I observed developmentally appropriate materials and activities were available in the licensed space. The last annual compliance visit was conducted on 3/16/2023. A Verification of Required Information for Operator and Additional Caregivers form was not submitted prior to the visit for the operator; I completed this form during the visit. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The last fire drill was conducted on 2/01/2024. The most recent lockdown drill was documented on 1/03/2024. The last outdoor inspection was documented on 2/03/2024. The Ready to Go File did not contain copies of blank incident reports; Ms. Glover corrected this during the visit. There are currently no pets at the home. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Two bottles of liquid White-Out and one small canister of COVID disinfectant wipes were observed (White-Out: one on the top of a desk and one inside the unlocked drawer) less than five feet from the ground. One individual pump bottle of hand sanitizer was observed on the top of a desk less than five feet from the ground. One tube of Flex Glue was observed in an unlocked closet. One small aerosol bottle of room freshener was observed greater than five feet up, but in unlocked storage on the bathroom shelf. One bottle of water super clarifier was observed greater than five feet from the ground on the playground, but in unlocked storage. All items were labeled Keep Out of Reach of Children with additional warnings. Ms. Glover placed the hand sanitizer greater than five feet from the ground and all other items were placed into locked storage during the visit. No medications were observed nor reported. The program does not provide transportation, participate in off-premise activities, or participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 535 The operator did not provide developmentally appropriate equipment and materials for a variety of outdoor activities which allow for vigorous play, large and small muscle development, and social, emotional, and intellectual development on a daily basis. A variety of outdoor equipment to promote vigorous play was not available. .1718(a)(1) 702 Potentially hazardous items, including but not limited to, power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene, whether or not intended for use by children were not stored in locked areas, removed from the premises, or otherwise inaccessible to children. The door to the shed was held closed at the base by a large cement block but did not have a lock. .1719 (a) (1) 716 Electrical outlets not in use were not covered. Three outlets were observed without safety covers. Ms. Glover covered two of these outlets with safety covers during the visit. 10A NCAC .1719(a)(27) 810 Refrigerator was not maintained at a temperature of 45 degrees Fahrenheit or below and/or was not monitored by a refrigerator thermometer. The refrigerator normally used to store food and drinks for children enrolled was unplugged; mold was observed inside the refrigerator. 10A NCAC 09 .1725(a)(10) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. • An unlocked desk drawer less than five feet from the ground was observed to contain one loose AAA battery and several other batteries of assorted sized, greater than twenty loose push pins, one cough drop, and one strip of staples. Ms. Glover cleaned this drawer out during the visit; she placed the White-Out into locked storage and made all other items inaccessible to children. On the playground, one screw, sharp to the touch was observed on the ground near the shed. This screw was removed from the play area during the visit. One board had become detached from the fence, creating an entrapment hazard measuring 5 inches near the top and exposing two sharp nails; Mr. Glover reattached this board during the visit. Pieces of trash, including a plastic wrapper, two metal cans, sharp to the touch, a plastic water bottle, and thin cardboard were observed on the playground; Mr. Glover disposed of these items during the visit. One metal shovel, one metal hoe, one set of garden shears sharp to the touch, and one metal rod were observed inside the play area in unlocked storage and accessible; Mr. Glover placed these items into locked storage during the visit. Two metal benches were observed to be rusting; Mr. Glover went out during the visit to purchase a paint spray to cover the rusting areas. Fabric weed block was observed emerging from the ground in greater than five places on the playground, creating a potential choking hazard for children under three years of age. Mr. Glover stated he would remove the weed block from the playground. It is important to monitor the outdoor learning environment for any safety issues so children enrolled can safely explore the play area. I recommended Ms. Glover consider adding these items to her outdoor playground inspection and monitoring this area for potential hazards daily prior to children enrolled using the space. 10A NCAC 09 .1719 (a) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The Ready to Go file did not contain copies of blank incident reports. .1714(d)(10) 2048 Products that are labeled “keep out of reach of children” with an additional warning(s) on the label, were not kept in locked storage while children were in care. Two bottles of liquid White-Out and one small canister of COVID disinfectant wipes were observed (one on the top of a desk and one inside the unlocked drawer) less than five feet from the ground. One individual pump bottle of hand sanitizer was observed on the top of a desk less than five feet from the ground. One tube of Flex Glue was observed in an unlocked closet. One small aerosol bottle of room freshener was observed greater than five feet up, but in unlocked storage on the bathroom shelf. One bottle of water super clarifier was observed greater than five feet from the ground on the playground, but in unlocked storage. All items were labeled Keep Out of Reach of Children with additional warnings. 10A NCAC 09 .1719(a)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 2/29/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • Three outlets were observed without safety covers. Ms. Glover covered two of these outlets with safety covers during the visit. It is important to keep all outlets covered with safety covers to ensure children enrolled can explore the indoor environment safely. Ms. Glover stated she would need to purchase additional safety covers; Mr. Glover went out during the visit to purchase these. I recommended Ms. Glover consider keeping several additional safety covers available and inspecting the indoor environment daily, prior to children arriving for any potential safety issues. • The refrigerator normally used to store food and drinks for children enrolled was unplugged; mold was observed inside the refrigerator. It is essential that refrigerator temperatures remain at 45 degrees or less to ensure perishable foods remain at a safe temperature. Ms. Glover stated she had unplugged the refrigerator to defrost and that it would be cleaned thoroughly and plugged in immediately following my visit. Ms. Glover also stated all children's food could be temporarily kept in the refrigerator upstairs, and Mr. Glover would be available to bring this to her, as needed during operating hours of care. • An unlocked desk drawer less than five feet from the ground was observed to contain one loose AAA battery and several other batteries of assorted sizes, greater than twenty loose push pins, one cough drop, and one strip of staples. Ms. Glover cleaned this drawer out during the visit; she placed the White-Out into locked storage and made all other items inaccessible to children. On the playground, one screw, sharp to the touch was observed on the ground near the shed. This screw was removed from the play area during the visit. One board had become detached from the fence, creating an entrapment hazard measuring 5 inches near the top and exposing two sharp nails; Mr. Glover reattached this board during the visit. Pieces of trash, including a plastic wrapper, two metal cans, sharp to the touch, a plastic water bottle, and thin cardboard were observed on the playground; Mr. Glover disposed of these items during the visit. One metal shovel, one metal hoe, one set of garden shears sharp to the touch, and one metal rod were observed inside the play area in unlocked storage and accessible; Mr. Glover placed these items into locked storage during the visit. Two metal benches were observed to be rusting; Mr. Glover went out during the visit to purchase a paint spray to cover the rusting areas. Fabric weed block was observed emerging from the ground in greater than five places on the playground, creating a potential choking hazard for children under three years of age. Mr. Glover stated he would remove the weed block from the playground. It is important to monitor the outdoor learning environment for any safety issues so children enrolled can safely explore the play area. I recommended Ms. Glover consider adding these items to her outdoor playground inspection and monitoring this area for potential hazards daily prior to children enrolled using the space. • A variety of outdoor equipment to promote vigorous play was not available. It is important for children to have access to a variety of play equipment which supports gross motor skills. Ms. Glover stated she currently has one ball and a push toy but will purchase additional developmentally appropriate items for the outdoor play area. I recommended she consider materials which promote running, jumping, climbing, skipping, pushing, pulling, throwing, etc. Consultation provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please be reminded the Criminal Background Checks for you and Mr. Glover expire on 7/17/2024 and 7/18/2024 respectively. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process up to six (6) months prior to the expiration date on your qualifying letter. The following Child Care Rules were thoroughly discussed with Ms. Glover: 10A NCAC 09 .1712 WRITTEN PLAN OF CARE 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (b) At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1725 · Violation

Name of Operation: CHILDREN NEED ATTENTION LEARNING CENTER Facility ID: 34000513 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 2/15/2024 Number Present: 0 Completed Date: 2/15/2024 Age: From 0 To 0 Total Minutes: 255 Time In: 08:15 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant, with Valeria Glover, Operator. Ms. Glover was not at home when I arrived. When I contacted Ms. Glover via phone, she stated she attending an appointment, but was open for operation and requested her husband, Mr. Glover let me into the home to begin monitoring. Ms. Glover returned to the FCCH at approximately 8:30 a.m. No children were in care during my visit today. Ms. Glover stated the one child enrolled was scheduled for an early doctor’s appointment and while she expected the child to attend, her parent may choose to keep the child at home if she is not feeling her best after receiving vaccinations. Your program currently operates with a 5-Star license. Restrictions include 1st, 2nd, and 3rd shift care; serves no more than two infants under age one; children in care on ground level only; maximum of five preschoolers at any time. Ms. Glover stated she currently only provides first shift care. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 92% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. The door to the shed was held closed at the base by a large cement block but did not have a lock. Mr. Glover installed a lock on the shed during the visit. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was not observed during the visit. I observed developmentally appropriate materials and activities were available in the licensed space. The last annual compliance visit was conducted on 3/16/2023. A Verification of Required Information for Operator and Additional Caregivers form was not submitted prior to the visit for the operator; I completed this form during the visit. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The last fire drill was conducted on 2/01/2024. The most recent lockdown drill was documented on 1/03/2024. The last outdoor inspection was documented on 2/03/2024. The Ready to Go File did not contain copies of blank incident reports; Ms. Glover corrected this during the visit. There are currently no pets at the home. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Two bottles of liquid White-Out and one small canister of COVID disinfectant wipes were observed (White-Out: one on the top of a desk and one inside the unlocked drawer) less than five feet from the ground. One individual pump bottle of hand sanitizer was observed on the top of a desk less than five feet from the ground. One tube of Flex Glue was observed in an unlocked closet. One small aerosol bottle of room freshener was observed greater than five feet up, but in unlocked storage on the bathroom shelf. One bottle of water super clarifier was observed greater than five feet from the ground on the playground, but in unlocked storage. All items were labeled Keep Out of Reach of Children with additional warnings. Ms. Glover placed the hand sanitizer greater than five feet from the ground and all other items were placed into locked storage during the visit. No medications were observed nor reported. The program does not provide transportation, participate in off-premise activities, or participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 535 The operator did not provide developmentally appropriate equipment and materials for a variety of outdoor activities which allow for vigorous play, large and small muscle development, and social, emotional, and intellectual development on a daily basis. A variety of outdoor equipment to promote vigorous play was not available. .1718(a)(1) 702 Potentially hazardous items, including but not limited to, power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene, whether or not intended for use by children were not stored in locked areas, removed from the premises, or otherwise inaccessible to children. The door to the shed was held closed at the base by a large cement block but did not have a lock. .1719 (a) (1) 716 Electrical outlets not in use were not covered. Three outlets were observed without safety covers. Ms. Glover covered two of these outlets with safety covers during the visit. 10A NCAC .1719(a)(27) 810 Refrigerator was not maintained at a temperature of 45 degrees Fahrenheit or below and/or was not monitored by a refrigerator thermometer. The refrigerator normally used to store food and drinks for children enrolled was unplugged; mold was observed inside the refrigerator. 10A NCAC 09 .1725(a)(10) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. • An unlocked desk drawer less than five feet from the ground was observed to contain one loose AAA battery and several other batteries of assorted sized, greater than twenty loose push pins, one cough drop, and one strip of staples. Ms. Glover cleaned this drawer out during the visit; she placed the White-Out into locked storage and made all other items inaccessible to children. On the playground, one screw, sharp to the touch was observed on the ground near the shed. This screw was removed from the play area during the visit. One board had become detached from the fence, creating an entrapment hazard measuring 5 inches near the top and exposing two sharp nails; Mr. Glover reattached this board during the visit. Pieces of trash, including a plastic wrapper, two metal cans, sharp to the touch, a plastic water bottle, and thin cardboard were observed on the playground; Mr. Glover disposed of these items during the visit. One metal shovel, one metal hoe, one set of garden shears sharp to the touch, and one metal rod were observed inside the play area in unlocked storage and accessible; Mr. Glover placed these items into locked storage during the visit. Two metal benches were observed to be rusting; Mr. Glover went out during the visit to purchase a paint spray to cover the rusting areas. Fabric weed block was observed emerging from the ground in greater than five places on the playground, creating a potential choking hazard for children under three years of age. Mr. Glover stated he would remove the weed block from the playground. It is important to monitor the outdoor learning environment for any safety issues so children enrolled can safely explore the play area. I recommended Ms. Glover consider adding these items to her outdoor playground inspection and monitoring this area for potential hazards daily prior to children enrolled using the space. 10A NCAC 09 .1719 (a) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The Ready to Go file did not contain copies of blank incident reports. .1714(d)(10) 2048 Products that are labeled “keep out of reach of children” with an additional warning(s) on the label, were not kept in locked storage while children were in care. Two bottles of liquid White-Out and one small canister of COVID disinfectant wipes were observed (one on the top of a desk and one inside the unlocked drawer) less than five feet from the ground. One individual pump bottle of hand sanitizer was observed on the top of a desk less than five feet from the ground. One tube of Flex Glue was observed in an unlocked closet. One small aerosol bottle of room freshener was observed greater than five feet up, but in unlocked storage on the bathroom shelf. One bottle of water super clarifier was observed greater than five feet from the ground on the playground, but in unlocked storage. All items were labeled Keep Out of Reach of Children with additional warnings. 10A NCAC 09 .1719(a)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 2/29/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • Three outlets were observed without safety covers. Ms. Glover covered two of these outlets with safety covers during the visit. It is important to keep all outlets covered with safety covers to ensure children enrolled can explore the indoor environment safely. Ms. Glover stated she would need to purchase additional safety covers; Mr. Glover went out during the visit to purchase these. I recommended Ms. Glover consider keeping several additional safety covers available and inspecting the indoor environment daily, prior to children arriving for any potential safety issues. • The refrigerator normally used to store food and drinks for children enrolled was unplugged; mold was observed inside the refrigerator. It is essential that refrigerator temperatures remain at 45 degrees or less to ensure perishable foods remain at a safe temperature. Ms. Glover stated she had unplugged the refrigerator to defrost and that it would be cleaned thoroughly and plugged in immediately following my visit. Ms. Glover also stated all children's food could be temporarily kept in the refrigerator upstairs, and Mr. Glover would be available to bring this to her, as needed during operating hours of care. • An unlocked desk drawer less than five feet from the ground was observed to contain one loose AAA battery and several other batteries of assorted sizes, greater than twenty loose push pins, one cough drop, and one strip of staples. Ms. Glover cleaned this drawer out during the visit; she placed the White-Out into locked storage and made all other items inaccessible to children. On the playground, one screw, sharp to the touch was observed on the ground near the shed. This screw was removed from the play area during the visit. One board had become detached from the fence, creating an entrapment hazard measuring 5 inches near the top and exposing two sharp nails; Mr. Glover reattached this board during the visit. Pieces of trash, including a plastic wrapper, two metal cans, sharp to the touch, a plastic water bottle, and thin cardboard were observed on the playground; Mr. Glover disposed of these items during the visit. One metal shovel, one metal hoe, one set of garden shears sharp to the touch, and one metal rod were observed inside the play area in unlocked storage and accessible; Mr. Glover placed these items into locked storage during the visit. Two metal benches were observed to be rusting; Mr. Glover went out during the visit to purchase a paint spray to cover the rusting areas. Fabric weed block was observed emerging from the ground in greater than five places on the playground, creating a potential choking hazard for children under three years of age. Mr. Glover stated he would remove the weed block from the playground. It is important to monitor the outdoor learning environment for any safety issues so children enrolled can safely explore the play area. I recommended Ms. Glover consider adding these items to her outdoor playground inspection and monitoring this area for potential hazards daily prior to children enrolled using the space. • A variety of outdoor equipment to promote vigorous play was not available. It is important for children to have access to a variety of play equipment which supports gross motor skills. Ms. Glover stated she currently has one ball and a push toy but will purchase additional developmentally appropriate items for the outdoor play area. I recommended she consider materials which promote running, jumping, climbing, skipping, pushing, pulling, throwing, etc. Consultation provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please be reminded the Criminal Background Checks for you and Mr. Glover expire on 7/17/2024 and 7/18/2024 respectively. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process up to six (6) months prior to the expiration date on your qualifying letter. The following Child Care Rules were thoroughly discussed with Ms. Glover: 10A NCAC 09 .1712 WRITTEN PLAN OF CARE 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (b) At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: CHILDREN NEED ATTENTION LEARNING CENTER Facility ID: 34000513 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 2/15/2024 Number Present: 0 Completed Date: 2/15/2024 Age: From 0 To 0 Total Minutes: 255 Time In: 08:15 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant, with Valeria Glover, Operator. Ms. Glover was not at home when I arrived. When I contacted Ms. Glover via phone, she stated she attending an appointment, but was open for operation and requested her husband, Mr. Glover let me into the home to begin monitoring. Ms. Glover returned to the FCCH at approximately 8:30 a.m. No children were in care during my visit today. Ms. Glover stated the one child enrolled was scheduled for an early doctor’s appointment and while she expected the child to attend, her parent may choose to keep the child at home if she is not feeling her best after receiving vaccinations. Your program currently operates with a 5-Star license. Restrictions include 1st, 2nd, and 3rd shift care; serves no more than two infants under age one; children in care on ground level only; maximum of five preschoolers at any time. Ms. Glover stated she currently only provides first shift care. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 92% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. The door to the shed was held closed at the base by a large cement block but did not have a lock. Mr. Glover installed a lock on the shed during the visit. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was not observed during the visit. I observed developmentally appropriate materials and activities were available in the licensed space. The last annual compliance visit was conducted on 3/16/2023. A Verification of Required Information for Operator and Additional Caregivers form was not submitted prior to the visit for the operator; I completed this form during the visit. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The last fire drill was conducted on 2/01/2024. The most recent lockdown drill was documented on 1/03/2024. The last outdoor inspection was documented on 2/03/2024. The Ready to Go File did not contain copies of blank incident reports; Ms. Glover corrected this during the visit. There are currently no pets at the home. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Two bottles of liquid White-Out and one small canister of COVID disinfectant wipes were observed (White-Out: one on the top of a desk and one inside the unlocked drawer) less than five feet from the ground. One individual pump bottle of hand sanitizer was observed on the top of a desk less than five feet from the ground. One tube of Flex Glue was observed in an unlocked closet. One small aerosol bottle of room freshener was observed greater than five feet up, but in unlocked storage on the bathroom shelf. One bottle of water super clarifier was observed greater than five feet from the ground on the playground, but in unlocked storage. All items were labeled Keep Out of Reach of Children with additional warnings. Ms. Glover placed the hand sanitizer greater than five feet from the ground and all other items were placed into locked storage during the visit. No medications were observed nor reported. The program does not provide transportation, participate in off-premise activities, or participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 535 The operator did not provide developmentally appropriate equipment and materials for a variety of outdoor activities which allow for vigorous play, large and small muscle development, and social, emotional, and intellectual development on a daily basis. A variety of outdoor equipment to promote vigorous play was not available. .1718(a)(1) 702 Potentially hazardous items, including but not limited to, power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene, whether or not intended for use by children were not stored in locked areas, removed from the premises, or otherwise inaccessible to children. The door to the shed was held closed at the base by a large cement block but did not have a lock. .1719 (a) (1) 716 Electrical outlets not in use were not covered. Three outlets were observed without safety covers. Ms. Glover covered two of these outlets with safety covers during the visit. 10A NCAC .1719(a)(27) 810 Refrigerator was not maintained at a temperature of 45 degrees Fahrenheit or below and/or was not monitored by a refrigerator thermometer. The refrigerator normally used to store food and drinks for children enrolled was unplugged; mold was observed inside the refrigerator. 10A NCAC 09 .1725(a)(10) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. • An unlocked desk drawer less than five feet from the ground was observed to contain one loose AAA battery and several other batteries of assorted sized, greater than twenty loose push pins, one cough drop, and one strip of staples. Ms. Glover cleaned this drawer out during the visit; she placed the White-Out into locked storage and made all other items inaccessible to children. On the playground, one screw, sharp to the touch was observed on the ground near the shed. This screw was removed from the play area during the visit. One board had become detached from the fence, creating an entrapment hazard measuring 5 inches near the top and exposing two sharp nails; Mr. Glover reattached this board during the visit. Pieces of trash, including a plastic wrapper, two metal cans, sharp to the touch, a plastic water bottle, and thin cardboard were observed on the playground; Mr. Glover disposed of these items during the visit. One metal shovel, one metal hoe, one set of garden shears sharp to the touch, and one metal rod were observed inside the play area in unlocked storage and accessible; Mr. Glover placed these items into locked storage during the visit. Two metal benches were observed to be rusting; Mr. Glover went out during the visit to purchase a paint spray to cover the rusting areas. Fabric weed block was observed emerging from the ground in greater than five places on the playground, creating a potential choking hazard for children under three years of age. Mr. Glover stated he would remove the weed block from the playground. It is important to monitor the outdoor learning environment for any safety issues so children enrolled can safely explore the play area. I recommended Ms. Glover consider adding these items to her outdoor playground inspection and monitoring this area for potential hazards daily prior to children enrolled using the space. 10A NCAC 09 .1719 (a) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The Ready to Go file did not contain copies of blank incident reports. .1714(d)(10) 2048 Products that are labeled “keep out of reach of children” with an additional warning(s) on the label, were not kept in locked storage while children were in care. Two bottles of liquid White-Out and one small canister of COVID disinfectant wipes were observed (one on the top of a desk and one inside the unlocked drawer) less than five feet from the ground. One individual pump bottle of hand sanitizer was observed on the top of a desk less than five feet from the ground. One tube of Flex Glue was observed in an unlocked closet. One small aerosol bottle of room freshener was observed greater than five feet up, but in unlocked storage on the bathroom shelf. One bottle of water super clarifier was observed greater than five feet from the ground on the playground, but in unlocked storage. All items were labeled Keep Out of Reach of Children with additional warnings. 10A NCAC 09 .1719(a)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 2/29/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • Three outlets were observed without safety covers. Ms. Glover covered two of these outlets with safety covers during the visit. It is important to keep all outlets covered with safety covers to ensure children enrolled can explore the indoor environment safely. Ms. Glover stated she would need to purchase additional safety covers; Mr. Glover went out during the visit to purchase these. I recommended Ms. Glover consider keeping several additional safety covers available and inspecting the indoor environment daily, prior to children arriving for any potential safety issues. • The refrigerator normally used to store food and drinks for children enrolled was unplugged; mold was observed inside the refrigerator. It is essential that refrigerator temperatures remain at 45 degrees or less to ensure perishable foods remain at a safe temperature. Ms. Glover stated she had unplugged the refrigerator to defrost and that it would be cleaned thoroughly and plugged in immediately following my visit. Ms. Glover also stated all children's food could be temporarily kept in the refrigerator upstairs, and Mr. Glover would be available to bring this to her, as needed during operating hours of care. • An unlocked desk drawer less than five feet from the ground was observed to contain one loose AAA battery and several other batteries of assorted sizes, greater than twenty loose push pins, one cough drop, and one strip of staples. Ms. Glover cleaned this drawer out during the visit; she placed the White-Out into locked storage and made all other items inaccessible to children. On the playground, one screw, sharp to the touch was observed on the ground near the shed. This screw was removed from the play area during the visit. One board had become detached from the fence, creating an entrapment hazard measuring 5 inches near the top and exposing two sharp nails; Mr. Glover reattached this board during the visit. Pieces of trash, including a plastic wrapper, two metal cans, sharp to the touch, a plastic water bottle, and thin cardboard were observed on the playground; Mr. Glover disposed of these items during the visit. One metal shovel, one metal hoe, one set of garden shears sharp to the touch, and one metal rod were observed inside the play area in unlocked storage and accessible; Mr. Glover placed these items into locked storage during the visit. Two metal benches were observed to be rusting; Mr. Glover went out during the visit to purchase a paint spray to cover the rusting areas. Fabric weed block was observed emerging from the ground in greater than five places on the playground, creating a potential choking hazard for children under three years of age. Mr. Glover stated he would remove the weed block from the playground. It is important to monitor the outdoor learning environment for any safety issues so children enrolled can safely explore the play area. I recommended Ms. Glover consider adding these items to her outdoor playground inspection and monitoring this area for potential hazards daily prior to children enrolled using the space. • A variety of outdoor equipment to promote vigorous play was not available. It is important for children to have access to a variety of play equipment which supports gross motor skills. Ms. Glover stated she currently has one ball and a push toy but will purchase additional developmentally appropriate items for the outdoor play area. I recommended she consider materials which promote running, jumping, climbing, skipping, pushing, pulling, throwing, etc. Consultation provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please be reminded the Criminal Background Checks for you and Mr. Glover expire on 7/17/2024 and 7/18/2024 respectively. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process up to six (6) months prior to the expiration date on your qualifying letter. The following Child Care Rules were thoroughly discussed with Ms. Glover: 10A NCAC 09 .1712 WRITTEN PLAN OF CARE 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (b) At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: CHILDREN NEED ATTENTION LEARNING CENTER Facility ID: 34000513 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 9/6/2023 Number Present: 1 Completed Date: 9/6/2023 Age: From 0 To 1 Total Minutes: 260 Time In: 09:10 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Valeria Glover, Operator, assisted me with the visit. Your program currently operates with a 5-Star license effective 12/18/2017. Restrictions include 1st, 2nd, and 3rd shift care; children in care on ground level only; maximum of 5 preschool children at any time; and serves no more than two children under age one year old. The program’s compliance history was 95% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Ms. Glover stated she, her husband, and her 13 year-old granddaughter are the only people living in the home. Both Ms. Glover and her husband were observed in the ABCMS system to have current CBCs; however, a CBC qualification letter was not on file for either individual. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Currently, Ms. Glover only has one child, an infant, enrolled in the program. Ms. Glover stated that due to eczema, the child cannot spend long periods of time outdoors on hot days. Ms. Glover stated she does sit outside and hold the infant, as well as pushes her within the fenced area in a stroller. Before additional children are enrolled in this program and/or prior to my next visit, the following issues must be corrected or repaired on the playground: • All gardening and other lawn tools, as well as ladders, must be inaccessible to children; • Any cords, hoses, or chains must be removed from the inside of the fenced-in area (inclusive of those that are hanging on the inside of the fencing); • All loose screws must be removed from the area; • All nails and screws protruding from the wooden portion of the fencing or from the wooden posts surrounding the garden must be removed or hammered down so sharp points are not accessible to children; • All wooden fence boards which have become detached from the fencing must be re-secured; • All pesticides, weed sprays, spray receptacles and tanks, water super clarifier, and charcoal must be placed into locked storage; • The air conditioning unit and associated wires must be enclosed and inaccessible to children; • The metal bracket securing two wooden base boards together toward the back of the playground must be either re-secured so no sharp edges or accessible to children, or replaced; • The grill must be covered and the cover secured; • The tomato plants must be made inaccessible to children; • Any protruding wires with sharp edges surrounding the garden must be removed; • Any rusted locks or fencing door hinges must be replaced; • Areas of fencing observed to be rusting must be treated; • The stationary play structure (heavily rusted and in disrepair) at the center of the playground must be removed; • The outdoor shed within the fenced-in area of the playground must be locked; • Outdoor benches must be treated for rust. Ms. Glover stated she will email me as each item is corrected and state how each item has been corrected. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed the one infant in care playing with toys in activity centers, engaging in conversations and play with Ms. Glover, participating in general routines and drinking a bottle during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, ITS-SIDS, and Criminal Background Checks. A completed record of Health and Safety trainings was not on file for Ms. Glover. Topics (2) Administration of medication, with standards for parental consent and (10) Recognizing and reporting child abuse, child neglect, and child maltreatment were not on file for Ms. Glover. An ITS SIDS training certificate was not on file for the operator. An Emergency Medical Care Plan was not available for review. All medication documentation was current and complete on file. Storage of hazardous items was monitored today. Individual packets of Tylenol and other medications, one bottle of medication, individual packets of antibiotic ointment, liquid White Out, wound disinfecting solution and other items labeled Keep Out of Reach of Children with additional warnings were observed in two desk drawers in the space designated for child care. An ice pack, alcohol swabs, and insect sting ointment labeled Keep Out of Reach of Children with additional warnings were observed in a First Aid kit. A spray bottle of Fabuloso, Febreeze spray, an aerosol canister of room spray, and a canister of Comet cleaning powder were observed located greater than five feet from the ground, but in unlocked storage in the bathroom used by children enrolled. Ms. Glover placed each of these items into appropriate storage and/or discarded them during the visit. A playground inspection was recorded 9/05/2023. A fire drill was recorded 8/02/2023. A shelter in place drill for the facility was recorded 6/01/2023. There are no pets at this facility. The program does not provide transportation, participate in off-premise activities, or participate in aquatic activities. The following violations were cited during today’s visit: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. Individual packets of Tylenol and other medications, one bottle of medication, individual packets of antibiotic ointment, liquid White Out, wound disinfecting solution and other items labeled Keep Out of Reach of Children with additional warnings were observed in two desk drawers in the space designated for child care. An ice pack, alcohol swabs, and insect sting ointment labeled Keep Out of Reach of Children with additional warnings were observed in a First Aid kit. A spray bottle of Fabuloso, Febreeze spray, an aerosol canister of room spray, and a canister of Comet cleaning powder were observed located greater than five feet from the ground, but in unlocked storage in the bathroom used by children enrolled. .1719 (a)(7) 1739 All records required shall be available during operating hours, for review by a representative of the Division. A completed record of Health and Safety trainings was not on file for Ms. Glover. Topics (2) Administration of medication, with standards for parental consent and (10) Recognizing and reporting child abuse, child neglect, and child maltreatment were not on file for Ms. Glover. An ITS SIDS training certificate was not on file for the operator. An Emergency Medical Care Plan was not available for review. .1721(f)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 9/20/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were thoroughly discussed with Ms. Glover during the visit: 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (a) The family child care home operator shall maintain the following health records for each enrolled child, including his or her own child(ren) who are not school-age: (6) daily attendance records for all children in care, including the operator's own preschool children. The attendance record shall indicate the date and time of arrival and departure for each child and shall be maintained as children arrive and depart. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (7) a schedule of daily, weekly, and monthly cleaning duties; 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: (2) wash his or her hands prior to caring for children each day; (3) ensure that each child's hands are washed upon arrival at the home each day; (6) use sanitary procedures when preparing and serving food. The operator shall: (A) wash his or her hands before and after handling food and feeding the children; and (B) ensure the child's hands are washed before and after the child is fed; (7) wash his or her hands, and ensure the child's hands are washed, after toileting or handling bodily fluids; (8) handwashing procedures shall include: (A) using liquid soap and water; (B) rubbing hands vigorously with soap and water for 15 seconds; (C) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (D) rinsing well for 10 seconds; (E) drying hands with a paper towel or other hand drying device; and (F) turning off faucet with a paper towel or other method without recontaminating hands; • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ - Please relocate the two adult-sized bicycles along the back wall of the space designated for child care. - Please seal off the portion of the wall behind the bathroom door to ensure peeling wall paper does not present a potential choking hazard. - You can access the training for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment at the following website: https://www.preventchildabusenc.org/online-trainings/ • You may access Health and Safety trainings through the following link on the Division website: https://www.dcdee.moodle.nc.gov/ Please choose the Services tab, DCDEE Moodle, Professional Development, Regulatory, and then the 2023 CCDF Health and Safety trainings. • Please contact NCID with the following information if you need to renew your NCID. Contact NC ITS Service Desk for assistance: Phone: 919-754-6000 or Toll Free 1-800-722-3946 Email: its.incidents@nc.gov - Please access the Risk Management Portal at the following website to update and print your Emergency Preparedness and Response Plan: https://rmp.nc.gov/portal/portal.aspx# At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1714 · Violation

Name of Operation: CHILDREN NEED ATTENTION LEARNING CENTER Facility ID: 34000513 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 9/6/2023 Number Present: 1 Completed Date: 9/6/2023 Age: From 0 To 1 Total Minutes: 260 Time In: 09:10 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Valeria Glover, Operator, assisted me with the visit. Your program currently operates with a 5-Star license effective 12/18/2017. Restrictions include 1st, 2nd, and 3rd shift care; children in care on ground level only; maximum of 5 preschool children at any time; and serves no more than two children under age one year old. The program’s compliance history was 95% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Ms. Glover stated she, her husband, and her 13 year-old granddaughter are the only people living in the home. Both Ms. Glover and her husband were observed in the ABCMS system to have current CBCs; however, a CBC qualification letter was not on file for either individual. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Currently, Ms. Glover only has one child, an infant, enrolled in the program. Ms. Glover stated that due to eczema, the child cannot spend long periods of time outdoors on hot days. Ms. Glover stated she does sit outside and hold the infant, as well as pushes her within the fenced area in a stroller. Before additional children are enrolled in this program and/or prior to my next visit, the following issues must be corrected or repaired on the playground: • All gardening and other lawn tools, as well as ladders, must be inaccessible to children; • Any cords, hoses, or chains must be removed from the inside of the fenced-in area (inclusive of those that are hanging on the inside of the fencing); • All loose screws must be removed from the area; • All nails and screws protruding from the wooden portion of the fencing or from the wooden posts surrounding the garden must be removed or hammered down so sharp points are not accessible to children; • All wooden fence boards which have become detached from the fencing must be re-secured; • All pesticides, weed sprays, spray receptacles and tanks, water super clarifier, and charcoal must be placed into locked storage; • The air conditioning unit and associated wires must be enclosed and inaccessible to children; • The metal bracket securing two wooden base boards together toward the back of the playground must be either re-secured so no sharp edges or accessible to children, or replaced; • The grill must be covered and the cover secured; • The tomato plants must be made inaccessible to children; • Any protruding wires with sharp edges surrounding the garden must be removed; • Any rusted locks or fencing door hinges must be replaced; • Areas of fencing observed to be rusting must be treated; • The stationary play structure (heavily rusted and in disrepair) at the center of the playground must be removed; • The outdoor shed within the fenced-in area of the playground must be locked; • Outdoor benches must be treated for rust. Ms. Glover stated she will email me as each item is corrected and state how each item has been corrected. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed the one infant in care playing with toys in activity centers, engaging in conversations and play with Ms. Glover, participating in general routines and drinking a bottle during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, ITS-SIDS, and Criminal Background Checks. A completed record of Health and Safety trainings was not on file for Ms. Glover. Topics (2) Administration of medication, with standards for parental consent and (10) Recognizing and reporting child abuse, child neglect, and child maltreatment were not on file for Ms. Glover. An ITS SIDS training certificate was not on file for the operator. An Emergency Medical Care Plan was not available for review. All medication documentation was current and complete on file. Storage of hazardous items was monitored today. Individual packets of Tylenol and other medications, one bottle of medication, individual packets of antibiotic ointment, liquid White Out, wound disinfecting solution and other items labeled Keep Out of Reach of Children with additional warnings were observed in two desk drawers in the space designated for child care. An ice pack, alcohol swabs, and insect sting ointment labeled Keep Out of Reach of Children with additional warnings were observed in a First Aid kit. A spray bottle of Fabuloso, Febreeze spray, an aerosol canister of room spray, and a canister of Comet cleaning powder were observed located greater than five feet from the ground, but in unlocked storage in the bathroom used by children enrolled. Ms. Glover placed each of these items into appropriate storage and/or discarded them during the visit. A playground inspection was recorded 9/05/2023. A fire drill was recorded 8/02/2023. A shelter in place drill for the facility was recorded 6/01/2023. There are no pets at this facility. The program does not provide transportation, participate in off-premise activities, or participate in aquatic activities. The following violations were cited during today’s visit: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. Individual packets of Tylenol and other medications, one bottle of medication, individual packets of antibiotic ointment, liquid White Out, wound disinfecting solution and other items labeled Keep Out of Reach of Children with additional warnings were observed in two desk drawers in the space designated for child care. An ice pack, alcohol swabs, and insect sting ointment labeled Keep Out of Reach of Children with additional warnings were observed in a First Aid kit. A spray bottle of Fabuloso, Febreeze spray, an aerosol canister of room spray, and a canister of Comet cleaning powder were observed located greater than five feet from the ground, but in unlocked storage in the bathroom used by children enrolled. .1719 (a)(7) 1739 All records required shall be available during operating hours, for review by a representative of the Division. A completed record of Health and Safety trainings was not on file for Ms. Glover. Topics (2) Administration of medication, with standards for parental consent and (10) Recognizing and reporting child abuse, child neglect, and child maltreatment were not on file for Ms. Glover. An ITS SIDS training certificate was not on file for the operator. An Emergency Medical Care Plan was not available for review. .1721(f)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 9/20/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were thoroughly discussed with Ms. Glover during the visit: 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (a) The family child care home operator shall maintain the following health records for each enrolled child, including his or her own child(ren) who are not school-age: (6) daily attendance records for all children in care, including the operator's own preschool children. The attendance record shall indicate the date and time of arrival and departure for each child and shall be maintained as children arrive and depart. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (7) a schedule of daily, weekly, and monthly cleaning duties; 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: (2) wash his or her hands prior to caring for children each day; (3) ensure that each child's hands are washed upon arrival at the home each day; (6) use sanitary procedures when preparing and serving food. The operator shall: (A) wash his or her hands before and after handling food and feeding the children; and (B) ensure the child's hands are washed before and after the child is fed; (7) wash his or her hands, and ensure the child's hands are washed, after toileting or handling bodily fluids; (8) handwashing procedures shall include: (A) using liquid soap and water; (B) rubbing hands vigorously with soap and water for 15 seconds; (C) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (D) rinsing well for 10 seconds; (E) drying hands with a paper towel or other hand drying device; and (F) turning off faucet with a paper towel or other method without recontaminating hands; • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ - Please relocate the two adult-sized bicycles along the back wall of the space designated for child care. - Please seal off the portion of the wall behind the bathroom door to ensure peeling wall paper does not present a potential choking hazard. - You can access the training for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment at the following website: https://www.preventchildabusenc.org/online-trainings/ • You may access Health and Safety trainings through the following link on the Division website: https://www.dcdee.moodle.nc.gov/ Please choose the Services tab, DCDEE Moodle, Professional Development, Regulatory, and then the 2023 CCDF Health and Safety trainings. • Please contact NCID with the following information if you need to renew your NCID. Contact NC ITS Service Desk for assistance: Phone: 919-754-6000 or Toll Free 1-800-722-3946 Email: its.incidents@nc.gov - Please access the Risk Management Portal at the following website to update and print your Emergency Preparedness and Response Plan: https://rmp.nc.gov/portal/portal.aspx# At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1715 · Violation

Name of Operation: CHILDREN NEED ATTENTION LEARNING CENTER Facility ID: 34000513 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 9/6/2023 Number Present: 1 Completed Date: 9/6/2023 Age: From 0 To 1 Total Minutes: 260 Time In: 09:10 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Valeria Glover, Operator, assisted me with the visit. Your program currently operates with a 5-Star license effective 12/18/2017. Restrictions include 1st, 2nd, and 3rd shift care; children in care on ground level only; maximum of 5 preschool children at any time; and serves no more than two children under age one year old. The program’s compliance history was 95% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Ms. Glover stated she, her husband, and her 13 year-old granddaughter are the only people living in the home. Both Ms. Glover and her husband were observed in the ABCMS system to have current CBCs; however, a CBC qualification letter was not on file for either individual. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Currently, Ms. Glover only has one child, an infant, enrolled in the program. Ms. Glover stated that due to eczema, the child cannot spend long periods of time outdoors on hot days. Ms. Glover stated she does sit outside and hold the infant, as well as pushes her within the fenced area in a stroller. Before additional children are enrolled in this program and/or prior to my next visit, the following issues must be corrected or repaired on the playground: • All gardening and other lawn tools, as well as ladders, must be inaccessible to children; • Any cords, hoses, or chains must be removed from the inside of the fenced-in area (inclusive of those that are hanging on the inside of the fencing); • All loose screws must be removed from the area; • All nails and screws protruding from the wooden portion of the fencing or from the wooden posts surrounding the garden must be removed or hammered down so sharp points are not accessible to children; • All wooden fence boards which have become detached from the fencing must be re-secured; • All pesticides, weed sprays, spray receptacles and tanks, water super clarifier, and charcoal must be placed into locked storage; • The air conditioning unit and associated wires must be enclosed and inaccessible to children; • The metal bracket securing two wooden base boards together toward the back of the playground must be either re-secured so no sharp edges or accessible to children, or replaced; • The grill must be covered and the cover secured; • The tomato plants must be made inaccessible to children; • Any protruding wires with sharp edges surrounding the garden must be removed; • Any rusted locks or fencing door hinges must be replaced; • Areas of fencing observed to be rusting must be treated; • The stationary play structure (heavily rusted and in disrepair) at the center of the playground must be removed; • The outdoor shed within the fenced-in area of the playground must be locked; • Outdoor benches must be treated for rust. Ms. Glover stated she will email me as each item is corrected and state how each item has been corrected. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed the one infant in care playing with toys in activity centers, engaging in conversations and play with Ms. Glover, participating in general routines and drinking a bottle during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, ITS-SIDS, and Criminal Background Checks. A completed record of Health and Safety trainings was not on file for Ms. Glover. Topics (2) Administration of medication, with standards for parental consent and (10) Recognizing and reporting child abuse, child neglect, and child maltreatment were not on file for Ms. Glover. An ITS SIDS training certificate was not on file for the operator. An Emergency Medical Care Plan was not available for review. All medication documentation was current and complete on file. Storage of hazardous items was monitored today. Individual packets of Tylenol and other medications, one bottle of medication, individual packets of antibiotic ointment, liquid White Out, wound disinfecting solution and other items labeled Keep Out of Reach of Children with additional warnings were observed in two desk drawers in the space designated for child care. An ice pack, alcohol swabs, and insect sting ointment labeled Keep Out of Reach of Children with additional warnings were observed in a First Aid kit. A spray bottle of Fabuloso, Febreeze spray, an aerosol canister of room spray, and a canister of Comet cleaning powder were observed located greater than five feet from the ground, but in unlocked storage in the bathroom used by children enrolled. Ms. Glover placed each of these items into appropriate storage and/or discarded them during the visit. A playground inspection was recorded 9/05/2023. A fire drill was recorded 8/02/2023. A shelter in place drill for the facility was recorded 6/01/2023. There are no pets at this facility. The program does not provide transportation, participate in off-premise activities, or participate in aquatic activities. The following violations were cited during today’s visit: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. Individual packets of Tylenol and other medications, one bottle of medication, individual packets of antibiotic ointment, liquid White Out, wound disinfecting solution and other items labeled Keep Out of Reach of Children with additional warnings were observed in two desk drawers in the space designated for child care. An ice pack, alcohol swabs, and insect sting ointment labeled Keep Out of Reach of Children with additional warnings were observed in a First Aid kit. A spray bottle of Fabuloso, Febreeze spray, an aerosol canister of room spray, and a canister of Comet cleaning powder were observed located greater than five feet from the ground, but in unlocked storage in the bathroom used by children enrolled. .1719 (a)(7) 1739 All records required shall be available during operating hours, for review by a representative of the Division. A completed record of Health and Safety trainings was not on file for Ms. Glover. Topics (2) Administration of medication, with standards for parental consent and (10) Recognizing and reporting child abuse, child neglect, and child maltreatment were not on file for Ms. Glover. An ITS SIDS training certificate was not on file for the operator. An Emergency Medical Care Plan was not available for review. .1721(f)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 9/20/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were thoroughly discussed with Ms. Glover during the visit: 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (a) The family child care home operator shall maintain the following health records for each enrolled child, including his or her own child(ren) who are not school-age: (6) daily attendance records for all children in care, including the operator's own preschool children. The attendance record shall indicate the date and time of arrival and departure for each child and shall be maintained as children arrive and depart. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (7) a schedule of daily, weekly, and monthly cleaning duties; 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: (2) wash his or her hands prior to caring for children each day; (3) ensure that each child's hands are washed upon arrival at the home each day; (6) use sanitary procedures when preparing and serving food. The operator shall: (A) wash his or her hands before and after handling food and feeding the children; and (B) ensure the child's hands are washed before and after the child is fed; (7) wash his or her hands, and ensure the child's hands are washed, after toileting or handling bodily fluids; (8) handwashing procedures shall include: (A) using liquid soap and water; (B) rubbing hands vigorously with soap and water for 15 seconds; (C) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (D) rinsing well for 10 seconds; (E) drying hands with a paper towel or other hand drying device; and (F) turning off faucet with a paper towel or other method without recontaminating hands; • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ - Please relocate the two adult-sized bicycles along the back wall of the space designated for child care. - Please seal off the portion of the wall behind the bathroom door to ensure peeling wall paper does not present a potential choking hazard. - You can access the training for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment at the following website: https://www.preventchildabusenc.org/online-trainings/ • You may access Health and Safety trainings through the following link on the Division website: https://www.dcdee.moodle.nc.gov/ Please choose the Services tab, DCDEE Moodle, Professional Development, Regulatory, and then the 2023 CCDF Health and Safety trainings. • Please contact NCID with the following information if you need to renew your NCID. Contact NC ITS Service Desk for assistance: Phone: 919-754-6000 or Toll Free 1-800-722-3946 Email: its.incidents@nc.gov - Please access the Risk Management Portal at the following website to update and print your Emergency Preparedness and Response Plan: https://rmp.nc.gov/portal/portal.aspx# At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1721 · Violation

Name of Operation: CHILDREN NEED ATTENTION LEARNING CENTER Facility ID: 34000513 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 9/6/2023 Number Present: 1 Completed Date: 9/6/2023 Age: From 0 To 1 Total Minutes: 260 Time In: 09:10 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Valeria Glover, Operator, assisted me with the visit. Your program currently operates with a 5-Star license effective 12/18/2017. Restrictions include 1st, 2nd, and 3rd shift care; children in care on ground level only; maximum of 5 preschool children at any time; and serves no more than two children under age one year old. The program’s compliance history was 95% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Ms. Glover stated she, her husband, and her 13 year-old granddaughter are the only people living in the home. Both Ms. Glover and her husband were observed in the ABCMS system to have current CBCs; however, a CBC qualification letter was not on file for either individual. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Currently, Ms. Glover only has one child, an infant, enrolled in the program. Ms. Glover stated that due to eczema, the child cannot spend long periods of time outdoors on hot days. Ms. Glover stated she does sit outside and hold the infant, as well as pushes her within the fenced area in a stroller. Before additional children are enrolled in this program and/or prior to my next visit, the following issues must be corrected or repaired on the playground: • All gardening and other lawn tools, as well as ladders, must be inaccessible to children; • Any cords, hoses, or chains must be removed from the inside of the fenced-in area (inclusive of those that are hanging on the inside of the fencing); • All loose screws must be removed from the area; • All nails and screws protruding from the wooden portion of the fencing or from the wooden posts surrounding the garden must be removed or hammered down so sharp points are not accessible to children; • All wooden fence boards which have become detached from the fencing must be re-secured; • All pesticides, weed sprays, spray receptacles and tanks, water super clarifier, and charcoal must be placed into locked storage; • The air conditioning unit and associated wires must be enclosed and inaccessible to children; • The metal bracket securing two wooden base boards together toward the back of the playground must be either re-secured so no sharp edges or accessible to children, or replaced; • The grill must be covered and the cover secured; • The tomato plants must be made inaccessible to children; • Any protruding wires with sharp edges surrounding the garden must be removed; • Any rusted locks or fencing door hinges must be replaced; • Areas of fencing observed to be rusting must be treated; • The stationary play structure (heavily rusted and in disrepair) at the center of the playground must be removed; • The outdoor shed within the fenced-in area of the playground must be locked; • Outdoor benches must be treated for rust. Ms. Glover stated she will email me as each item is corrected and state how each item has been corrected. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed the one infant in care playing with toys in activity centers, engaging in conversations and play with Ms. Glover, participating in general routines and drinking a bottle during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, ITS-SIDS, and Criminal Background Checks. A completed record of Health and Safety trainings was not on file for Ms. Glover. Topics (2) Administration of medication, with standards for parental consent and (10) Recognizing and reporting child abuse, child neglect, and child maltreatment were not on file for Ms. Glover. An ITS SIDS training certificate was not on file for the operator. An Emergency Medical Care Plan was not available for review. All medication documentation was current and complete on file. Storage of hazardous items was monitored today. Individual packets of Tylenol and other medications, one bottle of medication, individual packets of antibiotic ointment, liquid White Out, wound disinfecting solution and other items labeled Keep Out of Reach of Children with additional warnings were observed in two desk drawers in the space designated for child care. An ice pack, alcohol swabs, and insect sting ointment labeled Keep Out of Reach of Children with additional warnings were observed in a First Aid kit. A spray bottle of Fabuloso, Febreeze spray, an aerosol canister of room spray, and a canister of Comet cleaning powder were observed located greater than five feet from the ground, but in unlocked storage in the bathroom used by children enrolled. Ms. Glover placed each of these items into appropriate storage and/or discarded them during the visit. A playground inspection was recorded 9/05/2023. A fire drill was recorded 8/02/2023. A shelter in place drill for the facility was recorded 6/01/2023. There are no pets at this facility. The program does not provide transportation, participate in off-premise activities, or participate in aquatic activities. The following violations were cited during today’s visit: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. Individual packets of Tylenol and other medications, one bottle of medication, individual packets of antibiotic ointment, liquid White Out, wound disinfecting solution and other items labeled Keep Out of Reach of Children with additional warnings were observed in two desk drawers in the space designated for child care. An ice pack, alcohol swabs, and insect sting ointment labeled Keep Out of Reach of Children with additional warnings were observed in a First Aid kit. A spray bottle of Fabuloso, Febreeze spray, an aerosol canister of room spray, and a canister of Comet cleaning powder were observed located greater than five feet from the ground, but in unlocked storage in the bathroom used by children enrolled. .1719 (a)(7) 1739 All records required shall be available during operating hours, for review by a representative of the Division. A completed record of Health and Safety trainings was not on file for Ms. Glover. Topics (2) Administration of medication, with standards for parental consent and (10) Recognizing and reporting child abuse, child neglect, and child maltreatment were not on file for Ms. Glover. An ITS SIDS training certificate was not on file for the operator. An Emergency Medical Care Plan was not available for review. .1721(f)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 9/20/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were thoroughly discussed with Ms. Glover during the visit: 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (a) The family child care home operator shall maintain the following health records for each enrolled child, including his or her own child(ren) who are not school-age: (6) daily attendance records for all children in care, including the operator's own preschool children. The attendance record shall indicate the date and time of arrival and departure for each child and shall be maintained as children arrive and depart. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (7) a schedule of daily, weekly, and monthly cleaning duties; 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: (2) wash his or her hands prior to caring for children each day; (3) ensure that each child's hands are washed upon arrival at the home each day; (6) use sanitary procedures when preparing and serving food. The operator shall: (A) wash his or her hands before and after handling food and feeding the children; and (B) ensure the child's hands are washed before and after the child is fed; (7) wash his or her hands, and ensure the child's hands are washed, after toileting or handling bodily fluids; (8) handwashing procedures shall include: (A) using liquid soap and water; (B) rubbing hands vigorously with soap and water for 15 seconds; (C) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (D) rinsing well for 10 seconds; (E) drying hands with a paper towel or other hand drying device; and (F) turning off faucet with a paper towel or other method without recontaminating hands; • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ - Please relocate the two adult-sized bicycles along the back wall of the space designated for child care. - Please seal off the portion of the wall behind the bathroom door to ensure peeling wall paper does not present a potential choking hazard. - You can access the training for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment at the following website: https://www.preventchildabusenc.org/online-trainings/ • You may access Health and Safety trainings through the following link on the Division website: https://www.dcdee.moodle.nc.gov/ Please choose the Services tab, DCDEE Moodle, Professional Development, Regulatory, and then the 2023 CCDF Health and Safety trainings. • Please contact NCID with the following information if you need to renew your NCID. Contact NC ITS Service Desk for assistance: Phone: 919-754-6000 or Toll Free 1-800-722-3946 Email: its.incidents@nc.gov - Please access the Risk Management Portal at the following website to update and print your Emergency Preparedness and Response Plan: https://rmp.nc.gov/portal/portal.aspx# At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1725 · Violation

Name of Operation: CHILDREN NEED ATTENTION LEARNING CENTER Facility ID: 34000513 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 9/6/2023 Number Present: 1 Completed Date: 9/6/2023 Age: From 0 To 1 Total Minutes: 260 Time In: 09:10 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Valeria Glover, Operator, assisted me with the visit. Your program currently operates with a 5-Star license effective 12/18/2017. Restrictions include 1st, 2nd, and 3rd shift care; children in care on ground level only; maximum of 5 preschool children at any time; and serves no more than two children under age one year old. The program’s compliance history was 95% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Ms. Glover stated she, her husband, and her 13 year-old granddaughter are the only people living in the home. Both Ms. Glover and her husband were observed in the ABCMS system to have current CBCs; however, a CBC qualification letter was not on file for either individual. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Currently, Ms. Glover only has one child, an infant, enrolled in the program. Ms. Glover stated that due to eczema, the child cannot spend long periods of time outdoors on hot days. Ms. Glover stated she does sit outside and hold the infant, as well as pushes her within the fenced area in a stroller. Before additional children are enrolled in this program and/or prior to my next visit, the following issues must be corrected or repaired on the playground: • All gardening and other lawn tools, as well as ladders, must be inaccessible to children; • Any cords, hoses, or chains must be removed from the inside of the fenced-in area (inclusive of those that are hanging on the inside of the fencing); • All loose screws must be removed from the area; • All nails and screws protruding from the wooden portion of the fencing or from the wooden posts surrounding the garden must be removed or hammered down so sharp points are not accessible to children; • All wooden fence boards which have become detached from the fencing must be re-secured; • All pesticides, weed sprays, spray receptacles and tanks, water super clarifier, and charcoal must be placed into locked storage; • The air conditioning unit and associated wires must be enclosed and inaccessible to children; • The metal bracket securing two wooden base boards together toward the back of the playground must be either re-secured so no sharp edges or accessible to children, or replaced; • The grill must be covered and the cover secured; • The tomato plants must be made inaccessible to children; • Any protruding wires with sharp edges surrounding the garden must be removed; • Any rusted locks or fencing door hinges must be replaced; • Areas of fencing observed to be rusting must be treated; • The stationary play structure (heavily rusted and in disrepair) at the center of the playground must be removed; • The outdoor shed within the fenced-in area of the playground must be locked; • Outdoor benches must be treated for rust. Ms. Glover stated she will email me as each item is corrected and state how each item has been corrected. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed the one infant in care playing with toys in activity centers, engaging in conversations and play with Ms. Glover, participating in general routines and drinking a bottle during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, ITS-SIDS, and Criminal Background Checks. A completed record of Health and Safety trainings was not on file for Ms. Glover. Topics (2) Administration of medication, with standards for parental consent and (10) Recognizing and reporting child abuse, child neglect, and child maltreatment were not on file for Ms. Glover. An ITS SIDS training certificate was not on file for the operator. An Emergency Medical Care Plan was not available for review. All medication documentation was current and complete on file. Storage of hazardous items was monitored today. Individual packets of Tylenol and other medications, one bottle of medication, individual packets of antibiotic ointment, liquid White Out, wound disinfecting solution and other items labeled Keep Out of Reach of Children with additional warnings were observed in two desk drawers in the space designated for child care. An ice pack, alcohol swabs, and insect sting ointment labeled Keep Out of Reach of Children with additional warnings were observed in a First Aid kit. A spray bottle of Fabuloso, Febreeze spray, an aerosol canister of room spray, and a canister of Comet cleaning powder were observed located greater than five feet from the ground, but in unlocked storage in the bathroom used by children enrolled. Ms. Glover placed each of these items into appropriate storage and/or discarded them during the visit. A playground inspection was recorded 9/05/2023. A fire drill was recorded 8/02/2023. A shelter in place drill for the facility was recorded 6/01/2023. There are no pets at this facility. The program does not provide transportation, participate in off-premise activities, or participate in aquatic activities. The following violations were cited during today’s visit: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. Individual packets of Tylenol and other medications, one bottle of medication, individual packets of antibiotic ointment, liquid White Out, wound disinfecting solution and other items labeled Keep Out of Reach of Children with additional warnings were observed in two desk drawers in the space designated for child care. An ice pack, alcohol swabs, and insect sting ointment labeled Keep Out of Reach of Children with additional warnings were observed in a First Aid kit. A spray bottle of Fabuloso, Febreeze spray, an aerosol canister of room spray, and a canister of Comet cleaning powder were observed located greater than five feet from the ground, but in unlocked storage in the bathroom used by children enrolled. .1719 (a)(7) 1739 All records required shall be available during operating hours, for review by a representative of the Division. A completed record of Health and Safety trainings was not on file for Ms. Glover. Topics (2) Administration of medication, with standards for parental consent and (10) Recognizing and reporting child abuse, child neglect, and child maltreatment were not on file for Ms. Glover. An ITS SIDS training certificate was not on file for the operator. An Emergency Medical Care Plan was not available for review. .1721(f)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 9/20/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were thoroughly discussed with Ms. Glover during the visit: 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (a) The family child care home operator shall maintain the following health records for each enrolled child, including his or her own child(ren) who are not school-age: (6) daily attendance records for all children in care, including the operator's own preschool children. The attendance record shall indicate the date and time of arrival and departure for each child and shall be maintained as children arrive and depart. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (7) a schedule of daily, weekly, and monthly cleaning duties; 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: (2) wash his or her hands prior to caring for children each day; (3) ensure that each child's hands are washed upon arrival at the home each day; (6) use sanitary procedures when preparing and serving food. The operator shall: (A) wash his or her hands before and after handling food and feeding the children; and (B) ensure the child's hands are washed before and after the child is fed; (7) wash his or her hands, and ensure the child's hands are washed, after toileting or handling bodily fluids; (8) handwashing procedures shall include: (A) using liquid soap and water; (B) rubbing hands vigorously with soap and water for 15 seconds; (C) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (D) rinsing well for 10 seconds; (E) drying hands with a paper towel or other hand drying device; and (F) turning off faucet with a paper towel or other method without recontaminating hands; • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ - Please relocate the two adult-sized bicycles along the back wall of the space designated for child care. - Please seal off the portion of the wall behind the bathroom door to ensure peeling wall paper does not present a potential choking hazard. - You can access the training for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment at the following website: https://www.preventchildabusenc.org/online-trainings/ • You may access Health and Safety trainings through the following link on the Division website: https://www.dcdee.moodle.nc.gov/ Please choose the Services tab, DCDEE Moodle, Professional Development, Regulatory, and then the 2023 CCDF Health and Safety trainings. • Please contact NCID with the following information if you need to renew your NCID. Contact NC ITS Service Desk for assistance: Phone: 919-754-6000 or Toll Free 1-800-722-3946 Email: its.incidents@nc.gov - Please access the Risk Management Portal at the following website to update and print your Emergency Preparedness and Response Plan: https://rmp.nc.gov/portal/portal.aspx# At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: CHILDREN NEED ATTENTION LEARNING CENTER Facility ID: 34000513 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 9/6/2023 Number Present: 1 Completed Date: 9/6/2023 Age: From 0 To 1 Total Minutes: 260 Time In: 09:10 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Valeria Glover, Operator, assisted me with the visit. Your program currently operates with a 5-Star license effective 12/18/2017. Restrictions include 1st, 2nd, and 3rd shift care; children in care on ground level only; maximum of 5 preschool children at any time; and serves no more than two children under age one year old. The program’s compliance history was 95% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Ms. Glover stated she, her husband, and her 13 year-old granddaughter are the only people living in the home. Both Ms. Glover and her husband were observed in the ABCMS system to have current CBCs; however, a CBC qualification letter was not on file for either individual. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Currently, Ms. Glover only has one child, an infant, enrolled in the program. Ms. Glover stated that due to eczema, the child cannot spend long periods of time outdoors on hot days. Ms. Glover stated she does sit outside and hold the infant, as well as pushes her within the fenced area in a stroller. Before additional children are enrolled in this program and/or prior to my next visit, the following issues must be corrected or repaired on the playground: • All gardening and other lawn tools, as well as ladders, must be inaccessible to children; • Any cords, hoses, or chains must be removed from the inside of the fenced-in area (inclusive of those that are hanging on the inside of the fencing); • All loose screws must be removed from the area; • All nails and screws protruding from the wooden portion of the fencing or from the wooden posts surrounding the garden must be removed or hammered down so sharp points are not accessible to children; • All wooden fence boards which have become detached from the fencing must be re-secured; • All pesticides, weed sprays, spray receptacles and tanks, water super clarifier, and charcoal must be placed into locked storage; • The air conditioning unit and associated wires must be enclosed and inaccessible to children; • The metal bracket securing two wooden base boards together toward the back of the playground must be either re-secured so no sharp edges or accessible to children, or replaced; • The grill must be covered and the cover secured; • The tomato plants must be made inaccessible to children; • Any protruding wires with sharp edges surrounding the garden must be removed; • Any rusted locks or fencing door hinges must be replaced; • Areas of fencing observed to be rusting must be treated; • The stationary play structure (heavily rusted and in disrepair) at the center of the playground must be removed; • The outdoor shed within the fenced-in area of the playground must be locked; • Outdoor benches must be treated for rust. Ms. Glover stated she will email me as each item is corrected and state how each item has been corrected. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed the one infant in care playing with toys in activity centers, engaging in conversations and play with Ms. Glover, participating in general routines and drinking a bottle during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, ITS-SIDS, and Criminal Background Checks. A completed record of Health and Safety trainings was not on file for Ms. Glover. Topics (2) Administration of medication, with standards for parental consent and (10) Recognizing and reporting child abuse, child neglect, and child maltreatment were not on file for Ms. Glover. An ITS SIDS training certificate was not on file for the operator. An Emergency Medical Care Plan was not available for review. All medication documentation was current and complete on file. Storage of hazardous items was monitored today. Individual packets of Tylenol and other medications, one bottle of medication, individual packets of antibiotic ointment, liquid White Out, wound disinfecting solution and other items labeled Keep Out of Reach of Children with additional warnings were observed in two desk drawers in the space designated for child care. An ice pack, alcohol swabs, and insect sting ointment labeled Keep Out of Reach of Children with additional warnings were observed in a First Aid kit. A spray bottle of Fabuloso, Febreeze spray, an aerosol canister of room spray, and a canister of Comet cleaning powder were observed located greater than five feet from the ground, but in unlocked storage in the bathroom used by children enrolled. Ms. Glover placed each of these items into appropriate storage and/or discarded them during the visit. A playground inspection was recorded 9/05/2023. A fire drill was recorded 8/02/2023. A shelter in place drill for the facility was recorded 6/01/2023. There are no pets at this facility. The program does not provide transportation, participate in off-premise activities, or participate in aquatic activities. The following violations were cited during today’s visit: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. Individual packets of Tylenol and other medications, one bottle of medication, individual packets of antibiotic ointment, liquid White Out, wound disinfecting solution and other items labeled Keep Out of Reach of Children with additional warnings were observed in two desk drawers in the space designated for child care. An ice pack, alcohol swabs, and insect sting ointment labeled Keep Out of Reach of Children with additional warnings were observed in a First Aid kit. A spray bottle of Fabuloso, Febreeze spray, an aerosol canister of room spray, and a canister of Comet cleaning powder were observed located greater than five feet from the ground, but in unlocked storage in the bathroom used by children enrolled. .1719 (a)(7) 1739 All records required shall be available during operating hours, for review by a representative of the Division. A completed record of Health and Safety trainings was not on file for Ms. Glover. Topics (2) Administration of medication, with standards for parental consent and (10) Recognizing and reporting child abuse, child neglect, and child maltreatment were not on file for Ms. Glover. An ITS SIDS training certificate was not on file for the operator. An Emergency Medical Care Plan was not available for review. .1721(f)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 9/20/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were thoroughly discussed with Ms. Glover during the visit: 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (a) The family child care home operator shall maintain the following health records for each enrolled child, including his or her own child(ren) who are not school-age: (6) daily attendance records for all children in care, including the operator's own preschool children. The attendance record shall indicate the date and time of arrival and departure for each child and shall be maintained as children arrive and depart. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (7) a schedule of daily, weekly, and monthly cleaning duties; 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: (2) wash his or her hands prior to caring for children each day; (3) ensure that each child's hands are washed upon arrival at the home each day; (6) use sanitary procedures when preparing and serving food. The operator shall: (A) wash his or her hands before and after handling food and feeding the children; and (B) ensure the child's hands are washed before and after the child is fed; (7) wash his or her hands, and ensure the child's hands are washed, after toileting or handling bodily fluids; (8) handwashing procedures shall include: (A) using liquid soap and water; (B) rubbing hands vigorously with soap and water for 15 seconds; (C) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (D) rinsing well for 10 seconds; (E) drying hands with a paper towel or other hand drying device; and (F) turning off faucet with a paper towel or other method without recontaminating hands; • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ - Please relocate the two adult-sized bicycles along the back wall of the space designated for child care. - Please seal off the portion of the wall behind the bathroom door to ensure peeling wall paper does not present a potential choking hazard. - You can access the training for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment at the following website: https://www.preventchildabusenc.org/online-trainings/ • You may access Health and Safety trainings through the following link on the Division website: https://www.dcdee.moodle.nc.gov/ Please choose the Services tab, DCDEE Moodle, Professional Development, Regulatory, and then the 2023 CCDF Health and Safety trainings. • Please contact NCID with the following information if you need to renew your NCID. Contact NC ITS Service Desk for assistance: Phone: 919-754-6000 or Toll Free 1-800-722-3946 Email: its.incidents@nc.gov - Please access the Risk Management Portal at the following website to update and print your Emergency Preparedness and Response Plan: https://rmp.nc.gov/portal/portal.aspx# At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times