Kiddie Luv Child Care Home

10A NCAC 09 .1703 · Violation

Name of Operation: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/20/2026 Number Present: 4 Completed Date: 3/20/2026 Age: From 1 To 2 Total Minutes: 315 Time In: 09:30 AM Time Out: 02:45 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 with Nicole Jacobs, Operator. Your program currently operates with a 4-Star license. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschoolers at any time; and children in care on ground level only. 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. Four children were present during the visit; they were observed playing with toys, participating in general routines, and engaging in music and movement and other activities, and eating lunch with Ms. Jacobs 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 3/31/2025. 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 2/10/2026. The most recent shelter-in-place drill was documented on 1/12/2026. The last outdoor inspection was documented on 2/10/2026. There is one pet inside the home, and all vaccinations were observed to be current and on file. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and found to be in compliance. No medications were observed, nor reported. The program currently provides transportation. The insurance card for the van used to transport children is current through 9/30/26. The vehicle used for transportation is a 12-passenger Nissan NV 1500 van (license plate PMY2072), not including the driver and the front passenger’s seat. The last vehicle inspection was conducted on 1/06/26. A fire extinguisher and First Aid Kit were observed in the vehicle. All safety buckles were properly functioning. All transportation requirements and documentation were monitored for compliance. Ms. Jacobs stated program does not participate in off-premise activities or in aquatic activities at this time. NCAC 09 .1719 (a)(2) was monitored during the visit. The following violations were cited during today’s visit: Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. A medical report for one child enrolled on 2/09/26 was not on file for review. A medical report for one child enrolled on 6/10/25 was dated 12/27/2023. GS 110-91(1); 10A NCAC 09.1721(a)(1) 929 Developmentally appropriate activities for the ages of children in care, were not provided as planned on the written schedule and activity plan. The written activity plan on file did not reflect the activities provided for children in care. G.S.110-91(12) & .1718(a)(6) 1103 For each child being transported, the operator or other transportation provider did not have identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a )(3) in the vehicle whenever children were transported. The photograph for one child being transported was not on file for review. .1723(13) 1105 Adults and children did not use an individual seat belt or safety seat appropriate to the child's age or weight. The harness chest clip on the car seat in the back row on the far right side (passenger side) of the vehicle was observed not to clip. .1723(8) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. The door knob to the bathroom door recently had to be removed, as Ms. Jacobs stated a child had accidentally locked the bathroom door from the outside when no one was inside. The hole where the doorknob used to be was observed to have a metal piece inside sharp to the touch and at the children’s level. 10A NCAC 09 .1719 (a) 1715 The written plan of care did not specify how the operator will maintain compliance with transportation requirements specified in Rule .1723 when children are transported. The Written Plan of Care for one child enrolled did not specify how the operator shall maintain compliance with transportation requirements. .1712(e )(3) 1716 The written plan of care did not specify how parents will be notified when children accompany the operator off-premises for routine tasks not specified on the written schedule. The Written Plan of Care for one child enrolled did not specify how parents will be notified when children accompany the operator off premises for routine tasks not specified on the written schedule. .1712(e )(4) 1821 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. The safe sleep record was not available for review for one infant enrolled. .1724(a)(8)&(f) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. A small, black rubber band was observed on the carpet, accessible to children under three years of age. .1719(a)(18) 1953 Operator did not ensure child's hands were washed upon arrival at the home each day. Three children were observed not to have their hands washed upon arrival to the facility. .1725(a)(4) 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 was not signed by a parent. The infant feeding plan for another child enrolled did not contain a date the plan was received by the operator. .1706(i) 2014 Shaken baby syndrome and abusive head trauma policy did not include the required information. The Shaken Baby and Abusive Head Trauma policies for five children enrolled did not include either a date recorded the policy was given to the parent or a date of enrollment for the child. .1726(a )(1-6) 2033 Signed discipline statement did not include the required information, as outlined in rule. The Discipline Policy for three children enrolled did not include a recorded date of enrollment; the Discipline Policies for four children enrolled did not include the enrolled child’s name. .1727(c )(1-3) 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 4/03/2026. 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: Cara McKeown 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: The safe sleep record was not available for review for one infant enrolled. The daily schedule for first shift care was not available for review. The Shaken Baby and Abusive Head Trauma policies for five children enrolled did not include either a date recorded the policy was given to the parent or a date of enrollment for the child. The Discipline Policy for three children enrolled did not include a recorded date of enrollment; four Discipline Policies did not include the enrolled child’s name. A medical report for one child enrolled on 2/09/26 was not on file for review. A medical report for one child enrolled on 6/10/25 was dated 12/27/2023. The Written Plan of Care for one child enrolled did not specify how the operator shall maintain compliance with transportation requirements or how parents will be notified when children accompany the operator off premises for routine tasks not specified on the written schedule. The photograph for one child being transported was not on file for review. The written activity plan on file did not reflect the activities provided for children in care. It is imperative for all required documentation to be completed, current, and on file at all times to ensure the health and safety of children enrolled. Mrs. Jacobs stated she believes she accidentally wrote the wrong child’s name on the existing safe sleep record which was reviewed today. Ms. Jacobs also stated she texted the child’s mother who was missing the medical report during the visit today to remind her this needs to be submitted. Ms. Jacobs stated she typically does not complete errands that are routine, other than school drop-off and pick-up, and she will remove “Errands” and “Time Varies” from these forms; she stated she will continue to notify parents via phone call and/or text message if she completes a task or errand during operating hours with children enrolled that is not on the Written Plan of Care. You may consider conducting routine monitoring of all children's and program files to ensure all information is updated, accurate, and complete. A small, black rubber band was observed on the carpet, accessible to children under three years of age; this rubber band was immediately disposed of. The door knob to the bathroom door recently had to be removed, as Ms. Jacobs stated a child had accidentally locked the bathroom door from the outside when no one was inside. The hole where the doorknob used to be was observed to have a metal piece inside sharp to the touch and at the children’s level. It is imperative for the indoor environment to be a safe place for children to explore at all times. Ms. Jacobs vacuumed the carpet while I was present and stated she would remove the metal piece as soon as possible from the door and that the knob would also be replaced soon. You may consider conducting a daily walkthrough of all spaces designated for child care to ensure the indoor environment is safe for children to explore. The harness chest clip on the car seat in the back row on the far right side (passenger side) of the vehicle was observed not to clip. All safety harnesses for children must be functioning properly prior to transporting children. I stated Ms. Jacobs may not use this car seat for any child enrolled unless the harness chest clip is repaired or replaced. Ms. Jacobs stated she does not need to transport all children every day, and she will ensure this harness chest clip is either repaired or replaced before using it again, or the car seat itself is replaced. You may consider conducting a daily vehicle and car seat safety check to ensure no potential safety hazards exist prior to transporting children enrolled. Consultation provided following today’s visit: The following Child Care Rule was reviewed with Ms. Jacobs during the visit: 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a)(8) (A-D) regarding written activity plans 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (i) regarding professional development plans 10A NCAC 09 .1706 NUTRITION STANDARDS (g) regarding modeling appropriate eating behaviors • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Remember to renew the following training this year: o ITS SIDS certification before 7/06/2026; Please contact RTI at Clean Classrooms for Carolina Kids™ or 1-888-997-9290, and request they send you another lead water testing kit. Please monitor the tire tread of your right front tire, as it may be wearing unevenly. Please thoroughly clean the car seat covers and car seats in the vehicle which are used to transport children in care; you stated you are considering purchasing all new car seats. Please monitor all cardboard blocks and remove any which may be tearing. 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. Jacobs stated she is will be choosing Pathway 1, the Program Assessment Pathway. She stated she is currently working with Vonya Washington, CCRC, to identify a timeline for formally applying for the Rated Licesne. Additionally, I shared with Mrs. Jacobs she can request a Technical Assistance visit with me to discuss the Pathways in greater detail if she feels it will be beneficial for her. 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 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with 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 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1706 · Violation

Name of Operation: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/20/2026 Number Present: 4 Completed Date: 3/20/2026 Age: From 1 To 2 Total Minutes: 315 Time In: 09:30 AM Time Out: 02:45 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 with Nicole Jacobs, Operator. Your program currently operates with a 4-Star license. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschoolers at any time; and children in care on ground level only. 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. Four children were present during the visit; they were observed playing with toys, participating in general routines, and engaging in music and movement and other activities, and eating lunch with Ms. Jacobs 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 3/31/2025. 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 2/10/2026. The most recent shelter-in-place drill was documented on 1/12/2026. The last outdoor inspection was documented on 2/10/2026. There is one pet inside the home, and all vaccinations were observed to be current and on file. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and found to be in compliance. No medications were observed, nor reported. The program currently provides transportation. The insurance card for the van used to transport children is current through 9/30/26. The vehicle used for transportation is a 12-passenger Nissan NV 1500 van (license plate PMY2072), not including the driver and the front passenger’s seat. The last vehicle inspection was conducted on 1/06/26. A fire extinguisher and First Aid Kit were observed in the vehicle. All safety buckles were properly functioning. All transportation requirements and documentation were monitored for compliance. Ms. Jacobs stated program does not participate in off-premise activities or in aquatic activities at this time. NCAC 09 .1719 (a)(2) was monitored during the visit. The following violations were cited during today’s visit: Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. A medical report for one child enrolled on 2/09/26 was not on file for review. A medical report for one child enrolled on 6/10/25 was dated 12/27/2023. GS 110-91(1); 10A NCAC 09.1721(a)(1) 929 Developmentally appropriate activities for the ages of children in care, were not provided as planned on the written schedule and activity plan. The written activity plan on file did not reflect the activities provided for children in care. G.S.110-91(12) & .1718(a)(6) 1103 For each child being transported, the operator or other transportation provider did not have identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a )(3) in the vehicle whenever children were transported. The photograph for one child being transported was not on file for review. .1723(13) 1105 Adults and children did not use an individual seat belt or safety seat appropriate to the child's age or weight. The harness chest clip on the car seat in the back row on the far right side (passenger side) of the vehicle was observed not to clip. .1723(8) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. The door knob to the bathroom door recently had to be removed, as Ms. Jacobs stated a child had accidentally locked the bathroom door from the outside when no one was inside. The hole where the doorknob used to be was observed to have a metal piece inside sharp to the touch and at the children’s level. 10A NCAC 09 .1719 (a) 1715 The written plan of care did not specify how the operator will maintain compliance with transportation requirements specified in Rule .1723 when children are transported. The Written Plan of Care for one child enrolled did not specify how the operator shall maintain compliance with transportation requirements. .1712(e )(3) 1716 The written plan of care did not specify how parents will be notified when children accompany the operator off-premises for routine tasks not specified on the written schedule. The Written Plan of Care for one child enrolled did not specify how parents will be notified when children accompany the operator off premises for routine tasks not specified on the written schedule. .1712(e )(4) 1821 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. The safe sleep record was not available for review for one infant enrolled. .1724(a)(8)&(f) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. A small, black rubber band was observed on the carpet, accessible to children under three years of age. .1719(a)(18) 1953 Operator did not ensure child's hands were washed upon arrival at the home each day. Three children were observed not to have their hands washed upon arrival to the facility. .1725(a)(4) 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 was not signed by a parent. The infant feeding plan for another child enrolled did not contain a date the plan was received by the operator. .1706(i) 2014 Shaken baby syndrome and abusive head trauma policy did not include the required information. The Shaken Baby and Abusive Head Trauma policies for five children enrolled did not include either a date recorded the policy was given to the parent or a date of enrollment for the child. .1726(a )(1-6) 2033 Signed discipline statement did not include the required information, as outlined in rule. The Discipline Policy for three children enrolled did not include a recorded date of enrollment; the Discipline Policies for four children enrolled did not include the enrolled child’s name. .1727(c )(1-3) 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 4/03/2026. 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: Cara McKeown 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: The safe sleep record was not available for review for one infant enrolled. The daily schedule for first shift care was not available for review. The Shaken Baby and Abusive Head Trauma policies for five children enrolled did not include either a date recorded the policy was given to the parent or a date of enrollment for the child. The Discipline Policy for three children enrolled did not include a recorded date of enrollment; four Discipline Policies did not include the enrolled child’s name. A medical report for one child enrolled on 2/09/26 was not on file for review. A medical report for one child enrolled on 6/10/25 was dated 12/27/2023. The Written Plan of Care for one child enrolled did not specify how the operator shall maintain compliance with transportation requirements or how parents will be notified when children accompany the operator off premises for routine tasks not specified on the written schedule. The photograph for one child being transported was not on file for review. The written activity plan on file did not reflect the activities provided for children in care. It is imperative for all required documentation to be completed, current, and on file at all times to ensure the health and safety of children enrolled. Mrs. Jacobs stated she believes she accidentally wrote the wrong child’s name on the existing safe sleep record which was reviewed today. Ms. Jacobs also stated she texted the child’s mother who was missing the medical report during the visit today to remind her this needs to be submitted. Ms. Jacobs stated she typically does not complete errands that are routine, other than school drop-off and pick-up, and she will remove “Errands” and “Time Varies” from these forms; she stated she will continue to notify parents via phone call and/or text message if she completes a task or errand during operating hours with children enrolled that is not on the Written Plan of Care. You may consider conducting routine monitoring of all children's and program files to ensure all information is updated, accurate, and complete. A small, black rubber band was observed on the carpet, accessible to children under three years of age; this rubber band was immediately disposed of. The door knob to the bathroom door recently had to be removed, as Ms. Jacobs stated a child had accidentally locked the bathroom door from the outside when no one was inside. The hole where the doorknob used to be was observed to have a metal piece inside sharp to the touch and at the children’s level. It is imperative for the indoor environment to be a safe place for children to explore at all times. Ms. Jacobs vacuumed the carpet while I was present and stated she would remove the metal piece as soon as possible from the door and that the knob would also be replaced soon. You may consider conducting a daily walkthrough of all spaces designated for child care to ensure the indoor environment is safe for children to explore. The harness chest clip on the car seat in the back row on the far right side (passenger side) of the vehicle was observed not to clip. All safety harnesses for children must be functioning properly prior to transporting children. I stated Ms. Jacobs may not use this car seat for any child enrolled unless the harness chest clip is repaired or replaced. Ms. Jacobs stated she does not need to transport all children every day, and she will ensure this harness chest clip is either repaired or replaced before using it again, or the car seat itself is replaced. You may consider conducting a daily vehicle and car seat safety check to ensure no potential safety hazards exist prior to transporting children enrolled. Consultation provided following today’s visit: The following Child Care Rule was reviewed with Ms. Jacobs during the visit: 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a)(8) (A-D) regarding written activity plans 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (i) regarding professional development plans 10A NCAC 09 .1706 NUTRITION STANDARDS (g) regarding modeling appropriate eating behaviors • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Remember to renew the following training this year: o ITS SIDS certification before 7/06/2026; Please contact RTI at Clean Classrooms for Carolina Kids™ or 1-888-997-9290, and request they send you another lead water testing kit. Please monitor the tire tread of your right front tire, as it may be wearing unevenly. Please thoroughly clean the car seat covers and car seats in the vehicle which are used to transport children in care; you stated you are considering purchasing all new car seats. Please monitor all cardboard blocks and remove any which may be tearing. 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. Jacobs stated she is will be choosing Pathway 1, the Program Assessment Pathway. She stated she is currently working with Vonya Washington, CCRC, to identify a timeline for formally applying for the Rated Licesne. Additionally, I shared with Mrs. Jacobs she can request a Technical Assistance visit with me to discuss the Pathways in greater detail if she feels it will be beneficial for her. 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 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with 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 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: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/20/2026 Number Present: 4 Completed Date: 3/20/2026 Age: From 1 To 2 Total Minutes: 315 Time In: 09:30 AM Time Out: 02:45 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 with Nicole Jacobs, Operator. Your program currently operates with a 4-Star license. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschoolers at any time; and children in care on ground level only. 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. Four children were present during the visit; they were observed playing with toys, participating in general routines, and engaging in music and movement and other activities, and eating lunch with Ms. Jacobs 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 3/31/2025. 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 2/10/2026. The most recent shelter-in-place drill was documented on 1/12/2026. The last outdoor inspection was documented on 2/10/2026. There is one pet inside the home, and all vaccinations were observed to be current and on file. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and found to be in compliance. No medications were observed, nor reported. The program currently provides transportation. The insurance card for the van used to transport children is current through 9/30/26. The vehicle used for transportation is a 12-passenger Nissan NV 1500 van (license plate PMY2072), not including the driver and the front passenger’s seat. The last vehicle inspection was conducted on 1/06/26. A fire extinguisher and First Aid Kit were observed in the vehicle. All safety buckles were properly functioning. All transportation requirements and documentation were monitored for compliance. Ms. Jacobs stated program does not participate in off-premise activities or in aquatic activities at this time. NCAC 09 .1719 (a)(2) was monitored during the visit. The following violations were cited during today’s visit: Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. A medical report for one child enrolled on 2/09/26 was not on file for review. A medical report for one child enrolled on 6/10/25 was dated 12/27/2023. GS 110-91(1); 10A NCAC 09.1721(a)(1) 929 Developmentally appropriate activities for the ages of children in care, were not provided as planned on the written schedule and activity plan. The written activity plan on file did not reflect the activities provided for children in care. G.S.110-91(12) & .1718(a)(6) 1103 For each child being transported, the operator or other transportation provider did not have identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a )(3) in the vehicle whenever children were transported. The photograph for one child being transported was not on file for review. .1723(13) 1105 Adults and children did not use an individual seat belt or safety seat appropriate to the child's age or weight. The harness chest clip on the car seat in the back row on the far right side (passenger side) of the vehicle was observed not to clip. .1723(8) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. The door knob to the bathroom door recently had to be removed, as Ms. Jacobs stated a child had accidentally locked the bathroom door from the outside when no one was inside. The hole where the doorknob used to be was observed to have a metal piece inside sharp to the touch and at the children’s level. 10A NCAC 09 .1719 (a) 1715 The written plan of care did not specify how the operator will maintain compliance with transportation requirements specified in Rule .1723 when children are transported. The Written Plan of Care for one child enrolled did not specify how the operator shall maintain compliance with transportation requirements. .1712(e )(3) 1716 The written plan of care did not specify how parents will be notified when children accompany the operator off-premises for routine tasks not specified on the written schedule. The Written Plan of Care for one child enrolled did not specify how parents will be notified when children accompany the operator off premises for routine tasks not specified on the written schedule. .1712(e )(4) 1821 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. The safe sleep record was not available for review for one infant enrolled. .1724(a)(8)&(f) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. A small, black rubber band was observed on the carpet, accessible to children under three years of age. .1719(a)(18) 1953 Operator did not ensure child's hands were washed upon arrival at the home each day. Three children were observed not to have their hands washed upon arrival to the facility. .1725(a)(4) 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 was not signed by a parent. The infant feeding plan for another child enrolled did not contain a date the plan was received by the operator. .1706(i) 2014 Shaken baby syndrome and abusive head trauma policy did not include the required information. The Shaken Baby and Abusive Head Trauma policies for five children enrolled did not include either a date recorded the policy was given to the parent or a date of enrollment for the child. .1726(a )(1-6) 2033 Signed discipline statement did not include the required information, as outlined in rule. The Discipline Policy for three children enrolled did not include a recorded date of enrollment; the Discipline Policies for four children enrolled did not include the enrolled child’s name. .1727(c )(1-3) 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 4/03/2026. 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: Cara McKeown 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: The safe sleep record was not available for review for one infant enrolled. The daily schedule for first shift care was not available for review. The Shaken Baby and Abusive Head Trauma policies for five children enrolled did not include either a date recorded the policy was given to the parent or a date of enrollment for the child. The Discipline Policy for three children enrolled did not include a recorded date of enrollment; four Discipline Policies did not include the enrolled child’s name. A medical report for one child enrolled on 2/09/26 was not on file for review. A medical report for one child enrolled on 6/10/25 was dated 12/27/2023. The Written Plan of Care for one child enrolled did not specify how the operator shall maintain compliance with transportation requirements or how parents will be notified when children accompany the operator off premises for routine tasks not specified on the written schedule. The photograph for one child being transported was not on file for review. The written activity plan on file did not reflect the activities provided for children in care. It is imperative for all required documentation to be completed, current, and on file at all times to ensure the health and safety of children enrolled. Mrs. Jacobs stated she believes she accidentally wrote the wrong child’s name on the existing safe sleep record which was reviewed today. Ms. Jacobs also stated she texted the child’s mother who was missing the medical report during the visit today to remind her this needs to be submitted. Ms. Jacobs stated she typically does not complete errands that are routine, other than school drop-off and pick-up, and she will remove “Errands” and “Time Varies” from these forms; she stated she will continue to notify parents via phone call and/or text message if she completes a task or errand during operating hours with children enrolled that is not on the Written Plan of Care. You may consider conducting routine monitoring of all children's and program files to ensure all information is updated, accurate, and complete. A small, black rubber band was observed on the carpet, accessible to children under three years of age; this rubber band was immediately disposed of. The door knob to the bathroom door recently had to be removed, as Ms. Jacobs stated a child had accidentally locked the bathroom door from the outside when no one was inside. The hole where the doorknob used to be was observed to have a metal piece inside sharp to the touch and at the children’s level. It is imperative for the indoor environment to be a safe place for children to explore at all times. Ms. Jacobs vacuumed the carpet while I was present and stated she would remove the metal piece as soon as possible from the door and that the knob would also be replaced soon. You may consider conducting a daily walkthrough of all spaces designated for child care to ensure the indoor environment is safe for children to explore. The harness chest clip on the car seat in the back row on the far right side (passenger side) of the vehicle was observed not to clip. All safety harnesses for children must be functioning properly prior to transporting children. I stated Ms. Jacobs may not use this car seat for any child enrolled unless the harness chest clip is repaired or replaced. Ms. Jacobs stated she does not need to transport all children every day, and she will ensure this harness chest clip is either repaired or replaced before using it again, or the car seat itself is replaced. You may consider conducting a daily vehicle and car seat safety check to ensure no potential safety hazards exist prior to transporting children enrolled. Consultation provided following today’s visit: The following Child Care Rule was reviewed with Ms. Jacobs during the visit: 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a)(8) (A-D) regarding written activity plans 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (i) regarding professional development plans 10A NCAC 09 .1706 NUTRITION STANDARDS (g) regarding modeling appropriate eating behaviors • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Remember to renew the following training this year: o ITS SIDS certification before 7/06/2026; Please contact RTI at Clean Classrooms for Carolina Kids™ or 1-888-997-9290, and request they send you another lead water testing kit. Please monitor the tire tread of your right front tire, as it may be wearing unevenly. Please thoroughly clean the car seat covers and car seats in the vehicle which are used to transport children in care; you stated you are considering purchasing all new car seats. Please monitor all cardboard blocks and remove any which may be tearing. 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. Jacobs stated she is will be choosing Pathway 1, the Program Assessment Pathway. She stated she is currently working with Vonya Washington, CCRC, to identify a timeline for formally applying for the Rated Licesne. Additionally, I shared with Mrs. Jacobs she can request a Technical Assistance visit with me to discuss the Pathways in greater detail if she feels it will be beneficial for her. 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 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with 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 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: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/20/2026 Number Present: 4 Completed Date: 3/20/2026 Age: From 1 To 2 Total Minutes: 315 Time In: 09:30 AM Time Out: 02:45 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 with Nicole Jacobs, Operator. Your program currently operates with a 4-Star license. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschoolers at any time; and children in care on ground level only. 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. Four children were present during the visit; they were observed playing with toys, participating in general routines, and engaging in music and movement and other activities, and eating lunch with Ms. Jacobs 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 3/31/2025. 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 2/10/2026. The most recent shelter-in-place drill was documented on 1/12/2026. The last outdoor inspection was documented on 2/10/2026. There is one pet inside the home, and all vaccinations were observed to be current and on file. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and found to be in compliance. No medications were observed, nor reported. The program currently provides transportation. The insurance card for the van used to transport children is current through 9/30/26. The vehicle used for transportation is a 12-passenger Nissan NV 1500 van (license plate PMY2072), not including the driver and the front passenger’s seat. The last vehicle inspection was conducted on 1/06/26. A fire extinguisher and First Aid Kit were observed in the vehicle. All safety buckles were properly functioning. All transportation requirements and documentation were monitored for compliance. Ms. Jacobs stated program does not participate in off-premise activities or in aquatic activities at this time. NCAC 09 .1719 (a)(2) was monitored during the visit. The following violations were cited during today’s visit: Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. A medical report for one child enrolled on 2/09/26 was not on file for review. A medical report for one child enrolled on 6/10/25 was dated 12/27/2023. GS 110-91(1); 10A NCAC 09.1721(a)(1) 929 Developmentally appropriate activities for the ages of children in care, were not provided as planned on the written schedule and activity plan. The written activity plan on file did not reflect the activities provided for children in care. G.S.110-91(12) & .1718(a)(6) 1103 For each child being transported, the operator or other transportation provider did not have identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a )(3) in the vehicle whenever children were transported. The photograph for one child being transported was not on file for review. .1723(13) 1105 Adults and children did not use an individual seat belt or safety seat appropriate to the child's age or weight. The harness chest clip on the car seat in the back row on the far right side (passenger side) of the vehicle was observed not to clip. .1723(8) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. The door knob to the bathroom door recently had to be removed, as Ms. Jacobs stated a child had accidentally locked the bathroom door from the outside when no one was inside. The hole where the doorknob used to be was observed to have a metal piece inside sharp to the touch and at the children’s level. 10A NCAC 09 .1719 (a) 1715 The written plan of care did not specify how the operator will maintain compliance with transportation requirements specified in Rule .1723 when children are transported. The Written Plan of Care for one child enrolled did not specify how the operator shall maintain compliance with transportation requirements. .1712(e )(3) 1716 The written plan of care did not specify how parents will be notified when children accompany the operator off-premises for routine tasks not specified on the written schedule. The Written Plan of Care for one child enrolled did not specify how parents will be notified when children accompany the operator off premises for routine tasks not specified on the written schedule. .1712(e )(4) 1821 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. The safe sleep record was not available for review for one infant enrolled. .1724(a)(8)&(f) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. A small, black rubber band was observed on the carpet, accessible to children under three years of age. .1719(a)(18) 1953 Operator did not ensure child's hands were washed upon arrival at the home each day. Three children were observed not to have their hands washed upon arrival to the facility. .1725(a)(4) 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 was not signed by a parent. The infant feeding plan for another child enrolled did not contain a date the plan was received by the operator. .1706(i) 2014 Shaken baby syndrome and abusive head trauma policy did not include the required information. The Shaken Baby and Abusive Head Trauma policies for five children enrolled did not include either a date recorded the policy was given to the parent or a date of enrollment for the child. .1726(a )(1-6) 2033 Signed discipline statement did not include the required information, as outlined in rule. The Discipline Policy for three children enrolled did not include a recorded date of enrollment; the Discipline Policies for four children enrolled did not include the enrolled child’s name. .1727(c )(1-3) 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 4/03/2026. 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: Cara McKeown 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: The safe sleep record was not available for review for one infant enrolled. The daily schedule for first shift care was not available for review. The Shaken Baby and Abusive Head Trauma policies for five children enrolled did not include either a date recorded the policy was given to the parent or a date of enrollment for the child. The Discipline Policy for three children enrolled did not include a recorded date of enrollment; four Discipline Policies did not include the enrolled child’s name. A medical report for one child enrolled on 2/09/26 was not on file for review. A medical report for one child enrolled on 6/10/25 was dated 12/27/2023. The Written Plan of Care for one child enrolled did not specify how the operator shall maintain compliance with transportation requirements or how parents will be notified when children accompany the operator off premises for routine tasks not specified on the written schedule. The photograph for one child being transported was not on file for review. The written activity plan on file did not reflect the activities provided for children in care. It is imperative for all required documentation to be completed, current, and on file at all times to ensure the health and safety of children enrolled. Mrs. Jacobs stated she believes she accidentally wrote the wrong child’s name on the existing safe sleep record which was reviewed today. Ms. Jacobs also stated she texted the child’s mother who was missing the medical report during the visit today to remind her this needs to be submitted. Ms. Jacobs stated she typically does not complete errands that are routine, other than school drop-off and pick-up, and she will remove “Errands” and “Time Varies” from these forms; she stated she will continue to notify parents via phone call and/or text message if she completes a task or errand during operating hours with children enrolled that is not on the Written Plan of Care. You may consider conducting routine monitoring of all children's and program files to ensure all information is updated, accurate, and complete. A small, black rubber band was observed on the carpet, accessible to children under three years of age; this rubber band was immediately disposed of. The door knob to the bathroom door recently had to be removed, as Ms. Jacobs stated a child had accidentally locked the bathroom door from the outside when no one was inside. The hole where the doorknob used to be was observed to have a metal piece inside sharp to the touch and at the children’s level. It is imperative for the indoor environment to be a safe place for children to explore at all times. Ms. Jacobs vacuumed the carpet while I was present and stated she would remove the metal piece as soon as possible from the door and that the knob would also be replaced soon. You may consider conducting a daily walkthrough of all spaces designated for child care to ensure the indoor environment is safe for children to explore. The harness chest clip on the car seat in the back row on the far right side (passenger side) of the vehicle was observed not to clip. All safety harnesses for children must be functioning properly prior to transporting children. I stated Ms. Jacobs may not use this car seat for any child enrolled unless the harness chest clip is repaired or replaced. Ms. Jacobs stated she does not need to transport all children every day, and she will ensure this harness chest clip is either repaired or replaced before using it again, or the car seat itself is replaced. You may consider conducting a daily vehicle and car seat safety check to ensure no potential safety hazards exist prior to transporting children enrolled. Consultation provided following today’s visit: The following Child Care Rule was reviewed with Ms. Jacobs during the visit: 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a)(8) (A-D) regarding written activity plans 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (i) regarding professional development plans 10A NCAC 09 .1706 NUTRITION STANDARDS (g) regarding modeling appropriate eating behaviors • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Remember to renew the following training this year: o ITS SIDS certification before 7/06/2026; Please contact RTI at Clean Classrooms for Carolina Kids™ or 1-888-997-9290, and request they send you another lead water testing kit. Please monitor the tire tread of your right front tire, as it may be wearing unevenly. Please thoroughly clean the car seat covers and car seats in the vehicle which are used to transport children in care; you stated you are considering purchasing all new car seats. Please monitor all cardboard blocks and remove any which may be tearing. 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. Jacobs stated she is will be choosing Pathway 1, the Program Assessment Pathway. She stated she is currently working with Vonya Washington, CCRC, to identify a timeline for formally applying for the Rated Licesne. Additionally, I shared with Mrs. Jacobs she can request a Technical Assistance visit with me to discuss the Pathways in greater detail if she feels it will be beneficial for her. 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 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with 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 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: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/20/2026 Number Present: 4 Completed Date: 3/20/2026 Age: From 1 To 2 Total Minutes: 315 Time In: 09:30 AM Time Out: 02:45 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 with Nicole Jacobs, Operator. Your program currently operates with a 4-Star license. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschoolers at any time; and children in care on ground level only. 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. Four children were present during the visit; they were observed playing with toys, participating in general routines, and engaging in music and movement and other activities, and eating lunch with Ms. Jacobs 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 3/31/2025. 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 2/10/2026. The most recent shelter-in-place drill was documented on 1/12/2026. The last outdoor inspection was documented on 2/10/2026. There is one pet inside the home, and all vaccinations were observed to be current and on file. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and found to be in compliance. No medications were observed, nor reported. The program currently provides transportation. The insurance card for the van used to transport children is current through 9/30/26. The vehicle used for transportation is a 12-passenger Nissan NV 1500 van (license plate PMY2072), not including the driver and the front passenger’s seat. The last vehicle inspection was conducted on 1/06/26. A fire extinguisher and First Aid Kit were observed in the vehicle. All safety buckles were properly functioning. All transportation requirements and documentation were monitored for compliance. Ms. Jacobs stated program does not participate in off-premise activities or in aquatic activities at this time. NCAC 09 .1719 (a)(2) was monitored during the visit. The following violations were cited during today’s visit: Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. A medical report for one child enrolled on 2/09/26 was not on file for review. A medical report for one child enrolled on 6/10/25 was dated 12/27/2023. GS 110-91(1); 10A NCAC 09.1721(a)(1) 929 Developmentally appropriate activities for the ages of children in care, were not provided as planned on the written schedule and activity plan. The written activity plan on file did not reflect the activities provided for children in care. G.S.110-91(12) & .1718(a)(6) 1103 For each child being transported, the operator or other transportation provider did not have identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a )(3) in the vehicle whenever children were transported. The photograph for one child being transported was not on file for review. .1723(13) 1105 Adults and children did not use an individual seat belt or safety seat appropriate to the child's age or weight. The harness chest clip on the car seat in the back row on the far right side (passenger side) of the vehicle was observed not to clip. .1723(8) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. The door knob to the bathroom door recently had to be removed, as Ms. Jacobs stated a child had accidentally locked the bathroom door from the outside when no one was inside. The hole where the doorknob used to be was observed to have a metal piece inside sharp to the touch and at the children’s level. 10A NCAC 09 .1719 (a) 1715 The written plan of care did not specify how the operator will maintain compliance with transportation requirements specified in Rule .1723 when children are transported. The Written Plan of Care for one child enrolled did not specify how the operator shall maintain compliance with transportation requirements. .1712(e )(3) 1716 The written plan of care did not specify how parents will be notified when children accompany the operator off-premises for routine tasks not specified on the written schedule. The Written Plan of Care for one child enrolled did not specify how parents will be notified when children accompany the operator off premises for routine tasks not specified on the written schedule. .1712(e )(4) 1821 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. The safe sleep record was not available for review for one infant enrolled. .1724(a)(8)&(f) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. A small, black rubber band was observed on the carpet, accessible to children under three years of age. .1719(a)(18) 1953 Operator did not ensure child's hands were washed upon arrival at the home each day. Three children were observed not to have their hands washed upon arrival to the facility. .1725(a)(4) 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 was not signed by a parent. The infant feeding plan for another child enrolled did not contain a date the plan was received by the operator. .1706(i) 2014 Shaken baby syndrome and abusive head trauma policy did not include the required information. The Shaken Baby and Abusive Head Trauma policies for five children enrolled did not include either a date recorded the policy was given to the parent or a date of enrollment for the child. .1726(a )(1-6) 2033 Signed discipline statement did not include the required information, as outlined in rule. The Discipline Policy for three children enrolled did not include a recorded date of enrollment; the Discipline Policies for four children enrolled did not include the enrolled child’s name. .1727(c )(1-3) 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 4/03/2026. 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: Cara McKeown 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: The safe sleep record was not available for review for one infant enrolled. The daily schedule for first shift care was not available for review. The Shaken Baby and Abusive Head Trauma policies for five children enrolled did not include either a date recorded the policy was given to the parent or a date of enrollment for the child. The Discipline Policy for three children enrolled did not include a recorded date of enrollment; four Discipline Policies did not include the enrolled child’s name. A medical report for one child enrolled on 2/09/26 was not on file for review. A medical report for one child enrolled on 6/10/25 was dated 12/27/2023. The Written Plan of Care for one child enrolled did not specify how the operator shall maintain compliance with transportation requirements or how parents will be notified when children accompany the operator off premises for routine tasks not specified on the written schedule. The photograph for one child being transported was not on file for review. The written activity plan on file did not reflect the activities provided for children in care. It is imperative for all required documentation to be completed, current, and on file at all times to ensure the health and safety of children enrolled. Mrs. Jacobs stated she believes she accidentally wrote the wrong child’s name on the existing safe sleep record which was reviewed today. Ms. Jacobs also stated she texted the child’s mother who was missing the medical report during the visit today to remind her this needs to be submitted. Ms. Jacobs stated she typically does not complete errands that are routine, other than school drop-off and pick-up, and she will remove “Errands” and “Time Varies” from these forms; she stated she will continue to notify parents via phone call and/or text message if she completes a task or errand during operating hours with children enrolled that is not on the Written Plan of Care. You may consider conducting routine monitoring of all children's and program files to ensure all information is updated, accurate, and complete. A small, black rubber band was observed on the carpet, accessible to children under three years of age; this rubber band was immediately disposed of. The door knob to the bathroom door recently had to be removed, as Ms. Jacobs stated a child had accidentally locked the bathroom door from the outside when no one was inside. The hole where the doorknob used to be was observed to have a metal piece inside sharp to the touch and at the children’s level. It is imperative for the indoor environment to be a safe place for children to explore at all times. Ms. Jacobs vacuumed the carpet while I was present and stated she would remove the metal piece as soon as possible from the door and that the knob would also be replaced soon. You may consider conducting a daily walkthrough of all spaces designated for child care to ensure the indoor environment is safe for children to explore. The harness chest clip on the car seat in the back row on the far right side (passenger side) of the vehicle was observed not to clip. All safety harnesses for children must be functioning properly prior to transporting children. I stated Ms. Jacobs may not use this car seat for any child enrolled unless the harness chest clip is repaired or replaced. Ms. Jacobs stated she does not need to transport all children every day, and she will ensure this harness chest clip is either repaired or replaced before using it again, or the car seat itself is replaced. You may consider conducting a daily vehicle and car seat safety check to ensure no potential safety hazards exist prior to transporting children enrolled. Consultation provided following today’s visit: The following Child Care Rule was reviewed with Ms. Jacobs during the visit: 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a)(8) (A-D) regarding written activity plans 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (i) regarding professional development plans 10A NCAC 09 .1706 NUTRITION STANDARDS (g) regarding modeling appropriate eating behaviors • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Remember to renew the following training this year: o ITS SIDS certification before 7/06/2026; Please contact RTI at Clean Classrooms for Carolina Kids™ or 1-888-997-9290, and request they send you another lead water testing kit. Please monitor the tire tread of your right front tire, as it may be wearing unevenly. Please thoroughly clean the car seat covers and car seats in the vehicle which are used to transport children in care; you stated you are considering purchasing all new car seats. Please monitor all cardboard blocks and remove any which may be tearing. 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. Jacobs stated she is will be choosing Pathway 1, the Program Assessment Pathway. She stated she is currently working with Vonya Washington, CCRC, to identify a timeline for formally applying for the Rated Licesne. Additionally, I shared with Mrs. Jacobs she can request a Technical Assistance visit with me to discuss the Pathways in greater detail if she feels it will be beneficial for her. 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 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with 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 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.110-91 · Violation

Name of Operation: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/20/2026 Number Present: 4 Completed Date: 3/20/2026 Age: From 1 To 2 Total Minutes: 315 Time In: 09:30 AM Time Out: 02:45 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 with Nicole Jacobs, Operator. Your program currently operates with a 4-Star license. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschoolers at any time; and children in care on ground level only. 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. Four children were present during the visit; they were observed playing with toys, participating in general routines, and engaging in music and movement and other activities, and eating lunch with Ms. Jacobs 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 3/31/2025. 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 2/10/2026. The most recent shelter-in-place drill was documented on 1/12/2026. The last outdoor inspection was documented on 2/10/2026. There is one pet inside the home, and all vaccinations were observed to be current and on file. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and found to be in compliance. No medications were observed, nor reported. The program currently provides transportation. The insurance card for the van used to transport children is current through 9/30/26. The vehicle used for transportation is a 12-passenger Nissan NV 1500 van (license plate PMY2072), not including the driver and the front passenger’s seat. The last vehicle inspection was conducted on 1/06/26. A fire extinguisher and First Aid Kit were observed in the vehicle. All safety buckles were properly functioning. All transportation requirements and documentation were monitored for compliance. Ms. Jacobs stated program does not participate in off-premise activities or in aquatic activities at this time. NCAC 09 .1719 (a)(2) was monitored during the visit. The following violations were cited during today’s visit: Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. A medical report for one child enrolled on 2/09/26 was not on file for review. A medical report for one child enrolled on 6/10/25 was dated 12/27/2023. GS 110-91(1); 10A NCAC 09.1721(a)(1) 929 Developmentally appropriate activities for the ages of children in care, were not provided as planned on the written schedule and activity plan. The written activity plan on file did not reflect the activities provided for children in care. G.S.110-91(12) & .1718(a)(6) 1103 For each child being transported, the operator or other transportation provider did not have identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a )(3) in the vehicle whenever children were transported. The photograph for one child being transported was not on file for review. .1723(13) 1105 Adults and children did not use an individual seat belt or safety seat appropriate to the child's age or weight. The harness chest clip on the car seat in the back row on the far right side (passenger side) of the vehicle was observed not to clip. .1723(8) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. The door knob to the bathroom door recently had to be removed, as Ms. Jacobs stated a child had accidentally locked the bathroom door from the outside when no one was inside. The hole where the doorknob used to be was observed to have a metal piece inside sharp to the touch and at the children’s level. 10A NCAC 09 .1719 (a) 1715 The written plan of care did not specify how the operator will maintain compliance with transportation requirements specified in Rule .1723 when children are transported. The Written Plan of Care for one child enrolled did not specify how the operator shall maintain compliance with transportation requirements. .1712(e )(3) 1716 The written plan of care did not specify how parents will be notified when children accompany the operator off-premises for routine tasks not specified on the written schedule. The Written Plan of Care for one child enrolled did not specify how parents will be notified when children accompany the operator off premises for routine tasks not specified on the written schedule. .1712(e )(4) 1821 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. The safe sleep record was not available for review for one infant enrolled. .1724(a)(8)&(f) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. A small, black rubber band was observed on the carpet, accessible to children under three years of age. .1719(a)(18) 1953 Operator did not ensure child's hands were washed upon arrival at the home each day. Three children were observed not to have their hands washed upon arrival to the facility. .1725(a)(4) 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 was not signed by a parent. The infant feeding plan for another child enrolled did not contain a date the plan was received by the operator. .1706(i) 2014 Shaken baby syndrome and abusive head trauma policy did not include the required information. The Shaken Baby and Abusive Head Trauma policies for five children enrolled did not include either a date recorded the policy was given to the parent or a date of enrollment for the child. .1726(a )(1-6) 2033 Signed discipline statement did not include the required information, as outlined in rule. The Discipline Policy for three children enrolled did not include a recorded date of enrollment; the Discipline Policies for four children enrolled did not include the enrolled child’s name. .1727(c )(1-3) 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 4/03/2026. 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: Cara McKeown 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: The safe sleep record was not available for review for one infant enrolled. The daily schedule for first shift care was not available for review. The Shaken Baby and Abusive Head Trauma policies for five children enrolled did not include either a date recorded the policy was given to the parent or a date of enrollment for the child. The Discipline Policy for three children enrolled did not include a recorded date of enrollment; four Discipline Policies did not include the enrolled child’s name. A medical report for one child enrolled on 2/09/26 was not on file for review. A medical report for one child enrolled on 6/10/25 was dated 12/27/2023. The Written Plan of Care for one child enrolled did not specify how the operator shall maintain compliance with transportation requirements or how parents will be notified when children accompany the operator off premises for routine tasks not specified on the written schedule. The photograph for one child being transported was not on file for review. The written activity plan on file did not reflect the activities provided for children in care. It is imperative for all required documentation to be completed, current, and on file at all times to ensure the health and safety of children enrolled. Mrs. Jacobs stated she believes she accidentally wrote the wrong child’s name on the existing safe sleep record which was reviewed today. Ms. Jacobs also stated she texted the child’s mother who was missing the medical report during the visit today to remind her this needs to be submitted. Ms. Jacobs stated she typically does not complete errands that are routine, other than school drop-off and pick-up, and she will remove “Errands” and “Time Varies” from these forms; she stated she will continue to notify parents via phone call and/or text message if she completes a task or errand during operating hours with children enrolled that is not on the Written Plan of Care. You may consider conducting routine monitoring of all children's and program files to ensure all information is updated, accurate, and complete. A small, black rubber band was observed on the carpet, accessible to children under three years of age; this rubber band was immediately disposed of. The door knob to the bathroom door recently had to be removed, as Ms. Jacobs stated a child had accidentally locked the bathroom door from the outside when no one was inside. The hole where the doorknob used to be was observed to have a metal piece inside sharp to the touch and at the children’s level. It is imperative for the indoor environment to be a safe place for children to explore at all times. Ms. Jacobs vacuumed the carpet while I was present and stated she would remove the metal piece as soon as possible from the door and that the knob would also be replaced soon. You may consider conducting a daily walkthrough of all spaces designated for child care to ensure the indoor environment is safe for children to explore. The harness chest clip on the car seat in the back row on the far right side (passenger side) of the vehicle was observed not to clip. All safety harnesses for children must be functioning properly prior to transporting children. I stated Ms. Jacobs may not use this car seat for any child enrolled unless the harness chest clip is repaired or replaced. Ms. Jacobs stated she does not need to transport all children every day, and she will ensure this harness chest clip is either repaired or replaced before using it again, or the car seat itself is replaced. You may consider conducting a daily vehicle and car seat safety check to ensure no potential safety hazards exist prior to transporting children enrolled. Consultation provided following today’s visit: The following Child Care Rule was reviewed with Ms. Jacobs during the visit: 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a)(8) (A-D) regarding written activity plans 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (i) regarding professional development plans 10A NCAC 09 .1706 NUTRITION STANDARDS (g) regarding modeling appropriate eating behaviors • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Remember to renew the following training this year: o ITS SIDS certification before 7/06/2026; Please contact RTI at Clean Classrooms for Carolina Kids™ or 1-888-997-9290, and request they send you another lead water testing kit. Please monitor the tire tread of your right front tire, as it may be wearing unevenly. Please thoroughly clean the car seat covers and car seats in the vehicle which are used to transport children in care; you stated you are considering purchasing all new car seats. Please monitor all cardboard blocks and remove any which may be tearing. 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. Jacobs stated she is will be choosing Pathway 1, the Program Assessment Pathway. She stated she is currently working with Vonya Washington, CCRC, to identify a timeline for formally applying for the Rated Licesne. Additionally, I shared with Mrs. Jacobs she can request a Technical Assistance visit with me to discuss the Pathways in greater detail if she feels it will be beneficial for her. 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 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with 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 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/20/2026 Number Present: 4 Completed Date: 3/20/2026 Age: From 1 To 2 Total Minutes: 315 Time In: 09:30 AM Time Out: 02:45 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 with Nicole Jacobs, Operator. Your program currently operates with a 4-Star license. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschoolers at any time; and children in care on ground level only. 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. Four children were present during the visit; they were observed playing with toys, participating in general routines, and engaging in music and movement and other activities, and eating lunch with Ms. Jacobs 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 3/31/2025. 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 2/10/2026. The most recent shelter-in-place drill was documented on 1/12/2026. The last outdoor inspection was documented on 2/10/2026. There is one pet inside the home, and all vaccinations were observed to be current and on file. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and found to be in compliance. No medications were observed, nor reported. The program currently provides transportation. The insurance card for the van used to transport children is current through 9/30/26. The vehicle used for transportation is a 12-passenger Nissan NV 1500 van (license plate PMY2072), not including the driver and the front passenger’s seat. The last vehicle inspection was conducted on 1/06/26. A fire extinguisher and First Aid Kit were observed in the vehicle. All safety buckles were properly functioning. All transportation requirements and documentation were monitored for compliance. Ms. Jacobs stated program does not participate in off-premise activities or in aquatic activities at this time. NCAC 09 .1719 (a)(2) was monitored during the visit. The following violations were cited during today’s visit: Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. A medical report for one child enrolled on 2/09/26 was not on file for review. A medical report for one child enrolled on 6/10/25 was dated 12/27/2023. GS 110-91(1); 10A NCAC 09.1721(a)(1) 929 Developmentally appropriate activities for the ages of children in care, were not provided as planned on the written schedule and activity plan. The written activity plan on file did not reflect the activities provided for children in care. G.S.110-91(12) & .1718(a)(6) 1103 For each child being transported, the operator or other transportation provider did not have identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a )(3) in the vehicle whenever children were transported. The photograph for one child being transported was not on file for review. .1723(13) 1105 Adults and children did not use an individual seat belt or safety seat appropriate to the child's age or weight. The harness chest clip on the car seat in the back row on the far right side (passenger side) of the vehicle was observed not to clip. .1723(8) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. The door knob to the bathroom door recently had to be removed, as Ms. Jacobs stated a child had accidentally locked the bathroom door from the outside when no one was inside. The hole where the doorknob used to be was observed to have a metal piece inside sharp to the touch and at the children’s level. 10A NCAC 09 .1719 (a) 1715 The written plan of care did not specify how the operator will maintain compliance with transportation requirements specified in Rule .1723 when children are transported. The Written Plan of Care for one child enrolled did not specify how the operator shall maintain compliance with transportation requirements. .1712(e )(3) 1716 The written plan of care did not specify how parents will be notified when children accompany the operator off-premises for routine tasks not specified on the written schedule. The Written Plan of Care for one child enrolled did not specify how parents will be notified when children accompany the operator off premises for routine tasks not specified on the written schedule. .1712(e )(4) 1821 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. The safe sleep record was not available for review for one infant enrolled. .1724(a)(8)&(f) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. A small, black rubber band was observed on the carpet, accessible to children under three years of age. .1719(a)(18) 1953 Operator did not ensure child's hands were washed upon arrival at the home each day. Three children were observed not to have their hands washed upon arrival to the facility. .1725(a)(4) 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 was not signed by a parent. The infant feeding plan for another child enrolled did not contain a date the plan was received by the operator. .1706(i) 2014 Shaken baby syndrome and abusive head trauma policy did not include the required information. The Shaken Baby and Abusive Head Trauma policies for five children enrolled did not include either a date recorded the policy was given to the parent or a date of enrollment for the child. .1726(a )(1-6) 2033 Signed discipline statement did not include the required information, as outlined in rule. The Discipline Policy for three children enrolled did not include a recorded date of enrollment; the Discipline Policies for four children enrolled did not include the enrolled child’s name. .1727(c )(1-3) 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 4/03/2026. 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: Cara McKeown 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: The safe sleep record was not available for review for one infant enrolled. The daily schedule for first shift care was not available for review. The Shaken Baby and Abusive Head Trauma policies for five children enrolled did not include either a date recorded the policy was given to the parent or a date of enrollment for the child. The Discipline Policy for three children enrolled did not include a recorded date of enrollment; four Discipline Policies did not include the enrolled child’s name. A medical report for one child enrolled on 2/09/26 was not on file for review. A medical report for one child enrolled on 6/10/25 was dated 12/27/2023. The Written Plan of Care for one child enrolled did not specify how the operator shall maintain compliance with transportation requirements or how parents will be notified when children accompany the operator off premises for routine tasks not specified on the written schedule. The photograph for one child being transported was not on file for review. The written activity plan on file did not reflect the activities provided for children in care. It is imperative for all required documentation to be completed, current, and on file at all times to ensure the health and safety of children enrolled. Mrs. Jacobs stated she believes she accidentally wrote the wrong child’s name on the existing safe sleep record which was reviewed today. Ms. Jacobs also stated she texted the child’s mother who was missing the medical report during the visit today to remind her this needs to be submitted. Ms. Jacobs stated she typically does not complete errands that are routine, other than school drop-off and pick-up, and she will remove “Errands” and “Time Varies” from these forms; she stated she will continue to notify parents via phone call and/or text message if she completes a task or errand during operating hours with children enrolled that is not on the Written Plan of Care. You may consider conducting routine monitoring of all children's and program files to ensure all information is updated, accurate, and complete. A small, black rubber band was observed on the carpet, accessible to children under three years of age; this rubber band was immediately disposed of. The door knob to the bathroom door recently had to be removed, as Ms. Jacobs stated a child had accidentally locked the bathroom door from the outside when no one was inside. The hole where the doorknob used to be was observed to have a metal piece inside sharp to the touch and at the children’s level. It is imperative for the indoor environment to be a safe place for children to explore at all times. Ms. Jacobs vacuumed the carpet while I was present and stated she would remove the metal piece as soon as possible from the door and that the knob would also be replaced soon. You may consider conducting a daily walkthrough of all spaces designated for child care to ensure the indoor environment is safe for children to explore. The harness chest clip on the car seat in the back row on the far right side (passenger side) of the vehicle was observed not to clip. All safety harnesses for children must be functioning properly prior to transporting children. I stated Ms. Jacobs may not use this car seat for any child enrolled unless the harness chest clip is repaired or replaced. Ms. Jacobs stated she does not need to transport all children every day, and she will ensure this harness chest clip is either repaired or replaced before using it again, or the car seat itself is replaced. You may consider conducting a daily vehicle and car seat safety check to ensure no potential safety hazards exist prior to transporting children enrolled. Consultation provided following today’s visit: The following Child Care Rule was reviewed with Ms. Jacobs during the visit: 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a)(8) (A-D) regarding written activity plans 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (i) regarding professional development plans 10A NCAC 09 .1706 NUTRITION STANDARDS (g) regarding modeling appropriate eating behaviors • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Remember to renew the following training this year: o ITS SIDS certification before 7/06/2026; Please contact RTI at Clean Classrooms for Carolina Kids™ or 1-888-997-9290, and request they send you another lead water testing kit. Please monitor the tire tread of your right front tire, as it may be wearing unevenly. Please thoroughly clean the car seat covers and car seats in the vehicle which are used to transport children in care; you stated you are considering purchasing all new car seats. Please monitor all cardboard blocks and remove any which may be tearing. 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. Jacobs stated she is will be choosing Pathway 1, the Program Assessment Pathway. She stated she is currently working with Vonya Washington, CCRC, to identify a timeline for formally applying for the Rated Licesne. Additionally, I shared with Mrs. Jacobs she can request a Technical Assistance visit with me to discuss the Pathways in greater detail if she feels it will be beneficial for her. 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 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with 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 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: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/20/2026 Number Present: 4 Completed Date: 3/20/2026 Age: From 1 To 2 Total Minutes: 315 Time In: 09:30 AM Time Out: 02:45 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 with Nicole Jacobs, Operator. Your program currently operates with a 4-Star license. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschoolers at any time; and children in care on ground level only. 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. Four children were present during the visit; they were observed playing with toys, participating in general routines, and engaging in music and movement and other activities, and eating lunch with Ms. Jacobs 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 3/31/2025. 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 2/10/2026. The most recent shelter-in-place drill was documented on 1/12/2026. The last outdoor inspection was documented on 2/10/2026. There is one pet inside the home, and all vaccinations were observed to be current and on file. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and found to be in compliance. No medications were observed, nor reported. The program currently provides transportation. The insurance card for the van used to transport children is current through 9/30/26. The vehicle used for transportation is a 12-passenger Nissan NV 1500 van (license plate PMY2072), not including the driver and the front passenger’s seat. The last vehicle inspection was conducted on 1/06/26. A fire extinguisher and First Aid Kit were observed in the vehicle. All safety buckles were properly functioning. All transportation requirements and documentation were monitored for compliance. Ms. Jacobs stated program does not participate in off-premise activities or in aquatic activities at this time. NCAC 09 .1719 (a)(2) was monitored during the visit. The following violations were cited during today’s visit: Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. A medical report for one child enrolled on 2/09/26 was not on file for review. A medical report for one child enrolled on 6/10/25 was dated 12/27/2023. GS 110-91(1); 10A NCAC 09.1721(a)(1) 929 Developmentally appropriate activities for the ages of children in care, were not provided as planned on the written schedule and activity plan. The written activity plan on file did not reflect the activities provided for children in care. G.S.110-91(12) & .1718(a)(6) 1103 For each child being transported, the operator or other transportation provider did not have identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a )(3) in the vehicle whenever children were transported. The photograph for one child being transported was not on file for review. .1723(13) 1105 Adults and children did not use an individual seat belt or safety seat appropriate to the child's age or weight. The harness chest clip on the car seat in the back row on the far right side (passenger side) of the vehicle was observed not to clip. .1723(8) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. The door knob to the bathroom door recently had to be removed, as Ms. Jacobs stated a child had accidentally locked the bathroom door from the outside when no one was inside. The hole where the doorknob used to be was observed to have a metal piece inside sharp to the touch and at the children’s level. 10A NCAC 09 .1719 (a) 1715 The written plan of care did not specify how the operator will maintain compliance with transportation requirements specified in Rule .1723 when children are transported. The Written Plan of Care for one child enrolled did not specify how the operator shall maintain compliance with transportation requirements. .1712(e )(3) 1716 The written plan of care did not specify how parents will be notified when children accompany the operator off-premises for routine tasks not specified on the written schedule. The Written Plan of Care for one child enrolled did not specify how parents will be notified when children accompany the operator off premises for routine tasks not specified on the written schedule. .1712(e )(4) 1821 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. The safe sleep record was not available for review for one infant enrolled. .1724(a)(8)&(f) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. A small, black rubber band was observed on the carpet, accessible to children under three years of age. .1719(a)(18) 1953 Operator did not ensure child's hands were washed upon arrival at the home each day. Three children were observed not to have their hands washed upon arrival to the facility. .1725(a)(4) 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 was not signed by a parent. The infant feeding plan for another child enrolled did not contain a date the plan was received by the operator. .1706(i) 2014 Shaken baby syndrome and abusive head trauma policy did not include the required information. The Shaken Baby and Abusive Head Trauma policies for five children enrolled did not include either a date recorded the policy was given to the parent or a date of enrollment for the child. .1726(a )(1-6) 2033 Signed discipline statement did not include the required information, as outlined in rule. The Discipline Policy for three children enrolled did not include a recorded date of enrollment; the Discipline Policies for four children enrolled did not include the enrolled child’s name. .1727(c )(1-3) 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 4/03/2026. 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: Cara McKeown 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: The safe sleep record was not available for review for one infant enrolled. The daily schedule for first shift care was not available for review. The Shaken Baby and Abusive Head Trauma policies for five children enrolled did not include either a date recorded the policy was given to the parent or a date of enrollment for the child. The Discipline Policy for three children enrolled did not include a recorded date of enrollment; four Discipline Policies did not include the enrolled child’s name. A medical report for one child enrolled on 2/09/26 was not on file for review. A medical report for one child enrolled on 6/10/25 was dated 12/27/2023. The Written Plan of Care for one child enrolled did not specify how the operator shall maintain compliance with transportation requirements or how parents will be notified when children accompany the operator off premises for routine tasks not specified on the written schedule. The photograph for one child being transported was not on file for review. The written activity plan on file did not reflect the activities provided for children in care. It is imperative for all required documentation to be completed, current, and on file at all times to ensure the health and safety of children enrolled. Mrs. Jacobs stated she believes she accidentally wrote the wrong child’s name on the existing safe sleep record which was reviewed today. Ms. Jacobs also stated she texted the child’s mother who was missing the medical report during the visit today to remind her this needs to be submitted. Ms. Jacobs stated she typically does not complete errands that are routine, other than school drop-off and pick-up, and she will remove “Errands” and “Time Varies” from these forms; she stated she will continue to notify parents via phone call and/or text message if she completes a task or errand during operating hours with children enrolled that is not on the Written Plan of Care. You may consider conducting routine monitoring of all children's and program files to ensure all information is updated, accurate, and complete. A small, black rubber band was observed on the carpet, accessible to children under three years of age; this rubber band was immediately disposed of. The door knob to the bathroom door recently had to be removed, as Ms. Jacobs stated a child had accidentally locked the bathroom door from the outside when no one was inside. The hole where the doorknob used to be was observed to have a metal piece inside sharp to the touch and at the children’s level. It is imperative for the indoor environment to be a safe place for children to explore at all times. Ms. Jacobs vacuumed the carpet while I was present and stated she would remove the metal piece as soon as possible from the door and that the knob would also be replaced soon. You may consider conducting a daily walkthrough of all spaces designated for child care to ensure the indoor environment is safe for children to explore. The harness chest clip on the car seat in the back row on the far right side (passenger side) of the vehicle was observed not to clip. All safety harnesses for children must be functioning properly prior to transporting children. I stated Ms. Jacobs may not use this car seat for any child enrolled unless the harness chest clip is repaired or replaced. Ms. Jacobs stated she does not need to transport all children every day, and she will ensure this harness chest clip is either repaired or replaced before using it again, or the car seat itself is replaced. You may consider conducting a daily vehicle and car seat safety check to ensure no potential safety hazards exist prior to transporting children enrolled. Consultation provided following today’s visit: The following Child Care Rule was reviewed with Ms. Jacobs during the visit: 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a)(8) (A-D) regarding written activity plans 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (i) regarding professional development plans 10A NCAC 09 .1706 NUTRITION STANDARDS (g) regarding modeling appropriate eating behaviors • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Remember to renew the following training this year: o ITS SIDS certification before 7/06/2026; Please contact RTI at Clean Classrooms for Carolina Kids™ or 1-888-997-9290, and request they send you another lead water testing kit. Please monitor the tire tread of your right front tire, as it may be wearing unevenly. Please thoroughly clean the car seat covers and car seats in the vehicle which are used to transport children in care; you stated you are considering purchasing all new car seats. Please monitor all cardboard blocks and remove any which may be tearing. 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. Jacobs stated she is will be choosing Pathway 1, the Program Assessment Pathway. She stated she is currently working with Vonya Washington, CCRC, to identify a timeline for formally applying for the Rated Licesne. Additionally, I shared with Mrs. Jacobs she can request a Technical Assistance visit with me to discuss the Pathways in greater detail if she feels it will be beneficial for her. 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 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with 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 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: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 9/18/2025 Number Present: 4 Completed Date: 9/18/2025 Age: From 1 To 4 Total Minutes: 160 Time In: 10:45 AM Time Out: 01:25 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 Nicole Jacobs, Operator. Your program currently operates with a 4-Star license effective 7/26/2019. Restrictions include 1st, 2nd, and 3rd shift care, children in care on ground level only, and a maximum of five preschool children at any time. Ms. Jacobs stated she is only operating 1st shift and 2nd shift care at this time. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Ms. Jacobs stated she is the only individual living in the home. She stated no adult children and no other individuals/residents live in the home any longer. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed the child in care playing with toys, engaging in conversations and activities with Ms. Jacobs, participating in general routines, eating lunch, and napping during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, ITS-SIDS, and Criminal Background Checks. No medications were observed, nor reported. Storage of hazardous items was monitored today and found to be in compliance. Child Care Rule .1719 (a)(2) was monitored during the visit. The most recent playground inspection was recorded 9/16/2025. A fire drill was recorded on 9/16/2025. A shelter-in-place drill and lockdown for the facility were recorded on 7/10/2025. There are two pets inside the home, and all vaccinations were observed to be current and on file. The program does not participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. Emergency drill logs for second shift care were not available for review during today’s visit. .1719(a )(16) & .1721(e )(7) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The Ready To Go file was observed to be missing the applications for six children enrolled. .1714(d)(10) 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 was last updated on 5/30/2024. .1714(e ) 1886 Required locked storage was not secure with combination locks, electronic, or magnetic devices, key, or equivalent locking devices. The key was observed inside the lock to the laundry room, which houses cleansers and other items labeled Keep Out of Reach of Children with additional warnings. .1719 (a) (7) 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. Greater than three thin, plastic wrappers were observed in an unlatched drawer of a cabinet located in the hallway less than five feet from the ground, accessible to children under three years of age. .1719(a)(18) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 10/02/2025. 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: Emergency drill logs for second shift care were not available for review during today’s visit. The Emergency Preparedness and Response Plan was last updated on 5/30/2024. The Ready To Go file was observed to be missing the applications for six children enrolled. It is imperative for all required emergency information to be accurate, updated, and on file at all times so it is accessible in the event of an emergency situation. Ms. Jacobs stated she thought she had all child applications in the Ready to Go file and that she would correct these as soon as possible, inclusive of conducting 2nd shift emergency drills this week. Consultation provided during today’s visit: The following Child Care Rules were discussed and reviewed with Ms. Jacobs during today’s visit: 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) 5-9 regarding cleaning of diaper changing surfaces, hand washing for children and staff, and hand washing procedures. When an infant is present and either does not sleep or is physically held while he/she naps, please record on the safe sleep record that the child either didn’t sleep or was held. Please ensure current daily schedules are posted for first and second shift care. Prior to children using the outdoor environment, please monitor the playground for peeling plastic stickers and cobwebs on play equipment and inside the play area. Also monitor all furniture in the child care environment to ensure it is not damaged in any way. A copy of the NC FELD was provided to Ms. Jacobs during the visit. As the Hold Harmless period has ended, and preparations for the new QRIS Modernization process are underway, I have included the link below to DCDEE’s NC Child Care Commission’s QRIS Modernization Plan (QRIS Reform) website link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • 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. In September, child care consultants will host in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. Beginning in October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license. 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: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 9/18/2025 Number Present: 4 Completed Date: 9/18/2025 Age: From 1 To 4 Total Minutes: 160 Time In: 10:45 AM Time Out: 01:25 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 Nicole Jacobs, Operator. Your program currently operates with a 4-Star license effective 7/26/2019. Restrictions include 1st, 2nd, and 3rd shift care, children in care on ground level only, and a maximum of five preschool children at any time. Ms. Jacobs stated she is only operating 1st shift and 2nd shift care at this time. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Ms. Jacobs stated she is the only individual living in the home. She stated no adult children and no other individuals/residents live in the home any longer. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed the child in care playing with toys, engaging in conversations and activities with Ms. Jacobs, participating in general routines, eating lunch, and napping during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, ITS-SIDS, and Criminal Background Checks. No medications were observed, nor reported. Storage of hazardous items was monitored today and found to be in compliance. Child Care Rule .1719 (a)(2) was monitored during the visit. The most recent playground inspection was recorded 9/16/2025. A fire drill was recorded on 9/16/2025. A shelter-in-place drill and lockdown for the facility were recorded on 7/10/2025. There are two pets inside the home, and all vaccinations were observed to be current and on file. The program does not participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. Emergency drill logs for second shift care were not available for review during today’s visit. .1719(a )(16) & .1721(e )(7) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The Ready To Go file was observed to be missing the applications for six children enrolled. .1714(d)(10) 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 was last updated on 5/30/2024. .1714(e ) 1886 Required locked storage was not secure with combination locks, electronic, or magnetic devices, key, or equivalent locking devices. The key was observed inside the lock to the laundry room, which houses cleansers and other items labeled Keep Out of Reach of Children with additional warnings. .1719 (a) (7) 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. Greater than three thin, plastic wrappers were observed in an unlatched drawer of a cabinet located in the hallway less than five feet from the ground, accessible to children under three years of age. .1719(a)(18) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 10/02/2025. 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: Emergency drill logs for second shift care were not available for review during today’s visit. The Emergency Preparedness and Response Plan was last updated on 5/30/2024. The Ready To Go file was observed to be missing the applications for six children enrolled. It is imperative for all required emergency information to be accurate, updated, and on file at all times so it is accessible in the event of an emergency situation. Ms. Jacobs stated she thought she had all child applications in the Ready to Go file and that she would correct these as soon as possible, inclusive of conducting 2nd shift emergency drills this week. Consultation provided during today’s visit: The following Child Care Rules were discussed and reviewed with Ms. Jacobs during today’s visit: 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) 5-9 regarding cleaning of diaper changing surfaces, hand washing for children and staff, and hand washing procedures. When an infant is present and either does not sleep or is physically held while he/she naps, please record on the safe sleep record that the child either didn’t sleep or was held. Please ensure current daily schedules are posted for first and second shift care. Prior to children using the outdoor environment, please monitor the playground for peeling plastic stickers and cobwebs on play equipment and inside the play area. Also monitor all furniture in the child care environment to ensure it is not damaged in any way. A copy of the NC FELD was provided to Ms. Jacobs during the visit. As the Hold Harmless period has ended, and preparations for the new QRIS Modernization process are underway, I have included the link below to DCDEE’s NC Child Care Commission’s QRIS Modernization Plan (QRIS Reform) website link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • 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. In September, child care consultants will host in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. Beginning in October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license. 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 .1718 · Violation

Name of Operation: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/31/2025 Number Present: 2 Completed Date: 3/31/2025 Age: From 1 To 4 Total Minutes: 310 Time In: 09:50 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 Nicole Jacobs, Operator. Your program currently operates with a 4-Star license. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschoolers at any time; and children in care on ground level only. Ms. Jacobs provided an update, stating she is now the only person living in the home. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 90% 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. Two children were present during the visit; they were observed playing with toys, participating in general routines, and engaging in conversations with Ms. Jacobs 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 4/08/2024. 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 3/17/25. The most recent shelter-in-place drill was documented on 1/16/2025. The last outdoor inspection was documented on 3/17/2025. There are two pets inside the home, and all vaccinations were observed to be current and on file. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. The program currently provides transportation. The insurance card for the van used to transport children is current through 6/06/2025. The vehicle used for transportation is a 12-passenger Nissan NV 1500 van (license plate PMY2072), not including the driver and the front passenger’s seat. The last vehicle inspection was conducted on 9/25/2025. A fire extinguisher and First Aid Kit were observed in the vehicle. All safety buckles were properly functioning. All transportation requirements and documentation were monitored for compliance. The program does not participate in off-premise activities or in aquatic activities at this time. NCAC 09 .1719 (a)(2) was monitored during the visit. The following violations were cited during today’s visit: Violation Number Comment Rule 709 Equipment and toys were not in good repair and developmentally appropriate. The corner of a wooden child-sized cabinet located in the home living area was observed to be splintered and sharp to the touch. 10 A NCAC 09.1720(a)(7) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. The medical report for one child enrolled was not observed on file for review. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1102 Parent/guardian was not notified of when and where the child was to be transported, and the name of the transportation provider. The transportation authorization form for one child enrolled did not include when or where the child was to be transported. .1723(5) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. A signed receipt of NC Child Care Law was not observed on file for one child enrolled. GS 110-102 1715 The written plan of care did not specify how the operator will maintain compliance with transportation requirements specified in Rule .1723 when children are transported. The Written Plan of Care for one child enrolled did not include the above criteria. .1712(e )(3) 1716 The written plan of care did not specify how parents will be notified when children accompany the operator off-premises for routine tasks not specified on the written schedule. The Written Plan of Care for one child enrolled did not include the above criteria. .1712(e )(4) 1741 Prior to enrollment of children in a Family Child Care Home, and before animals come into the Family Child Care Home, the operator did not obtain each parent's signature on a form acknowledging the type of animal located on the premises and where the animal will be kept during child care operating hours and /or the signed form was not maintained in the child's file. The Pet Acknowledgement Form for one child enrolled did not include a list of pets or location of pets in the residence; the form for another child enrolled did not include the location of pets in the residence. 10 NCAC 09 .1719(b)(3) 1962 Activity plans did not include activities intended to stimulate the developmental domains, in accordance with NC Foundations for Early Learning and Development. The activity plan on file for review was only partially completed. 10A NCAC 09 .1718(a)(8)(A)(i-iv) 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 to reflect the baby foods and solid foods the infant had transitioned to eating. .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 had not been updated since 7/01/2023. .1703(i) 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. Greater than ten individual packets of alcohol pads, antiseptic ointment, and burn cream labeled Keep Out of Reach of Children with additional warnings were observed in the unlocked glove box of the vehicle used to transport children. 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 4/14/2025. 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: • The activity plan on file for the program was observed to be only partially completed. The infant feeding plan for one child enrolled had not been updated to reflect the baby foods and solid foods the infant had transitioned to eating. The Professional Development Plan for the operator had not been updated since 7/01/2023. A signed receipt of NC Child Care Law was not observed on file for one child enrolled. The medical report for one child enrolled was not observed on file for review. Ms. Jacobs stated she is in process of completing an activity plan in preparation for Easter. She also stated she was not aware the other documentation was not complete or on file. It is important for all required records to be current and on file for review at all times to ensure the health, safety, and quality of care for children enrolled. You may consider creating a specific set of calendar reminders, a checklist, or schedule for child, program, and operator documentation which requires annual or as-needed updating and for new children’s files to ensure that all required documentation is consistently updated and on file. Consultation provided following 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 reviewed with Ms. Jacobs during the visit: - 10A NCAC 09 .1727 DISCIPLINE POLICY (c ) regarding date of enrollment - 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a)(27) regarding safety covers for outlets A monthly fire drill report and shift schedule should be on file for review all shifts of care currently in operation. Please ensure all Pet Acknowledgement forms are specific as to where pets are located and that only current pets residing in the home are listed. Please only use small plastic manipulative links with children older than three years of age under direct supervision, unless no children less than three years of age are present. 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: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/31/2025 Number Present: 2 Completed Date: 3/31/2025 Age: From 1 To 4 Total Minutes: 310 Time In: 09:50 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 Nicole Jacobs, Operator. Your program currently operates with a 4-Star license. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschoolers at any time; and children in care on ground level only. Ms. Jacobs provided an update, stating she is now the only person living in the home. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 90% 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. Two children were present during the visit; they were observed playing with toys, participating in general routines, and engaging in conversations with Ms. Jacobs 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 4/08/2024. 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 3/17/25. The most recent shelter-in-place drill was documented on 1/16/2025. The last outdoor inspection was documented on 3/17/2025. There are two pets inside the home, and all vaccinations were observed to be current and on file. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. The program currently provides transportation. The insurance card for the van used to transport children is current through 6/06/2025. The vehicle used for transportation is a 12-passenger Nissan NV 1500 van (license plate PMY2072), not including the driver and the front passenger’s seat. The last vehicle inspection was conducted on 9/25/2025. A fire extinguisher and First Aid Kit were observed in the vehicle. All safety buckles were properly functioning. All transportation requirements and documentation were monitored for compliance. The program does not participate in off-premise activities or in aquatic activities at this time. NCAC 09 .1719 (a)(2) was monitored during the visit. The following violations were cited during today’s visit: Violation Number Comment Rule 709 Equipment and toys were not in good repair and developmentally appropriate. The corner of a wooden child-sized cabinet located in the home living area was observed to be splintered and sharp to the touch. 10 A NCAC 09.1720(a)(7) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. The medical report for one child enrolled was not observed on file for review. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1102 Parent/guardian was not notified of when and where the child was to be transported, and the name of the transportation provider. The transportation authorization form for one child enrolled did not include when or where the child was to be transported. .1723(5) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. A signed receipt of NC Child Care Law was not observed on file for one child enrolled. GS 110-102 1715 The written plan of care did not specify how the operator will maintain compliance with transportation requirements specified in Rule .1723 when children are transported. The Written Plan of Care for one child enrolled did not include the above criteria. .1712(e )(3) 1716 The written plan of care did not specify how parents will be notified when children accompany the operator off-premises for routine tasks not specified on the written schedule. The Written Plan of Care for one child enrolled did not include the above criteria. .1712(e )(4) 1741 Prior to enrollment of children in a Family Child Care Home, and before animals come into the Family Child Care Home, the operator did not obtain each parent's signature on a form acknowledging the type of animal located on the premises and where the animal will be kept during child care operating hours and /or the signed form was not maintained in the child's file. The Pet Acknowledgement Form for one child enrolled did not include a list of pets or location of pets in the residence; the form for another child enrolled did not include the location of pets in the residence. 10 NCAC 09 .1719(b)(3) 1962 Activity plans did not include activities intended to stimulate the developmental domains, in accordance with NC Foundations for Early Learning and Development. The activity plan on file for review was only partially completed. 10A NCAC 09 .1718(a)(8)(A)(i-iv) 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 to reflect the baby foods and solid foods the infant had transitioned to eating. .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 had not been updated since 7/01/2023. .1703(i) 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. Greater than ten individual packets of alcohol pads, antiseptic ointment, and burn cream labeled Keep Out of Reach of Children with additional warnings were observed in the unlocked glove box of the vehicle used to transport children. 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 4/14/2025. 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: • The activity plan on file for the program was observed to be only partially completed. The infant feeding plan for one child enrolled had not been updated to reflect the baby foods and solid foods the infant had transitioned to eating. The Professional Development Plan for the operator had not been updated since 7/01/2023. A signed receipt of NC Child Care Law was not observed on file for one child enrolled. The medical report for one child enrolled was not observed on file for review. Ms. Jacobs stated she is in process of completing an activity plan in preparation for Easter. She also stated she was not aware the other documentation was not complete or on file. It is important for all required records to be current and on file for review at all times to ensure the health, safety, and quality of care for children enrolled. You may consider creating a specific set of calendar reminders, a checklist, or schedule for child, program, and operator documentation which requires annual or as-needed updating and for new children’s files to ensure that all required documentation is consistently updated and on file. Consultation provided following 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 reviewed with Ms. Jacobs during the visit: - 10A NCAC 09 .1727 DISCIPLINE POLICY (c ) regarding date of enrollment - 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a)(27) regarding safety covers for outlets A monthly fire drill report and shift schedule should be on file for review all shifts of care currently in operation. Please ensure all Pet Acknowledgement forms are specific as to where pets are located and that only current pets residing in the home are listed. Please only use small plastic manipulative links with children older than three years of age under direct supervision, unless no children less than three years of age are present. 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 .1727 · Violation

Name of Operation: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/31/2025 Number Present: 2 Completed Date: 3/31/2025 Age: From 1 To 4 Total Minutes: 310 Time In: 09:50 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 Nicole Jacobs, Operator. Your program currently operates with a 4-Star license. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschoolers at any time; and children in care on ground level only. Ms. Jacobs provided an update, stating she is now the only person living in the home. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 90% 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. Two children were present during the visit; they were observed playing with toys, participating in general routines, and engaging in conversations with Ms. Jacobs 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 4/08/2024. 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 3/17/25. The most recent shelter-in-place drill was documented on 1/16/2025. The last outdoor inspection was documented on 3/17/2025. There are two pets inside the home, and all vaccinations were observed to be current and on file. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. The program currently provides transportation. The insurance card for the van used to transport children is current through 6/06/2025. The vehicle used for transportation is a 12-passenger Nissan NV 1500 van (license plate PMY2072), not including the driver and the front passenger’s seat. The last vehicle inspection was conducted on 9/25/2025. A fire extinguisher and First Aid Kit were observed in the vehicle. All safety buckles were properly functioning. All transportation requirements and documentation were monitored for compliance. The program does not participate in off-premise activities or in aquatic activities at this time. NCAC 09 .1719 (a)(2) was monitored during the visit. The following violations were cited during today’s visit: Violation Number Comment Rule 709 Equipment and toys were not in good repair and developmentally appropriate. The corner of a wooden child-sized cabinet located in the home living area was observed to be splintered and sharp to the touch. 10 A NCAC 09.1720(a)(7) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. The medical report for one child enrolled was not observed on file for review. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1102 Parent/guardian was not notified of when and where the child was to be transported, and the name of the transportation provider. The transportation authorization form for one child enrolled did not include when or where the child was to be transported. .1723(5) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. A signed receipt of NC Child Care Law was not observed on file for one child enrolled. GS 110-102 1715 The written plan of care did not specify how the operator will maintain compliance with transportation requirements specified in Rule .1723 when children are transported. The Written Plan of Care for one child enrolled did not include the above criteria. .1712(e )(3) 1716 The written plan of care did not specify how parents will be notified when children accompany the operator off-premises for routine tasks not specified on the written schedule. The Written Plan of Care for one child enrolled did not include the above criteria. .1712(e )(4) 1741 Prior to enrollment of children in a Family Child Care Home, and before animals come into the Family Child Care Home, the operator did not obtain each parent's signature on a form acknowledging the type of animal located on the premises and where the animal will be kept during child care operating hours and /or the signed form was not maintained in the child's file. The Pet Acknowledgement Form for one child enrolled did not include a list of pets or location of pets in the residence; the form for another child enrolled did not include the location of pets in the residence. 10 NCAC 09 .1719(b)(3) 1962 Activity plans did not include activities intended to stimulate the developmental domains, in accordance with NC Foundations for Early Learning and Development. The activity plan on file for review was only partially completed. 10A NCAC 09 .1718(a)(8)(A)(i-iv) 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 to reflect the baby foods and solid foods the infant had transitioned to eating. .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 had not been updated since 7/01/2023. .1703(i) 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. Greater than ten individual packets of alcohol pads, antiseptic ointment, and burn cream labeled Keep Out of Reach of Children with additional warnings were observed in the unlocked glove box of the vehicle used to transport children. 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 4/14/2025. 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: • The activity plan on file for the program was observed to be only partially completed. The infant feeding plan for one child enrolled had not been updated to reflect the baby foods and solid foods the infant had transitioned to eating. The Professional Development Plan for the operator had not been updated since 7/01/2023. A signed receipt of NC Child Care Law was not observed on file for one child enrolled. The medical report for one child enrolled was not observed on file for review. Ms. Jacobs stated she is in process of completing an activity plan in preparation for Easter. She also stated she was not aware the other documentation was not complete or on file. It is important for all required records to be current and on file for review at all times to ensure the health, safety, and quality of care for children enrolled. You may consider creating a specific set of calendar reminders, a checklist, or schedule for child, program, and operator documentation which requires annual or as-needed updating and for new children’s files to ensure that all required documentation is consistently updated and on file. Consultation provided following 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 reviewed with Ms. Jacobs during the visit: - 10A NCAC 09 .1727 DISCIPLINE POLICY (c ) regarding date of enrollment - 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a)(27) regarding safety covers for outlets A monthly fire drill report and shift schedule should be on file for review all shifts of care currently in operation. Please ensure all Pet Acknowledgement forms are specific as to where pets are located and that only current pets residing in the home are listed. Please only use small plastic manipulative links with children older than three years of age under direct supervision, unless no children less than three years of age are present. 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 09.1721 · Violation

Name of Operation: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/31/2025 Number Present: 2 Completed Date: 3/31/2025 Age: From 1 To 4 Total Minutes: 310 Time In: 09:50 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 Nicole Jacobs, Operator. Your program currently operates with a 4-Star license. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschoolers at any time; and children in care on ground level only. Ms. Jacobs provided an update, stating she is now the only person living in the home. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 90% 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. Two children were present during the visit; they were observed playing with toys, participating in general routines, and engaging in conversations with Ms. Jacobs 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 4/08/2024. 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 3/17/25. The most recent shelter-in-place drill was documented on 1/16/2025. The last outdoor inspection was documented on 3/17/2025. There are two pets inside the home, and all vaccinations were observed to be current and on file. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. The program currently provides transportation. The insurance card for the van used to transport children is current through 6/06/2025. The vehicle used for transportation is a 12-passenger Nissan NV 1500 van (license plate PMY2072), not including the driver and the front passenger’s seat. The last vehicle inspection was conducted on 9/25/2025. A fire extinguisher and First Aid Kit were observed in the vehicle. All safety buckles were properly functioning. All transportation requirements and documentation were monitored for compliance. The program does not participate in off-premise activities or in aquatic activities at this time. NCAC 09 .1719 (a)(2) was monitored during the visit. The following violations were cited during today’s visit: Violation Number Comment Rule 709 Equipment and toys were not in good repair and developmentally appropriate. The corner of a wooden child-sized cabinet located in the home living area was observed to be splintered and sharp to the touch. 10 A NCAC 09.1720(a)(7) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. The medical report for one child enrolled was not observed on file for review. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1102 Parent/guardian was not notified of when and where the child was to be transported, and the name of the transportation provider. The transportation authorization form for one child enrolled did not include when or where the child was to be transported. .1723(5) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. A signed receipt of NC Child Care Law was not observed on file for one child enrolled. GS 110-102 1715 The written plan of care did not specify how the operator will maintain compliance with transportation requirements specified in Rule .1723 when children are transported. The Written Plan of Care for one child enrolled did not include the above criteria. .1712(e )(3) 1716 The written plan of care did not specify how parents will be notified when children accompany the operator off-premises for routine tasks not specified on the written schedule. The Written Plan of Care for one child enrolled did not include the above criteria. .1712(e )(4) 1741 Prior to enrollment of children in a Family Child Care Home, and before animals come into the Family Child Care Home, the operator did not obtain each parent's signature on a form acknowledging the type of animal located on the premises and where the animal will be kept during child care operating hours and /or the signed form was not maintained in the child's file. The Pet Acknowledgement Form for one child enrolled did not include a list of pets or location of pets in the residence; the form for another child enrolled did not include the location of pets in the residence. 10 NCAC 09 .1719(b)(3) 1962 Activity plans did not include activities intended to stimulate the developmental domains, in accordance with NC Foundations for Early Learning and Development. The activity plan on file for review was only partially completed. 10A NCAC 09 .1718(a)(8)(A)(i-iv) 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 to reflect the baby foods and solid foods the infant had transitioned to eating. .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 had not been updated since 7/01/2023. .1703(i) 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. Greater than ten individual packets of alcohol pads, antiseptic ointment, and burn cream labeled Keep Out of Reach of Children with additional warnings were observed in the unlocked glove box of the vehicle used to transport children. 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 4/14/2025. 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: • The activity plan on file for the program was observed to be only partially completed. The infant feeding plan for one child enrolled had not been updated to reflect the baby foods and solid foods the infant had transitioned to eating. The Professional Development Plan for the operator had not been updated since 7/01/2023. A signed receipt of NC Child Care Law was not observed on file for one child enrolled. The medical report for one child enrolled was not observed on file for review. Ms. Jacobs stated she is in process of completing an activity plan in preparation for Easter. She also stated she was not aware the other documentation was not complete or on file. It is important for all required records to be current and on file for review at all times to ensure the health, safety, and quality of care for children enrolled. You may consider creating a specific set of calendar reminders, a checklist, or schedule for child, program, and operator documentation which requires annual or as-needed updating and for new children’s files to ensure that all required documentation is consistently updated and on file. Consultation provided following 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 reviewed with Ms. Jacobs during the visit: - 10A NCAC 09 .1727 DISCIPLINE POLICY (c ) regarding date of enrollment - 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a)(27) regarding safety covers for outlets A monthly fire drill report and shift schedule should be on file for review all shifts of care currently in operation. Please ensure all Pet Acknowledgement forms are specific as to where pets are located and that only current pets residing in the home are listed. Please only use small plastic manipulative links with children older than three years of age under direct supervision, unless no children less than three years of age are present. 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

GS 110-102 · Violation

Name of Operation: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/31/2025 Number Present: 2 Completed Date: 3/31/2025 Age: From 1 To 4 Total Minutes: 310 Time In: 09:50 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 Nicole Jacobs, Operator. Your program currently operates with a 4-Star license. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschoolers at any time; and children in care on ground level only. Ms. Jacobs provided an update, stating she is now the only person living in the home. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 90% 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. Two children were present during the visit; they were observed playing with toys, participating in general routines, and engaging in conversations with Ms. Jacobs 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 4/08/2024. 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 3/17/25. The most recent shelter-in-place drill was documented on 1/16/2025. The last outdoor inspection was documented on 3/17/2025. There are two pets inside the home, and all vaccinations were observed to be current and on file. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. The program currently provides transportation. The insurance card for the van used to transport children is current through 6/06/2025. The vehicle used for transportation is a 12-passenger Nissan NV 1500 van (license plate PMY2072), not including the driver and the front passenger’s seat. The last vehicle inspection was conducted on 9/25/2025. A fire extinguisher and First Aid Kit were observed in the vehicle. All safety buckles were properly functioning. All transportation requirements and documentation were monitored for compliance. The program does not participate in off-premise activities or in aquatic activities at this time. NCAC 09 .1719 (a)(2) was monitored during the visit. The following violations were cited during today’s visit: Violation Number Comment Rule 709 Equipment and toys were not in good repair and developmentally appropriate. The corner of a wooden child-sized cabinet located in the home living area was observed to be splintered and sharp to the touch. 10 A NCAC 09.1720(a)(7) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. The medical report for one child enrolled was not observed on file for review. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1102 Parent/guardian was not notified of when and where the child was to be transported, and the name of the transportation provider. The transportation authorization form for one child enrolled did not include when or where the child was to be transported. .1723(5) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. A signed receipt of NC Child Care Law was not observed on file for one child enrolled. GS 110-102 1715 The written plan of care did not specify how the operator will maintain compliance with transportation requirements specified in Rule .1723 when children are transported. The Written Plan of Care for one child enrolled did not include the above criteria. .1712(e )(3) 1716 The written plan of care did not specify how parents will be notified when children accompany the operator off-premises for routine tasks not specified on the written schedule. The Written Plan of Care for one child enrolled did not include the above criteria. .1712(e )(4) 1741 Prior to enrollment of children in a Family Child Care Home, and before animals come into the Family Child Care Home, the operator did not obtain each parent's signature on a form acknowledging the type of animal located on the premises and where the animal will be kept during child care operating hours and /or the signed form was not maintained in the child's file. The Pet Acknowledgement Form for one child enrolled did not include a list of pets or location of pets in the residence; the form for another child enrolled did not include the location of pets in the residence. 10 NCAC 09 .1719(b)(3) 1962 Activity plans did not include activities intended to stimulate the developmental domains, in accordance with NC Foundations for Early Learning and Development. The activity plan on file for review was only partially completed. 10A NCAC 09 .1718(a)(8)(A)(i-iv) 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 to reflect the baby foods and solid foods the infant had transitioned to eating. .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 had not been updated since 7/01/2023. .1703(i) 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. Greater than ten individual packets of alcohol pads, antiseptic ointment, and burn cream labeled Keep Out of Reach of Children with additional warnings were observed in the unlocked glove box of the vehicle used to transport children. 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 4/14/2025. 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: • The activity plan on file for the program was observed to be only partially completed. The infant feeding plan for one child enrolled had not been updated to reflect the baby foods and solid foods the infant had transitioned to eating. The Professional Development Plan for the operator had not been updated since 7/01/2023. A signed receipt of NC Child Care Law was not observed on file for one child enrolled. The medical report for one child enrolled was not observed on file for review. Ms. Jacobs stated she is in process of completing an activity plan in preparation for Easter. She also stated she was not aware the other documentation was not complete or on file. It is important for all required records to be current and on file for review at all times to ensure the health, safety, and quality of care for children enrolled. You may consider creating a specific set of calendar reminders, a checklist, or schedule for child, program, and operator documentation which requires annual or as-needed updating and for new children’s files to ensure that all required documentation is consistently updated and on file. Consultation provided following 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 reviewed with Ms. Jacobs during the visit: - 10A NCAC 09 .1727 DISCIPLINE POLICY (c ) regarding date of enrollment - 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a)(27) regarding safety covers for outlets A monthly fire drill report and shift schedule should be on file for review all shifts of care currently in operation. Please ensure all Pet Acknowledgement forms are specific as to where pets are located and that only current pets residing in the home are listed. Please only use small plastic manipulative links with children older than three years of age under direct supervision, unless no children less than three years of age are present. 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

GS 110-91 · Violation

Name of Operation: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/31/2025 Number Present: 2 Completed Date: 3/31/2025 Age: From 1 To 4 Total Minutes: 310 Time In: 09:50 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 Nicole Jacobs, Operator. Your program currently operates with a 4-Star license. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschoolers at any time; and children in care on ground level only. Ms. Jacobs provided an update, stating she is now the only person living in the home. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 90% 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. Two children were present during the visit; they were observed playing with toys, participating in general routines, and engaging in conversations with Ms. Jacobs 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 4/08/2024. 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 3/17/25. The most recent shelter-in-place drill was documented on 1/16/2025. The last outdoor inspection was documented on 3/17/2025. There are two pets inside the home, and all vaccinations were observed to be current and on file. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. The program currently provides transportation. The insurance card for the van used to transport children is current through 6/06/2025. The vehicle used for transportation is a 12-passenger Nissan NV 1500 van (license plate PMY2072), not including the driver and the front passenger’s seat. The last vehicle inspection was conducted on 9/25/2025. A fire extinguisher and First Aid Kit were observed in the vehicle. All safety buckles were properly functioning. All transportation requirements and documentation were monitored for compliance. The program does not participate in off-premise activities or in aquatic activities at this time. NCAC 09 .1719 (a)(2) was monitored during the visit. The following violations were cited during today’s visit: Violation Number Comment Rule 709 Equipment and toys were not in good repair and developmentally appropriate. The corner of a wooden child-sized cabinet located in the home living area was observed to be splintered and sharp to the touch. 10 A NCAC 09.1720(a)(7) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. The medical report for one child enrolled was not observed on file for review. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1102 Parent/guardian was not notified of when and where the child was to be transported, and the name of the transportation provider. The transportation authorization form for one child enrolled did not include when or where the child was to be transported. .1723(5) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. A signed receipt of NC Child Care Law was not observed on file for one child enrolled. GS 110-102 1715 The written plan of care did not specify how the operator will maintain compliance with transportation requirements specified in Rule .1723 when children are transported. The Written Plan of Care for one child enrolled did not include the above criteria. .1712(e )(3) 1716 The written plan of care did not specify how parents will be notified when children accompany the operator off-premises for routine tasks not specified on the written schedule. The Written Plan of Care for one child enrolled did not include the above criteria. .1712(e )(4) 1741 Prior to enrollment of children in a Family Child Care Home, and before animals come into the Family Child Care Home, the operator did not obtain each parent's signature on a form acknowledging the type of animal located on the premises and where the animal will be kept during child care operating hours and /or the signed form was not maintained in the child's file. The Pet Acknowledgement Form for one child enrolled did not include a list of pets or location of pets in the residence; the form for another child enrolled did not include the location of pets in the residence. 10 NCAC 09 .1719(b)(3) 1962 Activity plans did not include activities intended to stimulate the developmental domains, in accordance with NC Foundations for Early Learning and Development. The activity plan on file for review was only partially completed. 10A NCAC 09 .1718(a)(8)(A)(i-iv) 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 to reflect the baby foods and solid foods the infant had transitioned to eating. .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 had not been updated since 7/01/2023. .1703(i) 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. Greater than ten individual packets of alcohol pads, antiseptic ointment, and burn cream labeled Keep Out of Reach of Children with additional warnings were observed in the unlocked glove box of the vehicle used to transport children. 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 4/14/2025. 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: • The activity plan on file for the program was observed to be only partially completed. The infant feeding plan for one child enrolled had not been updated to reflect the baby foods and solid foods the infant had transitioned to eating. The Professional Development Plan for the operator had not been updated since 7/01/2023. A signed receipt of NC Child Care Law was not observed on file for one child enrolled. The medical report for one child enrolled was not observed on file for review. Ms. Jacobs stated she is in process of completing an activity plan in preparation for Easter. She also stated she was not aware the other documentation was not complete or on file. It is important for all required records to be current and on file for review at all times to ensure the health, safety, and quality of care for children enrolled. You may consider creating a specific set of calendar reminders, a checklist, or schedule for child, program, and operator documentation which requires annual or as-needed updating and for new children’s files to ensure that all required documentation is consistently updated and on file. Consultation provided following 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 reviewed with Ms. Jacobs during the visit: - 10A NCAC 09 .1727 DISCIPLINE POLICY (c ) regarding date of enrollment - 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a)(27) regarding safety covers for outlets A monthly fire drill report and shift schedule should be on file for review all shifts of care currently in operation. Please ensure all Pet Acknowledgement forms are specific as to where pets are located and that only current pets residing in the home are listed. Please only use small plastic manipulative links with children older than three years of age under direct supervision, unless no children less than three years of age are present. 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: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/31/2025 Number Present: 2 Completed Date: 3/31/2025 Age: From 1 To 4 Total Minutes: 310 Time In: 09:50 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 Nicole Jacobs, Operator. Your program currently operates with a 4-Star license. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschoolers at any time; and children in care on ground level only. Ms. Jacobs provided an update, stating she is now the only person living in the home. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 90% 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. Two children were present during the visit; they were observed playing with toys, participating in general routines, and engaging in conversations with Ms. Jacobs 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 4/08/2024. 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 3/17/25. The most recent shelter-in-place drill was documented on 1/16/2025. The last outdoor inspection was documented on 3/17/2025. There are two pets inside the home, and all vaccinations were observed to be current and on file. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. The program currently provides transportation. The insurance card for the van used to transport children is current through 6/06/2025. The vehicle used for transportation is a 12-passenger Nissan NV 1500 van (license plate PMY2072), not including the driver and the front passenger’s seat. The last vehicle inspection was conducted on 9/25/2025. A fire extinguisher and First Aid Kit were observed in the vehicle. All safety buckles were properly functioning. All transportation requirements and documentation were monitored for compliance. The program does not participate in off-premise activities or in aquatic activities at this time. NCAC 09 .1719 (a)(2) was monitored during the visit. The following violations were cited during today’s visit: Violation Number Comment Rule 709 Equipment and toys were not in good repair and developmentally appropriate. The corner of a wooden child-sized cabinet located in the home living area was observed to be splintered and sharp to the touch. 10 A NCAC 09.1720(a)(7) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. The medical report for one child enrolled was not observed on file for review. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1102 Parent/guardian was not notified of when and where the child was to be transported, and the name of the transportation provider. The transportation authorization form for one child enrolled did not include when or where the child was to be transported. .1723(5) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. A signed receipt of NC Child Care Law was not observed on file for one child enrolled. GS 110-102 1715 The written plan of care did not specify how the operator will maintain compliance with transportation requirements specified in Rule .1723 when children are transported. The Written Plan of Care for one child enrolled did not include the above criteria. .1712(e )(3) 1716 The written plan of care did not specify how parents will be notified when children accompany the operator off-premises for routine tasks not specified on the written schedule. The Written Plan of Care for one child enrolled did not include the above criteria. .1712(e )(4) 1741 Prior to enrollment of children in a Family Child Care Home, and before animals come into the Family Child Care Home, the operator did not obtain each parent's signature on a form acknowledging the type of animal located on the premises and where the animal will be kept during child care operating hours and /or the signed form was not maintained in the child's file. The Pet Acknowledgement Form for one child enrolled did not include a list of pets or location of pets in the residence; the form for another child enrolled did not include the location of pets in the residence. 10 NCAC 09 .1719(b)(3) 1962 Activity plans did not include activities intended to stimulate the developmental domains, in accordance with NC Foundations for Early Learning and Development. The activity plan on file for review was only partially completed. 10A NCAC 09 .1718(a)(8)(A)(i-iv) 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 to reflect the baby foods and solid foods the infant had transitioned to eating. .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 had not been updated since 7/01/2023. .1703(i) 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. Greater than ten individual packets of alcohol pads, antiseptic ointment, and burn cream labeled Keep Out of Reach of Children with additional warnings were observed in the unlocked glove box of the vehicle used to transport children. 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 4/14/2025. 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: • The activity plan on file for the program was observed to be only partially completed. The infant feeding plan for one child enrolled had not been updated to reflect the baby foods and solid foods the infant had transitioned to eating. The Professional Development Plan for the operator had not been updated since 7/01/2023. A signed receipt of NC Child Care Law was not observed on file for one child enrolled. The medical report for one child enrolled was not observed on file for review. Ms. Jacobs stated she is in process of completing an activity plan in preparation for Easter. She also stated she was not aware the other documentation was not complete or on file. It is important for all required records to be current and on file for review at all times to ensure the health, safety, and quality of care for children enrolled. You may consider creating a specific set of calendar reminders, a checklist, or schedule for child, program, and operator documentation which requires annual or as-needed updating and for new children’s files to ensure that all required documentation is consistently updated and on file. Consultation provided following 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 reviewed with Ms. Jacobs during the visit: - 10A NCAC 09 .1727 DISCIPLINE POLICY (c ) regarding date of enrollment - 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a)(27) regarding safety covers for outlets A monthly fire drill report and shift schedule should be on file for review all shifts of care currently in operation. Please ensure all Pet Acknowledgement forms are specific as to where pets are located and that only current pets residing in the home are listed. Please only use small plastic manipulative links with children older than three years of age under direct supervision, unless no children less than three years of age are present. 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 .1714 · Violation

Name of Operation: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 10/15/2024 Number Present: 2 Completed Date: 10/15/2024 Age: From 3 To 4 Total Minutes: 165 Time In: 09:15 AM Time Out: 12:00 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. You, Nicole Jacobs, Operator, assisted me with the visit. Your program currently operates with a 4-Star license effective 7/26/2019. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschool children at any time; and children in care on ground level only. The program’s compliance history was 88% 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. Jacobs stated she and Carlos Williams are the only people living in the home. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing with toys, engaging in conversations, general routines and other activities with Ms. Jacobs 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. .1719 (a)(2) was unable to be monitored for compliance during the visit. Ms. Jacobs stated she would email me several dates following the visit during which someone would be available at the home for me to monitor this requirement. No medications were observed nor reported. Storage of hazardous items was monitored today. A playground inspection was recorded 9/13/2024. A fire drill was recorded 9/13/2024. The most recent shelter-in-place drill for the facility was recorded 6/30/2024. There are currently two pets in the home, and all required vaccination records were observed to be current and on file. The program does not participate in aquatic activities at this time. The following violations were during today’s visit: Violation Number Comment Rule 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. One pointed screw, sharp to the touch, was observed on top of the diaper table, less than five feet from the ground. One toy plastic cell phone was observed to be cracked and sharp to the touch on the playground. 10A NCAC 09 .1719 (a) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. A lockdown/ shelter-in-place drill had not been conducted since 6/30/2024. .1719(a )(16) & .1721(e )(7) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The emergency information for one child enrolled was not observed to be in the Ready to Go file during the visit. .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. One canister of Clorox disinfectant wipes, one spray bottle of bleach, and one ice pack were observed to be stored greater than five feet from the ground, but in unlocked storage. 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 10/29/2024. 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: One canister of Clorox disinfectant wipes, one bottle of bleach spray, and one ice pack were observed to be stored greater than five feet from the ground, but in unlocked storage. Ms. Jacobs removed each of these items from the child care space during the visit. One pointed screw, sharp to the touch, was observed on top of the diaper table, less than five feet from the ground. One toy plastic cell phone was observed to be cracked and sharp to the touch on the playground. The screw was made inaccessible to children, and the cell phone was removed from the playground during the visit. The emergency information for one child enrolled was not observed to be in the Ready to Go file during the visit. Ms. Jacobs stated this child had recently enrolled in the program, and she would add the child’s information to this file as soon as possible. A lockdown/ shelter-in-place drill had not been conducted since 6/30/2024. It is important for all emergency drills to be current and for required emergency information to be in the Ready to Go file for all children enrolled, at all times, so it is available in the event an emergency evacuation is necessary. You may consider making a copy of this information on the date the parent submits this information and placing it directly in the Ready to Go file. You may also consider creating more than one reminder to complete required emergency drills (i.e. email, phone, calendar, etc.) Consultation provided during today’s visit: The following Child Care Rule was reviewed with Ms. Jacobs during the visit: 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (3)(4) 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (f) Ms. Jacobs and I discussed that lesson plans are not required to be completed or updated weekly, although this is best practice. Lesson plans can be completed in a monthly format and should include and reflect activities and materials developmentally appropriate to children of all ages in your care (i.e. infant/toddler, preschool, and School Age). North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1719 · Violation

Name of Operation: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 10/15/2024 Number Present: 2 Completed Date: 10/15/2024 Age: From 3 To 4 Total Minutes: 165 Time In: 09:15 AM Time Out: 12:00 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. You, Nicole Jacobs, Operator, assisted me with the visit. Your program currently operates with a 4-Star license effective 7/26/2019. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschool children at any time; and children in care on ground level only. The program’s compliance history was 88% 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. Jacobs stated she and Carlos Williams are the only people living in the home. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing with toys, engaging in conversations, general routines and other activities with Ms. Jacobs 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. .1719 (a)(2) was unable to be monitored for compliance during the visit. Ms. Jacobs stated she would email me several dates following the visit during which someone would be available at the home for me to monitor this requirement. No medications were observed nor reported. Storage of hazardous items was monitored today. A playground inspection was recorded 9/13/2024. A fire drill was recorded 9/13/2024. The most recent shelter-in-place drill for the facility was recorded 6/30/2024. There are currently two pets in the home, and all required vaccination records were observed to be current and on file. The program does not participate in aquatic activities at this time. The following violations were during today’s visit: Violation Number Comment Rule 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. One pointed screw, sharp to the touch, was observed on top of the diaper table, less than five feet from the ground. One toy plastic cell phone was observed to be cracked and sharp to the touch on the playground. 10A NCAC 09 .1719 (a) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. A lockdown/ shelter-in-place drill had not been conducted since 6/30/2024. .1719(a )(16) & .1721(e )(7) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The emergency information for one child enrolled was not observed to be in the Ready to Go file during the visit. .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. One canister of Clorox disinfectant wipes, one spray bottle of bleach, and one ice pack were observed to be stored greater than five feet from the ground, but in unlocked storage. 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 10/29/2024. 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: One canister of Clorox disinfectant wipes, one bottle of bleach spray, and one ice pack were observed to be stored greater than five feet from the ground, but in unlocked storage. Ms. Jacobs removed each of these items from the child care space during the visit. One pointed screw, sharp to the touch, was observed on top of the diaper table, less than five feet from the ground. One toy plastic cell phone was observed to be cracked and sharp to the touch on the playground. The screw was made inaccessible to children, and the cell phone was removed from the playground during the visit. The emergency information for one child enrolled was not observed to be in the Ready to Go file during the visit. Ms. Jacobs stated this child had recently enrolled in the program, and she would add the child’s information to this file as soon as possible. A lockdown/ shelter-in-place drill had not been conducted since 6/30/2024. It is important for all emergency drills to be current and for required emergency information to be in the Ready to Go file for all children enrolled, at all times, so it is available in the event an emergency evacuation is necessary. You may consider making a copy of this information on the date the parent submits this information and placing it directly in the Ready to Go file. You may also consider creating more than one reminder to complete required emergency drills (i.e. email, phone, calendar, etc.) Consultation provided during today’s visit: The following Child Care Rule was reviewed with Ms. Jacobs during the visit: 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (3)(4) 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (f) Ms. Jacobs and I discussed that lesson plans are not required to be completed or updated weekly, although this is best practice. Lesson plans can be completed in a monthly format and should include and reflect activities and materials developmentally appropriate to children of all ages in your care (i.e. infant/toddler, preschool, and School Age). North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1721 · Violation

Name of Operation: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 10/15/2024 Number Present: 2 Completed Date: 10/15/2024 Age: From 3 To 4 Total Minutes: 165 Time In: 09:15 AM Time Out: 12:00 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. You, Nicole Jacobs, Operator, assisted me with the visit. Your program currently operates with a 4-Star license effective 7/26/2019. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschool children at any time; and children in care on ground level only. The program’s compliance history was 88% 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. Jacobs stated she and Carlos Williams are the only people living in the home. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing with toys, engaging in conversations, general routines and other activities with Ms. Jacobs 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. .1719 (a)(2) was unable to be monitored for compliance during the visit. Ms. Jacobs stated she would email me several dates following the visit during which someone would be available at the home for me to monitor this requirement. No medications were observed nor reported. Storage of hazardous items was monitored today. A playground inspection was recorded 9/13/2024. A fire drill was recorded 9/13/2024. The most recent shelter-in-place drill for the facility was recorded 6/30/2024. There are currently two pets in the home, and all required vaccination records were observed to be current and on file. The program does not participate in aquatic activities at this time. The following violations were during today’s visit: Violation Number Comment Rule 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. One pointed screw, sharp to the touch, was observed on top of the diaper table, less than five feet from the ground. One toy plastic cell phone was observed to be cracked and sharp to the touch on the playground. 10A NCAC 09 .1719 (a) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. A lockdown/ shelter-in-place drill had not been conducted since 6/30/2024. .1719(a )(16) & .1721(e )(7) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The emergency information for one child enrolled was not observed to be in the Ready to Go file during the visit. .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. One canister of Clorox disinfectant wipes, one spray bottle of bleach, and one ice pack were observed to be stored greater than five feet from the ground, but in unlocked storage. 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 10/29/2024. 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: One canister of Clorox disinfectant wipes, one bottle of bleach spray, and one ice pack were observed to be stored greater than five feet from the ground, but in unlocked storage. Ms. Jacobs removed each of these items from the child care space during the visit. One pointed screw, sharp to the touch, was observed on top of the diaper table, less than five feet from the ground. One toy plastic cell phone was observed to be cracked and sharp to the touch on the playground. The screw was made inaccessible to children, and the cell phone was removed from the playground during the visit. The emergency information for one child enrolled was not observed to be in the Ready to Go file during the visit. Ms. Jacobs stated this child had recently enrolled in the program, and she would add the child’s information to this file as soon as possible. A lockdown/ shelter-in-place drill had not been conducted since 6/30/2024. It is important for all emergency drills to be current and for required emergency information to be in the Ready to Go file for all children enrolled, at all times, so it is available in the event an emergency evacuation is necessary. You may consider making a copy of this information on the date the parent submits this information and placing it directly in the Ready to Go file. You may also consider creating more than one reminder to complete required emergency drills (i.e. email, phone, calendar, etc.) Consultation provided during today’s visit: The following Child Care Rule was reviewed with Ms. Jacobs during the visit: 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (3)(4) 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (f) Ms. Jacobs and I discussed that lesson plans are not required to be completed or updated weekly, although this is best practice. Lesson plans can be completed in a monthly format and should include and reflect activities and materials developmentally appropriate to children of all ages in your care (i.e. infant/toddler, preschool, and School Age). North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 10/15/2024 Number Present: 2 Completed Date: 10/15/2024 Age: From 3 To 4 Total Minutes: 165 Time In: 09:15 AM Time Out: 12:00 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. You, Nicole Jacobs, Operator, assisted me with the visit. Your program currently operates with a 4-Star license effective 7/26/2019. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschool children at any time; and children in care on ground level only. The program’s compliance history was 88% 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. Jacobs stated she and Carlos Williams are the only people living in the home. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing with toys, engaging in conversations, general routines and other activities with Ms. Jacobs 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. .1719 (a)(2) was unable to be monitored for compliance during the visit. Ms. Jacobs stated she would email me several dates following the visit during which someone would be available at the home for me to monitor this requirement. No medications were observed nor reported. Storage of hazardous items was monitored today. A playground inspection was recorded 9/13/2024. A fire drill was recorded 9/13/2024. The most recent shelter-in-place drill for the facility was recorded 6/30/2024. There are currently two pets in the home, and all required vaccination records were observed to be current and on file. The program does not participate in aquatic activities at this time. The following violations were during today’s visit: Violation Number Comment Rule 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. One pointed screw, sharp to the touch, was observed on top of the diaper table, less than five feet from the ground. One toy plastic cell phone was observed to be cracked and sharp to the touch on the playground. 10A NCAC 09 .1719 (a) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. A lockdown/ shelter-in-place drill had not been conducted since 6/30/2024. .1719(a )(16) & .1721(e )(7) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The emergency information for one child enrolled was not observed to be in the Ready to Go file during the visit. .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. One canister of Clorox disinfectant wipes, one spray bottle of bleach, and one ice pack were observed to be stored greater than five feet from the ground, but in unlocked storage. 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 10/29/2024. 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: One canister of Clorox disinfectant wipes, one bottle of bleach spray, and one ice pack were observed to be stored greater than five feet from the ground, but in unlocked storage. Ms. Jacobs removed each of these items from the child care space during the visit. One pointed screw, sharp to the touch, was observed on top of the diaper table, less than five feet from the ground. One toy plastic cell phone was observed to be cracked and sharp to the touch on the playground. The screw was made inaccessible to children, and the cell phone was removed from the playground during the visit. The emergency information for one child enrolled was not observed to be in the Ready to Go file during the visit. Ms. Jacobs stated this child had recently enrolled in the program, and she would add the child’s information to this file as soon as possible. A lockdown/ shelter-in-place drill had not been conducted since 6/30/2024. It is important for all emergency drills to be current and for required emergency information to be in the Ready to Go file for all children enrolled, at all times, so it is available in the event an emergency evacuation is necessary. You may consider making a copy of this information on the date the parent submits this information and placing it directly in the Ready to Go file. You may also consider creating more than one reminder to complete required emergency drills (i.e. email, phone, calendar, etc.) Consultation provided during today’s visit: The following Child Care Rule was reviewed with Ms. Jacobs during the visit: 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (3)(4) 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (f) Ms. Jacobs and I discussed that lesson plans are not required to be completed or updated weekly, although this is best practice. Lesson plans can be completed in a monthly format and should include and reflect activities and materials developmentally appropriate to children of all ages in your care (i.e. infant/toddler, preschool, and School Age). North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1705 · Violation

Name of Operation: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 4/8/2024 Number Present: 3 Completed Date: 4/8/2024 Age: From 1 To 6 Total Minutes: 300 Time In: 09:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant, with Nicole Jacobs, Operator. Your program currently operates with a 4-Star license. Restrictions include 1st, 2nd, and 3rd shift care; children in care on ground level only; and a maximum of five preschoolers at any time. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 85% 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. A power strip was observed to have four outlets without safety covers; Ms. Jacobs corrected this during the visit. A wasp was observed building a nest inside the roof of a small, nonstationary playhouse while children were playing inside the house. Ms. Jacobs removed this nest during the visit. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed three children in care playing with toys, engaging in conversations , playing outdoors, and eating lunch with Ms. Jacobs 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 4/24/2023. 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 3/18/2024. The most recent lockdown drill was documented on 3/29/2024. The last outdoor inspection was documented on 3/18/2024. There are two pets inside the home, and all vaccinations were observed to be current and on file. Staff files and children’s records were monitored per DCDEE procedures. A Pet Acknowledgement form for one child did not have the type of animal located on the premises and where the animal will be kept during operating hours. Ms. Jacobs corrected this during the visit. Storage of hazardous items was monitored today and found to be in compliance. No medications were observed nor reported. The program currently provides transportation. The insurance card for the van used to transport children is current through 6/06/2024. The vehicle used for transportation is a 12-passenger van, not including the driver and the front passenger’s seat. The last vehicle inspection was conducted on 9/30/2024. A fire extinguisher and First Aid Kit were observed in the vehicle. All safety buckles were properly functioning. The program does not participate in off-premise activities or in aquatic activities at this time. NCAC 09 .1719 (a)(2) was monitored during the visit. In addition, monitoring of the items included in the Corrective Action Plan occurred as follows: CAP Item # 1: Information for when six children enrolled and where five child enrolled were to be transported was not observed on the written transportation permission form located on the vehicle. The Emergency Preparedness and Response Plan did not include evacuation diagrams showing how the operator, family members, children and any other individuals who may be present will evacuate during an emergency. CAP Item # 2: Ms. Jacobs completed a scheduled Rules Review on Monday, 10/16/2023, conducted by Ms. McKeown-Stewart. CAP Item # 3: Ms. Jacobs completed a Technical Assistance Visit with Ms. McKeown-Stewart for the purpose of discussing organization with records and applicable childcare requirements on Monday, 11/06/2023. CAP Item # 4: A written plan of achieving compliance with child, staff and program records, and transportation requirements, as well as maintaining accurate records at all times was submitted for review on 11/21/2023, 12/11/2023, 1/01/2024, 1/23/2024, and 3/11/2024. An approval letter for this CAP Item was emailed to Ms. Jacobs on 3/11/2024. CAP Item # 5: A written plan of achieving compliance with child, staff and program records, and transportation requirements, as well as maintaining accurate records at all times was submitted for review on 3/26/2024. An approval letter for this CAP Item was emailed to Ms. Jacobs on 3/28/2024. CAP Item # 6: A written plan of achieving compliance with transportation requirements was submitted for review on 4/08/2024, just prior to my visit. I will review this plan upon returning to my office and provide Ms. Jacobs feedback. The following violations were cited during today’s visit: Violation Number Comment Rule 716 Electrical outlets not in use were not covered. A power strip was observed to have four outlets without safety covers. 10A NCAC .1719(a)(27) 916 Operator did not maintain a record of on-going training in which he/she has participated. A training log of on-going training was not available for review. 10A NCAC 09 .1705(b)(4)(C) 1102 Parent/guardian was not notified of when and where the child was to be transported, and the name of the transportation provider. Information for when six children enrolled and where five child enrolled were to be transported was not observed on the written transportation permission form located on the vehicle. .1723(5) 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 wasp was observed building a nest inside the roof of a small, nonstationary playhouse while children were playing inside the house. 10A NCAC 09 .1719 (a) 1713 The written plan of care did not specify times for completing routine tasks and did not include those times on the written schedule. The written schedule did not include routine tasks completed each week. .1712(e)(1) 1735 The daily schedule, activity plan, infant feeding plan, allergy posting, SIDS Sleep Chart/visual check were not maintained on file for a minimum of 30 days from the revision or replacement date. A written activity plan was not available for review. .1721((f)(4)(A) 1741 Prior to enrollment of children in a Family Child Care Home, and before animals come into the Family Child Care Home, the operator did not obtain each parent's signature on a form acknowledging the type of animal located on the premises and where the animal will be kept during child care operating hours and /or the signed form was not maintained in the child's file. A Pet Acknowledgement form for one child did not have the type of animal located on the premises and where the animal will be kept during operating hours. 10 NCAC 09 .1719(b)(3) 1864 The EPR Plan did not include evacuation diagrams showing how the operator, family members, children and any other individuals who may be present will evacuate during an emergency. The Emergency Preparedness and Response Plan did not include evacuation diagrams showing how the operator, family members, children and any other individuals who may be present will evacuate during an emergency. .1714(d)(7) 2033 Signed discipline statement did not include the required information, as outlined in rule. Dates of enrollment and dates the policy was signed by the parent were not documented on the Discipline Policy for each child enrolled. .1727(c )(1-3) 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 4/22/2024. 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: • Information for when six children enrolled and where five child enrolled were to be transported was not observed on the written transportation permission form located on the vehicle. The Emergency Preparedness and Response Plan did not include evacuation diagrams showing how the operator, family members, children and any other individuals who may be present will evacuate during an emergency. Dates of enrollment were not documented on the Discipline Policy for each child enrolled. The written schedule did not include routine tasks completed each week. On-going trainings were not recorded on the On-Going Training Log. A current activity plan was not available for review. Ms. Jacobs stated she was not aware she had overlooked the completion of these items, with the exception of the lesson plan. She stated Smart Start of Forsyth County is currently providing her Technical Assistance in developing lesson plans according to the Creative Curriculum and TSG. It is essential to maintain accurate and complete records for children in care to ensure all health, safety, and educational requirements are current and being followed. I recommended Ms. Jacobs review all children’s files for completed dates signed, dates of enrollment, and that all forms are filled out completely and accurately. Consultation 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 Rule was thoroughly reviewed with Ms. Jacobs during the visit: • 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (d) (10) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Ms. Jacobs confirmed during today’s visit that the email was received and she enrolled in testing during the visit. 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: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 4/8/2024 Number Present: 3 Completed Date: 4/8/2024 Age: From 1 To 6 Total Minutes: 300 Time In: 09:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant, with Nicole Jacobs, Operator. Your program currently operates with a 4-Star license. Restrictions include 1st, 2nd, and 3rd shift care; children in care on ground level only; and a maximum of five preschoolers at any time. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 85% 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. A power strip was observed to have four outlets without safety covers; Ms. Jacobs corrected this during the visit. A wasp was observed building a nest inside the roof of a small, nonstationary playhouse while children were playing inside the house. Ms. Jacobs removed this nest during the visit. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed three children in care playing with toys, engaging in conversations , playing outdoors, and eating lunch with Ms. Jacobs 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 4/24/2023. 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 3/18/2024. The most recent lockdown drill was documented on 3/29/2024. The last outdoor inspection was documented on 3/18/2024. There are two pets inside the home, and all vaccinations were observed to be current and on file. Staff files and children’s records were monitored per DCDEE procedures. A Pet Acknowledgement form for one child did not have the type of animal located on the premises and where the animal will be kept during operating hours. Ms. Jacobs corrected this during the visit. Storage of hazardous items was monitored today and found to be in compliance. No medications were observed nor reported. The program currently provides transportation. The insurance card for the van used to transport children is current through 6/06/2024. The vehicle used for transportation is a 12-passenger van, not including the driver and the front passenger’s seat. The last vehicle inspection was conducted on 9/30/2024. A fire extinguisher and First Aid Kit were observed in the vehicle. All safety buckles were properly functioning. The program does not participate in off-premise activities or in aquatic activities at this time. NCAC 09 .1719 (a)(2) was monitored during the visit. In addition, monitoring of the items included in the Corrective Action Plan occurred as follows: CAP Item # 1: Information for when six children enrolled and where five child enrolled were to be transported was not observed on the written transportation permission form located on the vehicle. The Emergency Preparedness and Response Plan did not include evacuation diagrams showing how the operator, family members, children and any other individuals who may be present will evacuate during an emergency. CAP Item # 2: Ms. Jacobs completed a scheduled Rules Review on Monday, 10/16/2023, conducted by Ms. McKeown-Stewart. CAP Item # 3: Ms. Jacobs completed a Technical Assistance Visit with Ms. McKeown-Stewart for the purpose of discussing organization with records and applicable childcare requirements on Monday, 11/06/2023. CAP Item # 4: A written plan of achieving compliance with child, staff and program records, and transportation requirements, as well as maintaining accurate records at all times was submitted for review on 11/21/2023, 12/11/2023, 1/01/2024, 1/23/2024, and 3/11/2024. An approval letter for this CAP Item was emailed to Ms. Jacobs on 3/11/2024. CAP Item # 5: A written plan of achieving compliance with child, staff and program records, and transportation requirements, as well as maintaining accurate records at all times was submitted for review on 3/26/2024. An approval letter for this CAP Item was emailed to Ms. Jacobs on 3/28/2024. CAP Item # 6: A written plan of achieving compliance with transportation requirements was submitted for review on 4/08/2024, just prior to my visit. I will review this plan upon returning to my office and provide Ms. Jacobs feedback. The following violations were cited during today’s visit: Violation Number Comment Rule 716 Electrical outlets not in use were not covered. A power strip was observed to have four outlets without safety covers. 10A NCAC .1719(a)(27) 916 Operator did not maintain a record of on-going training in which he/she has participated. A training log of on-going training was not available for review. 10A NCAC 09 .1705(b)(4)(C) 1102 Parent/guardian was not notified of when and where the child was to be transported, and the name of the transportation provider. Information for when six children enrolled and where five child enrolled were to be transported was not observed on the written transportation permission form located on the vehicle. .1723(5) 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 wasp was observed building a nest inside the roof of a small, nonstationary playhouse while children were playing inside the house. 10A NCAC 09 .1719 (a) 1713 The written plan of care did not specify times for completing routine tasks and did not include those times on the written schedule. The written schedule did not include routine tasks completed each week. .1712(e)(1) 1735 The daily schedule, activity plan, infant feeding plan, allergy posting, SIDS Sleep Chart/visual check were not maintained on file for a minimum of 30 days from the revision or replacement date. A written activity plan was not available for review. .1721((f)(4)(A) 1741 Prior to enrollment of children in a Family Child Care Home, and before animals come into the Family Child Care Home, the operator did not obtain each parent's signature on a form acknowledging the type of animal located on the premises and where the animal will be kept during child care operating hours and /or the signed form was not maintained in the child's file. A Pet Acknowledgement form for one child did not have the type of animal located on the premises and where the animal will be kept during operating hours. 10 NCAC 09 .1719(b)(3) 1864 The EPR Plan did not include evacuation diagrams showing how the operator, family members, children and any other individuals who may be present will evacuate during an emergency. The Emergency Preparedness and Response Plan did not include evacuation diagrams showing how the operator, family members, children and any other individuals who may be present will evacuate during an emergency. .1714(d)(7) 2033 Signed discipline statement did not include the required information, as outlined in rule. Dates of enrollment and dates the policy was signed by the parent were not documented on the Discipline Policy for each child enrolled. .1727(c )(1-3) 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 4/22/2024. 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: • Information for when six children enrolled and where five child enrolled were to be transported was not observed on the written transportation permission form located on the vehicle. The Emergency Preparedness and Response Plan did not include evacuation diagrams showing how the operator, family members, children and any other individuals who may be present will evacuate during an emergency. Dates of enrollment were not documented on the Discipline Policy for each child enrolled. The written schedule did not include routine tasks completed each week. On-going trainings were not recorded on the On-Going Training Log. A current activity plan was not available for review. Ms. Jacobs stated she was not aware she had overlooked the completion of these items, with the exception of the lesson plan. She stated Smart Start of Forsyth County is currently providing her Technical Assistance in developing lesson plans according to the Creative Curriculum and TSG. It is essential to maintain accurate and complete records for children in care to ensure all health, safety, and educational requirements are current and being followed. I recommended Ms. Jacobs review all children’s files for completed dates signed, dates of enrollment, and that all forms are filled out completely and accurately. Consultation 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 Rule was thoroughly reviewed with Ms. Jacobs during the visit: • 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (d) (10) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Ms. Jacobs confirmed during today’s visit that the email was received and she enrolled in testing during the visit. 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: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 4/8/2024 Number Present: 3 Completed Date: 4/8/2024 Age: From 1 To 6 Total Minutes: 300 Time In: 09:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant, with Nicole Jacobs, Operator. Your program currently operates with a 4-Star license. Restrictions include 1st, 2nd, and 3rd shift care; children in care on ground level only; and a maximum of five preschoolers at any time. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 85% 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. A power strip was observed to have four outlets without safety covers; Ms. Jacobs corrected this during the visit. A wasp was observed building a nest inside the roof of a small, nonstationary playhouse while children were playing inside the house. Ms. Jacobs removed this nest during the visit. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed three children in care playing with toys, engaging in conversations , playing outdoors, and eating lunch with Ms. Jacobs 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 4/24/2023. 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 3/18/2024. The most recent lockdown drill was documented on 3/29/2024. The last outdoor inspection was documented on 3/18/2024. There are two pets inside the home, and all vaccinations were observed to be current and on file. Staff files and children’s records were monitored per DCDEE procedures. A Pet Acknowledgement form for one child did not have the type of animal located on the premises and where the animal will be kept during operating hours. Ms. Jacobs corrected this during the visit. Storage of hazardous items was monitored today and found to be in compliance. No medications were observed nor reported. The program currently provides transportation. The insurance card for the van used to transport children is current through 6/06/2024. The vehicle used for transportation is a 12-passenger van, not including the driver and the front passenger’s seat. The last vehicle inspection was conducted on 9/30/2024. A fire extinguisher and First Aid Kit were observed in the vehicle. All safety buckles were properly functioning. The program does not participate in off-premise activities or in aquatic activities at this time. NCAC 09 .1719 (a)(2) was monitored during the visit. In addition, monitoring of the items included in the Corrective Action Plan occurred as follows: CAP Item # 1: Information for when six children enrolled and where five child enrolled were to be transported was not observed on the written transportation permission form located on the vehicle. The Emergency Preparedness and Response Plan did not include evacuation diagrams showing how the operator, family members, children and any other individuals who may be present will evacuate during an emergency. CAP Item # 2: Ms. Jacobs completed a scheduled Rules Review on Monday, 10/16/2023, conducted by Ms. McKeown-Stewart. CAP Item # 3: Ms. Jacobs completed a Technical Assistance Visit with Ms. McKeown-Stewart for the purpose of discussing organization with records and applicable childcare requirements on Monday, 11/06/2023. CAP Item # 4: A written plan of achieving compliance with child, staff and program records, and transportation requirements, as well as maintaining accurate records at all times was submitted for review on 11/21/2023, 12/11/2023, 1/01/2024, 1/23/2024, and 3/11/2024. An approval letter for this CAP Item was emailed to Ms. Jacobs on 3/11/2024. CAP Item # 5: A written plan of achieving compliance with child, staff and program records, and transportation requirements, as well as maintaining accurate records at all times was submitted for review on 3/26/2024. An approval letter for this CAP Item was emailed to Ms. Jacobs on 3/28/2024. CAP Item # 6: A written plan of achieving compliance with transportation requirements was submitted for review on 4/08/2024, just prior to my visit. I will review this plan upon returning to my office and provide Ms. Jacobs feedback. The following violations were cited during today’s visit: Violation Number Comment Rule 716 Electrical outlets not in use were not covered. A power strip was observed to have four outlets without safety covers. 10A NCAC .1719(a)(27) 916 Operator did not maintain a record of on-going training in which he/she has participated. A training log of on-going training was not available for review. 10A NCAC 09 .1705(b)(4)(C) 1102 Parent/guardian was not notified of when and where the child was to be transported, and the name of the transportation provider. Information for when six children enrolled and where five child enrolled were to be transported was not observed on the written transportation permission form located on the vehicle. .1723(5) 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 wasp was observed building a nest inside the roof of a small, nonstationary playhouse while children were playing inside the house. 10A NCAC 09 .1719 (a) 1713 The written plan of care did not specify times for completing routine tasks and did not include those times on the written schedule. The written schedule did not include routine tasks completed each week. .1712(e)(1) 1735 The daily schedule, activity plan, infant feeding plan, allergy posting, SIDS Sleep Chart/visual check were not maintained on file for a minimum of 30 days from the revision or replacement date. A written activity plan was not available for review. .1721((f)(4)(A) 1741 Prior to enrollment of children in a Family Child Care Home, and before animals come into the Family Child Care Home, the operator did not obtain each parent's signature on a form acknowledging the type of animal located on the premises and where the animal will be kept during child care operating hours and /or the signed form was not maintained in the child's file. A Pet Acknowledgement form for one child did not have the type of animal located on the premises and where the animal will be kept during operating hours. 10 NCAC 09 .1719(b)(3) 1864 The EPR Plan did not include evacuation diagrams showing how the operator, family members, children and any other individuals who may be present will evacuate during an emergency. The Emergency Preparedness and Response Plan did not include evacuation diagrams showing how the operator, family members, children and any other individuals who may be present will evacuate during an emergency. .1714(d)(7) 2033 Signed discipline statement did not include the required information, as outlined in rule. Dates of enrollment and dates the policy was signed by the parent were not documented on the Discipline Policy for each child enrolled. .1727(c )(1-3) 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 4/22/2024. 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: • Information for when six children enrolled and where five child enrolled were to be transported was not observed on the written transportation permission form located on the vehicle. The Emergency Preparedness and Response Plan did not include evacuation diagrams showing how the operator, family members, children and any other individuals who may be present will evacuate during an emergency. Dates of enrollment were not documented on the Discipline Policy for each child enrolled. The written schedule did not include routine tasks completed each week. On-going trainings were not recorded on the On-Going Training Log. A current activity plan was not available for review. Ms. Jacobs stated she was not aware she had overlooked the completion of these items, with the exception of the lesson plan. She stated Smart Start of Forsyth County is currently providing her Technical Assistance in developing lesson plans according to the Creative Curriculum and TSG. It is essential to maintain accurate and complete records for children in care to ensure all health, safety, and educational requirements are current and being followed. I recommended Ms. Jacobs review all children’s files for completed dates signed, dates of enrollment, and that all forms are filled out completely and accurately. Consultation 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 Rule was thoroughly reviewed with Ms. Jacobs during the visit: • 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (d) (10) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Ms. Jacobs confirmed during today’s visit that the email was received and she enrolled in testing during the visit. 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: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 4/8/2024 Number Present: 3 Completed Date: 4/8/2024 Age: From 1 To 6 Total Minutes: 300 Time In: 09:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant, with Nicole Jacobs, Operator. Your program currently operates with a 4-Star license. Restrictions include 1st, 2nd, and 3rd shift care; children in care on ground level only; and a maximum of five preschoolers at any time. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 85% 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. A power strip was observed to have four outlets without safety covers; Ms. Jacobs corrected this during the visit. A wasp was observed building a nest inside the roof of a small, nonstationary playhouse while children were playing inside the house. Ms. Jacobs removed this nest during the visit. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed three children in care playing with toys, engaging in conversations , playing outdoors, and eating lunch with Ms. Jacobs 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 4/24/2023. 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 3/18/2024. The most recent lockdown drill was documented on 3/29/2024. The last outdoor inspection was documented on 3/18/2024. There are two pets inside the home, and all vaccinations were observed to be current and on file. Staff files and children’s records were monitored per DCDEE procedures. A Pet Acknowledgement form for one child did not have the type of animal located on the premises and where the animal will be kept during operating hours. Ms. Jacobs corrected this during the visit. Storage of hazardous items was monitored today and found to be in compliance. No medications were observed nor reported. The program currently provides transportation. The insurance card for the van used to transport children is current through 6/06/2024. The vehicle used for transportation is a 12-passenger van, not including the driver and the front passenger’s seat. The last vehicle inspection was conducted on 9/30/2024. A fire extinguisher and First Aid Kit were observed in the vehicle. All safety buckles were properly functioning. The program does not participate in off-premise activities or in aquatic activities at this time. NCAC 09 .1719 (a)(2) was monitored during the visit. In addition, monitoring of the items included in the Corrective Action Plan occurred as follows: CAP Item # 1: Information for when six children enrolled and where five child enrolled were to be transported was not observed on the written transportation permission form located on the vehicle. The Emergency Preparedness and Response Plan did not include evacuation diagrams showing how the operator, family members, children and any other individuals who may be present will evacuate during an emergency. CAP Item # 2: Ms. Jacobs completed a scheduled Rules Review on Monday, 10/16/2023, conducted by Ms. McKeown-Stewart. CAP Item # 3: Ms. Jacobs completed a Technical Assistance Visit with Ms. McKeown-Stewart for the purpose of discussing organization with records and applicable childcare requirements on Monday, 11/06/2023. CAP Item # 4: A written plan of achieving compliance with child, staff and program records, and transportation requirements, as well as maintaining accurate records at all times was submitted for review on 11/21/2023, 12/11/2023, 1/01/2024, 1/23/2024, and 3/11/2024. An approval letter for this CAP Item was emailed to Ms. Jacobs on 3/11/2024. CAP Item # 5: A written plan of achieving compliance with child, staff and program records, and transportation requirements, as well as maintaining accurate records at all times was submitted for review on 3/26/2024. An approval letter for this CAP Item was emailed to Ms. Jacobs on 3/28/2024. CAP Item # 6: A written plan of achieving compliance with transportation requirements was submitted for review on 4/08/2024, just prior to my visit. I will review this plan upon returning to my office and provide Ms. Jacobs feedback. The following violations were cited during today’s visit: Violation Number Comment Rule 716 Electrical outlets not in use were not covered. A power strip was observed to have four outlets without safety covers. 10A NCAC .1719(a)(27) 916 Operator did not maintain a record of on-going training in which he/she has participated. A training log of on-going training was not available for review. 10A NCAC 09 .1705(b)(4)(C) 1102 Parent/guardian was not notified of when and where the child was to be transported, and the name of the transportation provider. Information for when six children enrolled and where five child enrolled were to be transported was not observed on the written transportation permission form located on the vehicle. .1723(5) 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 wasp was observed building a nest inside the roof of a small, nonstationary playhouse while children were playing inside the house. 10A NCAC 09 .1719 (a) 1713 The written plan of care did not specify times for completing routine tasks and did not include those times on the written schedule. The written schedule did not include routine tasks completed each week. .1712(e)(1) 1735 The daily schedule, activity plan, infant feeding plan, allergy posting, SIDS Sleep Chart/visual check were not maintained on file for a minimum of 30 days from the revision or replacement date. A written activity plan was not available for review. .1721((f)(4)(A) 1741 Prior to enrollment of children in a Family Child Care Home, and before animals come into the Family Child Care Home, the operator did not obtain each parent's signature on a form acknowledging the type of animal located on the premises and where the animal will be kept during child care operating hours and /or the signed form was not maintained in the child's file. A Pet Acknowledgement form for one child did not have the type of animal located on the premises and where the animal will be kept during operating hours. 10 NCAC 09 .1719(b)(3) 1864 The EPR Plan did not include evacuation diagrams showing how the operator, family members, children and any other individuals who may be present will evacuate during an emergency. The Emergency Preparedness and Response Plan did not include evacuation diagrams showing how the operator, family members, children and any other individuals who may be present will evacuate during an emergency. .1714(d)(7) 2033 Signed discipline statement did not include the required information, as outlined in rule. Dates of enrollment and dates the policy was signed by the parent were not documented on the Discipline Policy for each child enrolled. .1727(c )(1-3) 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 4/22/2024. 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: • Information for when six children enrolled and where five child enrolled were to be transported was not observed on the written transportation permission form located on the vehicle. The Emergency Preparedness and Response Plan did not include evacuation diagrams showing how the operator, family members, children and any other individuals who may be present will evacuate during an emergency. Dates of enrollment were not documented on the Discipline Policy for each child enrolled. The written schedule did not include routine tasks completed each week. On-going trainings were not recorded on the On-Going Training Log. A current activity plan was not available for review. Ms. Jacobs stated she was not aware she had overlooked the completion of these items, with the exception of the lesson plan. She stated Smart Start of Forsyth County is currently providing her Technical Assistance in developing lesson plans according to the Creative Curriculum and TSG. It is essential to maintain accurate and complete records for children in care to ensure all health, safety, and educational requirements are current and being followed. I recommended Ms. Jacobs review all children’s files for completed dates signed, dates of enrollment, and that all forms are filled out completely and accurately. Consultation 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 Rule was thoroughly reviewed with Ms. Jacobs during the visit: • 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (d) (10) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Ms. Jacobs confirmed during today’s visit that the email was received and she enrolled in testing during the visit. 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: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/12/2024 Number Present: 3 Completed Date: 3/12/2024 Age: From 1 To 3 Total Minutes: 165 Time In: 08:45 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on August 31, 2023. The visit was conducted with Nicole Jacobs, Operator, by Cara McKeown-Stewart, Child Care Consultant. There were three children in care today, and children in care were observed to be playing with toys and participating in general routines. A walkthrough of the primary space designated for child care, the bathroom used by children enrolled, and the outdoor learning environment was completed. The supervision of children was monitored and found to be in compliance. Discipline, capacity/ group size, posting of the license and permit restrictions were monitored. Valid CPR and First Aid training, ITS-SIDS Training and Criminal Background Check Letters were monitored and found to be in compliance. NCAC 09 .1719 (a)(2) was not able to be monitored during the visit. Ms. Jacobs provided me with two dates over the next two weeks during which an additional visit can be made to monitor this item. Monitoring of the items included in the Corrective Action occurred as follows: CAP Item # 1: Emergency contact information and emergency medical care information was not observed on the vehicle for one new child enrolled. Information for when and where one child enrolled was to be transported was not observed on the written transportation permission form located on the vehicle. CAP Item # 2: Ms. Jacobs completed a scheduled Rules Review on Monday, 10/16/2023, conducted by Ms. McKeown-Stewart. CAP Item # 3: Ms. Jacobs completed a Technical Assistance Visit with Ms. McKeown-Stewart for the purpose of discussing organization with records and applicable childcare requirements on Monday, 11/06/2023. CAP Item # 4: A written plan of achieving compliance with child, staff and program records, and transportation requirements, as well as maintaining accurate records at all times was submitted for review on 11/21/2023, 12/11/2023, 1/01/2024, 1/23/2024, and 3/11/2024. An approval letter for this CAP Item was emailed to Ms. Jacobs on 3/11/2024. CAP Item # 5: By 3/25/2024, Ms. Jacobs, shall develop a written plan for achieving compliance with ensuring a safe indoor and outdoor environment for children. The written plan shall include, but not be limited to, the following: • Procedures for monitoring safety including safely physically picking up children, the storage and handling of hazardous supplies, storage of ammunition, and identification of safety or sanitation issues within the licensed indoor and outdoor childcare space including removing broken or hazardous items; • A schedule for monitoring the indoor and outdoor environment; • Steps to be taken when indoor and/or outdoor equipment is not sturdy, stable, and free of other hazards and safe environment is compromised. CAP Item # 6: No Action is required until Item # 5 is completed. The following violations were documented during today’s visit: Violation Number Comment Rule 1102 Parent/guardian was not notified of when and where the child was to be transported, and the name of the transportation provider. Information for when and where one child enrolled was to be transported was not observed on the written transportation permission form located on the vehicle. .1723(5) 1103 For each child being transported, the operator or other transportation provider did not have identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a )(3) in the vehicle whenever children were transported. Emergency contact information and emergency medical care information was not observed on the vehicle for one new child enrolled. .1723(13) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 3/26/2024. 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: Cara McKeown 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 visits may be made during the year to monitor child care requirements. Unannounced Visits will also be conducted by a representative of the DCDEE until all CAP Items have been completed. The following Technical Assistance was discussed with Ms. Jacobs during the visit: NCAC 09 .1723 (5) & (13) For each child being transported, the operator or other transportation provider did not have identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a )(3) in the vehicle whenever children were transported. Emergency contact information and emergency medical care information was not observed on the vehicle for one new child enrolled. Parent/guardian was not notified of when and where the child was to be transported, and the name of the transportation provider. Information for when and where one child enrolled was to be transported was not observed on the written transportation permission form located on the vehicle. It is important for all required to transportation information to be on file and located in the vehicle used to transport children on the first day of a child’s enrollment in the program so if an emergency arises, you have all necessary information available to contact necessary emergency, medical, and familial contacts for the child. Ms. Jacobs stated she would get this information from the parent at pick-up today. I recommended Ms. Jacobs use the Child File Checklist and her written plan of achieving compliance with child, staff, program record, and transportation requirements to ensure all necessary information has been completed accurately by the parent prior to the child’s first date of enrollment. The following Consultation was provided/ discussed with Ms. Jacobs during the visit: The following Child Care Rules were thoroughly discussed and reviewed with Ms. Jacobs during the visit: 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a)(3) 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (a) (1) 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: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/12/2024 Number Present: 3 Completed Date: 3/12/2024 Age: From 1 To 3 Total Minutes: 165 Time In: 08:45 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on August 31, 2023. The visit was conducted with Nicole Jacobs, Operator, by Cara McKeown-Stewart, Child Care Consultant. There were three children in care today, and children in care were observed to be playing with toys and participating in general routines. A walkthrough of the primary space designated for child care, the bathroom used by children enrolled, and the outdoor learning environment was completed. The supervision of children was monitored and found to be in compliance. Discipline, capacity/ group size, posting of the license and permit restrictions were monitored. Valid CPR and First Aid training, ITS-SIDS Training and Criminal Background Check Letters were monitored and found to be in compliance. NCAC 09 .1719 (a)(2) was not able to be monitored during the visit. Ms. Jacobs provided me with two dates over the next two weeks during which an additional visit can be made to monitor this item. Monitoring of the items included in the Corrective Action occurred as follows: CAP Item # 1: Emergency contact information and emergency medical care information was not observed on the vehicle for one new child enrolled. Information for when and where one child enrolled was to be transported was not observed on the written transportation permission form located on the vehicle. CAP Item # 2: Ms. Jacobs completed a scheduled Rules Review on Monday, 10/16/2023, conducted by Ms. McKeown-Stewart. CAP Item # 3: Ms. Jacobs completed a Technical Assistance Visit with Ms. McKeown-Stewart for the purpose of discussing organization with records and applicable childcare requirements on Monday, 11/06/2023. CAP Item # 4: A written plan of achieving compliance with child, staff and program records, and transportation requirements, as well as maintaining accurate records at all times was submitted for review on 11/21/2023, 12/11/2023, 1/01/2024, 1/23/2024, and 3/11/2024. An approval letter for this CAP Item was emailed to Ms. Jacobs on 3/11/2024. CAP Item # 5: By 3/25/2024, Ms. Jacobs, shall develop a written plan for achieving compliance with ensuring a safe indoor and outdoor environment for children. The written plan shall include, but not be limited to, the following: • Procedures for monitoring safety including safely physically picking up children, the storage and handling of hazardous supplies, storage of ammunition, and identification of safety or sanitation issues within the licensed indoor and outdoor childcare space including removing broken or hazardous items; • A schedule for monitoring the indoor and outdoor environment; • Steps to be taken when indoor and/or outdoor equipment is not sturdy, stable, and free of other hazards and safe environment is compromised. CAP Item # 6: No Action is required until Item # 5 is completed. The following violations were documented during today’s visit: Violation Number Comment Rule 1102 Parent/guardian was not notified of when and where the child was to be transported, and the name of the transportation provider. Information for when and where one child enrolled was to be transported was not observed on the written transportation permission form located on the vehicle. .1723(5) 1103 For each child being transported, the operator or other transportation provider did not have identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a )(3) in the vehicle whenever children were transported. Emergency contact information and emergency medical care information was not observed on the vehicle for one new child enrolled. .1723(13) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 3/26/2024. 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: Cara McKeown 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 visits may be made during the year to monitor child care requirements. Unannounced Visits will also be conducted by a representative of the DCDEE until all CAP Items have been completed. The following Technical Assistance was discussed with Ms. Jacobs during the visit: NCAC 09 .1723 (5) & (13) For each child being transported, the operator or other transportation provider did not have identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a )(3) in the vehicle whenever children were transported. Emergency contact information and emergency medical care information was not observed on the vehicle for one new child enrolled. Parent/guardian was not notified of when and where the child was to be transported, and the name of the transportation provider. Information for when and where one child enrolled was to be transported was not observed on the written transportation permission form located on the vehicle. It is important for all required to transportation information to be on file and located in the vehicle used to transport children on the first day of a child’s enrollment in the program so if an emergency arises, you have all necessary information available to contact necessary emergency, medical, and familial contacts for the child. Ms. Jacobs stated she would get this information from the parent at pick-up today. I recommended Ms. Jacobs use the Child File Checklist and her written plan of achieving compliance with child, staff, program record, and transportation requirements to ensure all necessary information has been completed accurately by the parent prior to the child’s first date of enrollment. The following Consultation was provided/ discussed with Ms. Jacobs during the visit: The following Child Care Rules were thoroughly discussed and reviewed with Ms. Jacobs during the visit: 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a)(3) 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (a) (1) 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: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/12/2024 Number Present: 3 Completed Date: 3/12/2024 Age: From 1 To 3 Total Minutes: 165 Time In: 08:45 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on August 31, 2023. The visit was conducted with Nicole Jacobs, Operator, by Cara McKeown-Stewart, Child Care Consultant. There were three children in care today, and children in care were observed to be playing with toys and participating in general routines. A walkthrough of the primary space designated for child care, the bathroom used by children enrolled, and the outdoor learning environment was completed. The supervision of children was monitored and found to be in compliance. Discipline, capacity/ group size, posting of the license and permit restrictions were monitored. Valid CPR and First Aid training, ITS-SIDS Training and Criminal Background Check Letters were monitored and found to be in compliance. NCAC 09 .1719 (a)(2) was not able to be monitored during the visit. Ms. Jacobs provided me with two dates over the next two weeks during which an additional visit can be made to monitor this item. Monitoring of the items included in the Corrective Action occurred as follows: CAP Item # 1: Emergency contact information and emergency medical care information was not observed on the vehicle for one new child enrolled. Information for when and where one child enrolled was to be transported was not observed on the written transportation permission form located on the vehicle. CAP Item # 2: Ms. Jacobs completed a scheduled Rules Review on Monday, 10/16/2023, conducted by Ms. McKeown-Stewart. CAP Item # 3: Ms. Jacobs completed a Technical Assistance Visit with Ms. McKeown-Stewart for the purpose of discussing organization with records and applicable childcare requirements on Monday, 11/06/2023. CAP Item # 4: A written plan of achieving compliance with child, staff and program records, and transportation requirements, as well as maintaining accurate records at all times was submitted for review on 11/21/2023, 12/11/2023, 1/01/2024, 1/23/2024, and 3/11/2024. An approval letter for this CAP Item was emailed to Ms. Jacobs on 3/11/2024. CAP Item # 5: By 3/25/2024, Ms. Jacobs, shall develop a written plan for achieving compliance with ensuring a safe indoor and outdoor environment for children. The written plan shall include, but not be limited to, the following: • Procedures for monitoring safety including safely physically picking up children, the storage and handling of hazardous supplies, storage of ammunition, and identification of safety or sanitation issues within the licensed indoor and outdoor childcare space including removing broken or hazardous items; • A schedule for monitoring the indoor and outdoor environment; • Steps to be taken when indoor and/or outdoor equipment is not sturdy, stable, and free of other hazards and safe environment is compromised. CAP Item # 6: No Action is required until Item # 5 is completed. The following violations were documented during today’s visit: Violation Number Comment Rule 1102 Parent/guardian was not notified of when and where the child was to be transported, and the name of the transportation provider. Information for when and where one child enrolled was to be transported was not observed on the written transportation permission form located on the vehicle. .1723(5) 1103 For each child being transported, the operator or other transportation provider did not have identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a )(3) in the vehicle whenever children were transported. Emergency contact information and emergency medical care information was not observed on the vehicle for one new child enrolled. .1723(13) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 3/26/2024. 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: Cara McKeown 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 visits may be made during the year to monitor child care requirements. Unannounced Visits will also be conducted by a representative of the DCDEE until all CAP Items have been completed. The following Technical Assistance was discussed with Ms. Jacobs during the visit: NCAC 09 .1723 (5) & (13) For each child being transported, the operator or other transportation provider did not have identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a )(3) in the vehicle whenever children were transported. Emergency contact information and emergency medical care information was not observed on the vehicle for one new child enrolled. Parent/guardian was not notified of when and where the child was to be transported, and the name of the transportation provider. Information for when and where one child enrolled was to be transported was not observed on the written transportation permission form located on the vehicle. It is important for all required to transportation information to be on file and located in the vehicle used to transport children on the first day of a child’s enrollment in the program so if an emergency arises, you have all necessary information available to contact necessary emergency, medical, and familial contacts for the child. Ms. Jacobs stated she would get this information from the parent at pick-up today. I recommended Ms. Jacobs use the Child File Checklist and her written plan of achieving compliance with child, staff, program record, and transportation requirements to ensure all necessary information has been completed accurately by the parent prior to the child’s first date of enrollment. The following Consultation was provided/ discussed with Ms. Jacobs during the visit: The following Child Care Rules were thoroughly discussed and reviewed with Ms. Jacobs during the visit: 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a)(3) 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (a) (1) 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: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/12/2024 Number Present: 3 Completed Date: 3/12/2024 Age: From 1 To 3 Total Minutes: 165 Time In: 08:45 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on August 31, 2023. The visit was conducted with Nicole Jacobs, Operator, by Cara McKeown-Stewart, Child Care Consultant. There were three children in care today, and children in care were observed to be playing with toys and participating in general routines. A walkthrough of the primary space designated for child care, the bathroom used by children enrolled, and the outdoor learning environment was completed. The supervision of children was monitored and found to be in compliance. Discipline, capacity/ group size, posting of the license and permit restrictions were monitored. Valid CPR and First Aid training, ITS-SIDS Training and Criminal Background Check Letters were monitored and found to be in compliance. NCAC 09 .1719 (a)(2) was not able to be monitored during the visit. Ms. Jacobs provided me with two dates over the next two weeks during which an additional visit can be made to monitor this item. Monitoring of the items included in the Corrective Action occurred as follows: CAP Item # 1: Emergency contact information and emergency medical care information was not observed on the vehicle for one new child enrolled. Information for when and where one child enrolled was to be transported was not observed on the written transportation permission form located on the vehicle. CAP Item # 2: Ms. Jacobs completed a scheduled Rules Review on Monday, 10/16/2023, conducted by Ms. McKeown-Stewart. CAP Item # 3: Ms. Jacobs completed a Technical Assistance Visit with Ms. McKeown-Stewart for the purpose of discussing organization with records and applicable childcare requirements on Monday, 11/06/2023. CAP Item # 4: A written plan of achieving compliance with child, staff and program records, and transportation requirements, as well as maintaining accurate records at all times was submitted for review on 11/21/2023, 12/11/2023, 1/01/2024, 1/23/2024, and 3/11/2024. An approval letter for this CAP Item was emailed to Ms. Jacobs on 3/11/2024. CAP Item # 5: By 3/25/2024, Ms. Jacobs, shall develop a written plan for achieving compliance with ensuring a safe indoor and outdoor environment for children. The written plan shall include, but not be limited to, the following: • Procedures for monitoring safety including safely physically picking up children, the storage and handling of hazardous supplies, storage of ammunition, and identification of safety or sanitation issues within the licensed indoor and outdoor childcare space including removing broken or hazardous items; • A schedule for monitoring the indoor and outdoor environment; • Steps to be taken when indoor and/or outdoor equipment is not sturdy, stable, and free of other hazards and safe environment is compromised. CAP Item # 6: No Action is required until Item # 5 is completed. The following violations were documented during today’s visit: Violation Number Comment Rule 1102 Parent/guardian was not notified of when and where the child was to be transported, and the name of the transportation provider. Information for when and where one child enrolled was to be transported was not observed on the written transportation permission form located on the vehicle. .1723(5) 1103 For each child being transported, the operator or other transportation provider did not have identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a )(3) in the vehicle whenever children were transported. Emergency contact information and emergency medical care information was not observed on the vehicle for one new child enrolled. .1723(13) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 3/26/2024. 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: Cara McKeown 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 visits may be made during the year to monitor child care requirements. Unannounced Visits will also be conducted by a representative of the DCDEE until all CAP Items have been completed. The following Technical Assistance was discussed with Ms. Jacobs during the visit: NCAC 09 .1723 (5) & (13) For each child being transported, the operator or other transportation provider did not have identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a )(3) in the vehicle whenever children were transported. Emergency contact information and emergency medical care information was not observed on the vehicle for one new child enrolled. Parent/guardian was not notified of when and where the child was to be transported, and the name of the transportation provider. Information for when and where one child enrolled was to be transported was not observed on the written transportation permission form located on the vehicle. It is important for all required to transportation information to be on file and located in the vehicle used to transport children on the first day of a child’s enrollment in the program so if an emergency arises, you have all necessary information available to contact necessary emergency, medical, and familial contacts for the child. Ms. Jacobs stated she would get this information from the parent at pick-up today. I recommended Ms. Jacobs use the Child File Checklist and her written plan of achieving compliance with child, staff, program record, and transportation requirements to ensure all necessary information has been completed accurately by the parent prior to the child’s first date of enrollment. The following Consultation was provided/ discussed with Ms. Jacobs during the visit: The following Child Care Rules were thoroughly discussed and reviewed with Ms. Jacobs during the visit: 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a)(3) 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (a) (1) 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 .1723 · Violation

Name of Operation: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 2/9/2024 Number Present: 4 Completed Date: 2/9/2024 Age: From 0 To 3 Total Minutes: 135 Time In: 08:45 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on August 31, 2023. The visit was conducted with Nicole Jacobs, Operator, by Cara McKeown-Stewart, Child Care Consultant. There were three children in care today, and children in care were observed to be playing with toys and participating in general routines. A walkthrough of the primary space designated for child care, the bathroom used by children enrolled, and the outdoor learning environment was completed. The supervision of children was monitored and found to be in compliance. Discipline, capacity/ group size, posting of the license and permit restrictions were monitored. Valid CPR and First Aid training, ITS-SIDS Training and Criminal Background Check Letters were monitored and found to be in compliance. NCAC 09 .1719 (a)(2) was monitored during an unannounced follow-up visit on 1/29/2024. Monitoring of the items included in the Corrective Action occurred as follows: CAP Item # 1: The time of departure for one child enrolled was not recorded upon departure for school. The most recent lockdown drill was completed on 10/12/2023. CAP Item # 2: Ms. Jacobs completed a scheduled Rules Review on Monday, 10/16/2023, conducted by Ms. McKeown-Stewart. CAP Item # 3: Ms. Jacobs completed a Technical Assistance Visit with Ms. McKeown-Stewart for the purpose of discussing organization with records and applicable childcare requirements on Monday, 11/06/2023. CAP Item # 4: A written plan of achieving compliance with child, staff, program record, and transportation requirements, as well as maintaining accurate records at all times was submitted for review on 11/21/2023, 12/11/2023, 1/01/2024, and 1/23/2024. Ms. Jacobs and I will review Ms. Jacobs’ most recent submission via phone on 2/12/24, and I will provide documented feedback following this call. CAP Item # 5: No Action is required until Item # 4 is completed. CAP Item # 6: No Action is required until Item # 5 is completed. The following violations were documented during today’s visit: Violation Number Comment Rule 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. A written record of departure was not documented for one child enrolled when the child departed for school. .1721(e)(6) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. The most recent lockdown drill was conducted on 10/12/2023. .1719(a )(16) & .1721(e )(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 2/23/2024. 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: Cara McKeown 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 visits may be made during the year to monitor child care requirements. Unannounced Visits will also be conducted by a representative of the DCDEE until all CAP Items have been completed. The following Technical Assistance was discussed with Ms. Jacobs during the visit: NCAC 09 .1721 (e ) (6) Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. A written record of departure was not documented for one child enrolled when the child departed for school. Ms. Jacobs stated she picks up the child from home in morning and briefly returns to the FCCH to pick up another child before leaving for school. I recommended Ms. Jacobs consider setting a timer for the times School Age children depart in the morning as an additional reminder to record times of departure. NCAC 09 .1719(a)(16) & .1721 (e )(7) The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. The most recent lockdown drill was conducted on 10/12/2023. Ms. Jacobs stated (and I observed) a set date for this lockdown drill was written on a calendar posted on the was for 1/31/2024, but she was not feeling well on that day. I recommended Ms. Jacobs consider placing an additional reminder on her calendar approximately 2 weeks prior to the next lockdown/shelter-in-place drill being due. The following Consultation was provided/ discussed with Ms. Jacobs during the visit: The following Child Care Rules were thoroughly discussed and reviewed with Ms. Jacobs during the visit: 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS (5) 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a)(3) 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: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 2/9/2024 Number Present: 4 Completed Date: 2/9/2024 Age: From 0 To 3 Total Minutes: 135 Time In: 08:45 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on August 31, 2023. The visit was conducted with Nicole Jacobs, Operator, by Cara McKeown-Stewart, Child Care Consultant. There were three children in care today, and children in care were observed to be playing with toys and participating in general routines. A walkthrough of the primary space designated for child care, the bathroom used by children enrolled, and the outdoor learning environment was completed. The supervision of children was monitored and found to be in compliance. Discipline, capacity/ group size, posting of the license and permit restrictions were monitored. Valid CPR and First Aid training, ITS-SIDS Training and Criminal Background Check Letters were monitored and found to be in compliance. NCAC 09 .1719 (a)(2) was monitored during an unannounced follow-up visit on 1/29/2024. Monitoring of the items included in the Corrective Action occurred as follows: CAP Item # 1: The time of departure for one child enrolled was not recorded upon departure for school. The most recent lockdown drill was completed on 10/12/2023. CAP Item # 2: Ms. Jacobs completed a scheduled Rules Review on Monday, 10/16/2023, conducted by Ms. McKeown-Stewart. CAP Item # 3: Ms. Jacobs completed a Technical Assistance Visit with Ms. McKeown-Stewart for the purpose of discussing organization with records and applicable childcare requirements on Monday, 11/06/2023. CAP Item # 4: A written plan of achieving compliance with child, staff, program record, and transportation requirements, as well as maintaining accurate records at all times was submitted for review on 11/21/2023, 12/11/2023, 1/01/2024, and 1/23/2024. Ms. Jacobs and I will review Ms. Jacobs’ most recent submission via phone on 2/12/24, and I will provide documented feedback following this call. CAP Item # 5: No Action is required until Item # 4 is completed. CAP Item # 6: No Action is required until Item # 5 is completed. The following violations were documented during today’s visit: Violation Number Comment Rule 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. A written record of departure was not documented for one child enrolled when the child departed for school. .1721(e)(6) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. The most recent lockdown drill was conducted on 10/12/2023. .1719(a )(16) & .1721(e )(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 2/23/2024. 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: Cara McKeown 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 visits may be made during the year to monitor child care requirements. Unannounced Visits will also be conducted by a representative of the DCDEE until all CAP Items have been completed. The following Technical Assistance was discussed with Ms. Jacobs during the visit: NCAC 09 .1721 (e ) (6) Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. A written record of departure was not documented for one child enrolled when the child departed for school. Ms. Jacobs stated she picks up the child from home in morning and briefly returns to the FCCH to pick up another child before leaving for school. I recommended Ms. Jacobs consider setting a timer for the times School Age children depart in the morning as an additional reminder to record times of departure. NCAC 09 .1719(a)(16) & .1721 (e )(7) The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. The most recent lockdown drill was conducted on 10/12/2023. Ms. Jacobs stated (and I observed) a set date for this lockdown drill was written on a calendar posted on the was for 1/31/2024, but she was not feeling well on that day. I recommended Ms. Jacobs consider placing an additional reminder on her calendar approximately 2 weeks prior to the next lockdown/shelter-in-place drill being due. The following Consultation was provided/ discussed with Ms. Jacobs during the visit: The following Child Care Rules were thoroughly discussed and reviewed with Ms. Jacobs during the visit: 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS (5) 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a)(3) 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: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 2/9/2024 Number Present: 4 Completed Date: 2/9/2024 Age: From 0 To 3 Total Minutes: 135 Time In: 08:45 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on August 31, 2023. The visit was conducted with Nicole Jacobs, Operator, by Cara McKeown-Stewart, Child Care Consultant. There were three children in care today, and children in care were observed to be playing with toys and participating in general routines. A walkthrough of the primary space designated for child care, the bathroom used by children enrolled, and the outdoor learning environment was completed. The supervision of children was monitored and found to be in compliance. Discipline, capacity/ group size, posting of the license and permit restrictions were monitored. Valid CPR and First Aid training, ITS-SIDS Training and Criminal Background Check Letters were monitored and found to be in compliance. NCAC 09 .1719 (a)(2) was monitored during an unannounced follow-up visit on 1/29/2024. Monitoring of the items included in the Corrective Action occurred as follows: CAP Item # 1: The time of departure for one child enrolled was not recorded upon departure for school. The most recent lockdown drill was completed on 10/12/2023. CAP Item # 2: Ms. Jacobs completed a scheduled Rules Review on Monday, 10/16/2023, conducted by Ms. McKeown-Stewart. CAP Item # 3: Ms. Jacobs completed a Technical Assistance Visit with Ms. McKeown-Stewart for the purpose of discussing organization with records and applicable childcare requirements on Monday, 11/06/2023. CAP Item # 4: A written plan of achieving compliance with child, staff, program record, and transportation requirements, as well as maintaining accurate records at all times was submitted for review on 11/21/2023, 12/11/2023, 1/01/2024, and 1/23/2024. Ms. Jacobs and I will review Ms. Jacobs’ most recent submission via phone on 2/12/24, and I will provide documented feedback following this call. CAP Item # 5: No Action is required until Item # 4 is completed. CAP Item # 6: No Action is required until Item # 5 is completed. The following violations were documented during today’s visit: Violation Number Comment Rule 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. A written record of departure was not documented for one child enrolled when the child departed for school. .1721(e)(6) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. The most recent lockdown drill was conducted on 10/12/2023. .1719(a )(16) & .1721(e )(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 2/23/2024. 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: Cara McKeown 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 visits may be made during the year to monitor child care requirements. Unannounced Visits will also be conducted by a representative of the DCDEE until all CAP Items have been completed. The following Technical Assistance was discussed with Ms. Jacobs during the visit: NCAC 09 .1721 (e ) (6) Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. A written record of departure was not documented for one child enrolled when the child departed for school. Ms. Jacobs stated she picks up the child from home in morning and briefly returns to the FCCH to pick up another child before leaving for school. I recommended Ms. Jacobs consider setting a timer for the times School Age children depart in the morning as an additional reminder to record times of departure. NCAC 09 .1719(a)(16) & .1721 (e )(7) The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. The most recent lockdown drill was conducted on 10/12/2023. Ms. Jacobs stated (and I observed) a set date for this lockdown drill was written on a calendar posted on the was for 1/31/2024, but she was not feeling well on that day. I recommended Ms. Jacobs consider placing an additional reminder on her calendar approximately 2 weeks prior to the next lockdown/shelter-in-place drill being due. The following Consultation was provided/ discussed with Ms. Jacobs during the visit: The following Child Care Rules were thoroughly discussed and reviewed with Ms. Jacobs during the visit: 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS (5) 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a)(3) 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 .0902 · Violation

Name of Operation: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 1/3/2024 Number Present: 4 Completed Date: 1/3/2024 Age: From 1 To 3 Total Minutes: 165 Time In: 10:30 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on August 31, 2023. The visit was conducted with Nicole Jacobs, Operator, by Cara McKeown-Stewart, Child Care Consultant. The Administrative Action is no longer required to be posted. There were four children in care today, and children in care were observed to be playing with toys, participating in general routines, eating lunch during the visit. A walkthrough of the primary space designated for child care, the bathroom used by children enrolled, and the outdoor learning environment was completed. A plastic grocery bag was observed on a shelf less than five feet from the ground at the base of the stairs next to the primary space designated for child care, accessible to children under three years of age. Ms. Jacobs made this bag inaccessible to children during the visit. The supervision of children was monitored and found to be in compliance. Discipline, capacity/ group size, posting of the license and permit restrictions were monitored. Valid CPR and First Aid training, ITS-SIDS Training and Criminal Background Check Letters were monitored and found to be in compliance. NCAC 09 .1719 (a)(2) was not monitored during the visit. An additional visit will be made to monitor this Child Care Rule. A current activity plan for the month of January, 2024 was not on file for review. Monitoring of the items included in the Corrective Action occurred as follows: CAP Item # 1: The transportation permission form for one child enrolled was observed to be greater than 12 months old. CAP Item # 2: Ms. Jacobs completed a scheduled Rules Review on Monday, 10/16/2023, conducted by Ms. McKeown-Stewart. CAP Item # 3: Ms. Jacobs completed a Technical Assistance Visit with Ms. McKeown-Stewart for the purpose of discussing organization with records and applicable childcare requirements on Monday, 11/06/2023. CAP Item # 4: A written plan of achieving compliance with child, staff, program record, and transportation requirements, as well as maintaining accurate records at all times was submitted for review on 11/21/2023, 12/11/2023 and on 1/01/2024. I will review Ms. Jacobs’ most recent submission and provide feedback following the visit. CAP Item # 5: No Action is required until Item # 4 is completed. CAP Item # 6: No Action is required until Item # 5 is completed. The following violations were documented during today’s visit: Violation Number Comment Rule 1101 Operator or other transportation provider did not have written permission from each child's parents or guardian to transport the child. The transportation permission form for one child enrolled was observed to be greater than 12 months old. .1723(5) 1735 The daily schedule, activity plan, infant feeding plan, allergy posting, SIDS Sleep Chart/visual check were not maintained on file for a minimum of 30 days from the revision or replacement date. An activity plan for January, 2024 was not available for review. .1721((f)(4)(A) 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 plastic grocery bag was observed on a shelf less than five feet from the ground at the base of the stairs next to the primary space designated for child care, accessible to children under three years of age. .1719(a)(18) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 1/17/2024. 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: Cara McKeown 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 visits may be made during the year to monitor child care requirements. Unannounced Visits will also be conducted by a representative of the DCDEE until all CAP Items have been completed. The following Technical Assistance was discussed with Ms. Jacobs during the visit: NCAC 09 .1723 (5) Operator or other transportation provider did not have written permission from each child's parents or guardian to transport the child. A transportation authorization form for one child enrolled was not signed by a parent. This authorization ensures the operator has written permission to transport a child. Ms. Jacobs stated she did not realize the parent had not fully completed the form. I advised Ms. Jacobs to review all forms completed by parents, regardless of their nature, to ensure information is complete and correct. NCAC 09 .1721 (f)(4)(A) The daily schedule, activity plan, infant feeding plan, allergy posting, SIDS Sleep Chart/visual check were not maintained on file for a minimum of 30 days from the revision or replacement date. A current activity plan for January, 2024 was not available for review. Activity plans serve as a current guide for learning activities and progress toward mastery of developmental milestones. Ms. Jacobs stated she is currently transitioning from the activity plan she formerly used to the Creative Curriculum. I observed a handwritten activity plan draft from December, 2023. Ms. Jacobs stated she will finish January’s plans and place them on file. The following Consultation was provided/ discussed with Ms. Jacobs during the visit: The following Child Care Rules were thoroughly discussed and reviewed with Ms. Jacobs during the visit: 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS (5) 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) (29) 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a)(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-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 .1719 · Violation

Name of Operation: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 1/3/2024 Number Present: 4 Completed Date: 1/3/2024 Age: From 1 To 3 Total Minutes: 165 Time In: 10:30 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on August 31, 2023. The visit was conducted with Nicole Jacobs, Operator, by Cara McKeown-Stewart, Child Care Consultant. The Administrative Action is no longer required to be posted. There were four children in care today, and children in care were observed to be playing with toys, participating in general routines, eating lunch during the visit. A walkthrough of the primary space designated for child care, the bathroom used by children enrolled, and the outdoor learning environment was completed. A plastic grocery bag was observed on a shelf less than five feet from the ground at the base of the stairs next to the primary space designated for child care, accessible to children under three years of age. Ms. Jacobs made this bag inaccessible to children during the visit. The supervision of children was monitored and found to be in compliance. Discipline, capacity/ group size, posting of the license and permit restrictions were monitored. Valid CPR and First Aid training, ITS-SIDS Training and Criminal Background Check Letters were monitored and found to be in compliance. NCAC 09 .1719 (a)(2) was not monitored during the visit. An additional visit will be made to monitor this Child Care Rule. A current activity plan for the month of January, 2024 was not on file for review. Monitoring of the items included in the Corrective Action occurred as follows: CAP Item # 1: The transportation permission form for one child enrolled was observed to be greater than 12 months old. CAP Item # 2: Ms. Jacobs completed a scheduled Rules Review on Monday, 10/16/2023, conducted by Ms. McKeown-Stewart. CAP Item # 3: Ms. Jacobs completed a Technical Assistance Visit with Ms. McKeown-Stewart for the purpose of discussing organization with records and applicable childcare requirements on Monday, 11/06/2023. CAP Item # 4: A written plan of achieving compliance with child, staff, program record, and transportation requirements, as well as maintaining accurate records at all times was submitted for review on 11/21/2023, 12/11/2023 and on 1/01/2024. I will review Ms. Jacobs’ most recent submission and provide feedback following the visit. CAP Item # 5: No Action is required until Item # 4 is completed. CAP Item # 6: No Action is required until Item # 5 is completed. The following violations were documented during today’s visit: Violation Number Comment Rule 1101 Operator or other transportation provider did not have written permission from each child's parents or guardian to transport the child. The transportation permission form for one child enrolled was observed to be greater than 12 months old. .1723(5) 1735 The daily schedule, activity plan, infant feeding plan, allergy posting, SIDS Sleep Chart/visual check were not maintained on file for a minimum of 30 days from the revision or replacement date. An activity plan for January, 2024 was not available for review. .1721((f)(4)(A) 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 plastic grocery bag was observed on a shelf less than five feet from the ground at the base of the stairs next to the primary space designated for child care, accessible to children under three years of age. .1719(a)(18) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 1/17/2024. 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: Cara McKeown 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 visits may be made during the year to monitor child care requirements. Unannounced Visits will also be conducted by a representative of the DCDEE until all CAP Items have been completed. The following Technical Assistance was discussed with Ms. Jacobs during the visit: NCAC 09 .1723 (5) Operator or other transportation provider did not have written permission from each child's parents or guardian to transport the child. A transportation authorization form for one child enrolled was not signed by a parent. This authorization ensures the operator has written permission to transport a child. Ms. Jacobs stated she did not realize the parent had not fully completed the form. I advised Ms. Jacobs to review all forms completed by parents, regardless of their nature, to ensure information is complete and correct. NCAC 09 .1721 (f)(4)(A) The daily schedule, activity plan, infant feeding plan, allergy posting, SIDS Sleep Chart/visual check were not maintained on file for a minimum of 30 days from the revision or replacement date. A current activity plan for January, 2024 was not available for review. Activity plans serve as a current guide for learning activities and progress toward mastery of developmental milestones. Ms. Jacobs stated she is currently transitioning from the activity plan she formerly used to the Creative Curriculum. I observed a handwritten activity plan draft from December, 2023. Ms. Jacobs stated she will finish January’s plans and place them on file. The following Consultation was provided/ discussed with Ms. Jacobs during the visit: The following Child Care Rules were thoroughly discussed and reviewed with Ms. Jacobs during the visit: 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS (5) 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) (29) 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a)(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-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 .1723 · Violation

Name of Operation: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 1/3/2024 Number Present: 4 Completed Date: 1/3/2024 Age: From 1 To 3 Total Minutes: 165 Time In: 10:30 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on August 31, 2023. The visit was conducted with Nicole Jacobs, Operator, by Cara McKeown-Stewart, Child Care Consultant. The Administrative Action is no longer required to be posted. There were four children in care today, and children in care were observed to be playing with toys, participating in general routines, eating lunch during the visit. A walkthrough of the primary space designated for child care, the bathroom used by children enrolled, and the outdoor learning environment was completed. A plastic grocery bag was observed on a shelf less than five feet from the ground at the base of the stairs next to the primary space designated for child care, accessible to children under three years of age. Ms. Jacobs made this bag inaccessible to children during the visit. The supervision of children was monitored and found to be in compliance. Discipline, capacity/ group size, posting of the license and permit restrictions were monitored. Valid CPR and First Aid training, ITS-SIDS Training and Criminal Background Check Letters were monitored and found to be in compliance. NCAC 09 .1719 (a)(2) was not monitored during the visit. An additional visit will be made to monitor this Child Care Rule. A current activity plan for the month of January, 2024 was not on file for review. Monitoring of the items included in the Corrective Action occurred as follows: CAP Item # 1: The transportation permission form for one child enrolled was observed to be greater than 12 months old. CAP Item # 2: Ms. Jacobs completed a scheduled Rules Review on Monday, 10/16/2023, conducted by Ms. McKeown-Stewart. CAP Item # 3: Ms. Jacobs completed a Technical Assistance Visit with Ms. McKeown-Stewart for the purpose of discussing organization with records and applicable childcare requirements on Monday, 11/06/2023. CAP Item # 4: A written plan of achieving compliance with child, staff, program record, and transportation requirements, as well as maintaining accurate records at all times was submitted for review on 11/21/2023, 12/11/2023 and on 1/01/2024. I will review Ms. Jacobs’ most recent submission and provide feedback following the visit. CAP Item # 5: No Action is required until Item # 4 is completed. CAP Item # 6: No Action is required until Item # 5 is completed. The following violations were documented during today’s visit: Violation Number Comment Rule 1101 Operator or other transportation provider did not have written permission from each child's parents or guardian to transport the child. The transportation permission form for one child enrolled was observed to be greater than 12 months old. .1723(5) 1735 The daily schedule, activity plan, infant feeding plan, allergy posting, SIDS Sleep Chart/visual check were not maintained on file for a minimum of 30 days from the revision or replacement date. An activity plan for January, 2024 was not available for review. .1721((f)(4)(A) 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 plastic grocery bag was observed on a shelf less than five feet from the ground at the base of the stairs next to the primary space designated for child care, accessible to children under three years of age. .1719(a)(18) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 1/17/2024. 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: Cara McKeown 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 visits may be made during the year to monitor child care requirements. Unannounced Visits will also be conducted by a representative of the DCDEE until all CAP Items have been completed. The following Technical Assistance was discussed with Ms. Jacobs during the visit: NCAC 09 .1723 (5) Operator or other transportation provider did not have written permission from each child's parents or guardian to transport the child. A transportation authorization form for one child enrolled was not signed by a parent. This authorization ensures the operator has written permission to transport a child. Ms. Jacobs stated she did not realize the parent had not fully completed the form. I advised Ms. Jacobs to review all forms completed by parents, regardless of their nature, to ensure information is complete and correct. NCAC 09 .1721 (f)(4)(A) The daily schedule, activity plan, infant feeding plan, allergy posting, SIDS Sleep Chart/visual check were not maintained on file for a minimum of 30 days from the revision or replacement date. A current activity plan for January, 2024 was not available for review. Activity plans serve as a current guide for learning activities and progress toward mastery of developmental milestones. Ms. Jacobs stated she is currently transitioning from the activity plan she formerly used to the Creative Curriculum. I observed a handwritten activity plan draft from December, 2023. Ms. Jacobs stated she will finish January’s plans and place them on file. The following Consultation was provided/ discussed with Ms. Jacobs during the visit: The following Child Care Rules were thoroughly discussed and reviewed with Ms. Jacobs during the visit: 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS (5) 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) (29) 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a)(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-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: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 1/3/2024 Number Present: 4 Completed Date: 1/3/2024 Age: From 1 To 3 Total Minutes: 165 Time In: 10:30 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on August 31, 2023. The visit was conducted with Nicole Jacobs, Operator, by Cara McKeown-Stewart, Child Care Consultant. The Administrative Action is no longer required to be posted. There were four children in care today, and children in care were observed to be playing with toys, participating in general routines, eating lunch during the visit. A walkthrough of the primary space designated for child care, the bathroom used by children enrolled, and the outdoor learning environment was completed. A plastic grocery bag was observed on a shelf less than five feet from the ground at the base of the stairs next to the primary space designated for child care, accessible to children under three years of age. Ms. Jacobs made this bag inaccessible to children during the visit. The supervision of children was monitored and found to be in compliance. Discipline, capacity/ group size, posting of the license and permit restrictions were monitored. Valid CPR and First Aid training, ITS-SIDS Training and Criminal Background Check Letters were monitored and found to be in compliance. NCAC 09 .1719 (a)(2) was not monitored during the visit. An additional visit will be made to monitor this Child Care Rule. A current activity plan for the month of January, 2024 was not on file for review. Monitoring of the items included in the Corrective Action occurred as follows: CAP Item # 1: The transportation permission form for one child enrolled was observed to be greater than 12 months old. CAP Item # 2: Ms. Jacobs completed a scheduled Rules Review on Monday, 10/16/2023, conducted by Ms. McKeown-Stewart. CAP Item # 3: Ms. Jacobs completed a Technical Assistance Visit with Ms. McKeown-Stewart for the purpose of discussing organization with records and applicable childcare requirements on Monday, 11/06/2023. CAP Item # 4: A written plan of achieving compliance with child, staff, program record, and transportation requirements, as well as maintaining accurate records at all times was submitted for review on 11/21/2023, 12/11/2023 and on 1/01/2024. I will review Ms. Jacobs’ most recent submission and provide feedback following the visit. CAP Item # 5: No Action is required until Item # 4 is completed. CAP Item # 6: No Action is required until Item # 5 is completed. The following violations were documented during today’s visit: Violation Number Comment Rule 1101 Operator or other transportation provider did not have written permission from each child's parents or guardian to transport the child. The transportation permission form for one child enrolled was observed to be greater than 12 months old. .1723(5) 1735 The daily schedule, activity plan, infant feeding plan, allergy posting, SIDS Sleep Chart/visual check were not maintained on file for a minimum of 30 days from the revision or replacement date. An activity plan for January, 2024 was not available for review. .1721((f)(4)(A) 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 plastic grocery bag was observed on a shelf less than five feet from the ground at the base of the stairs next to the primary space designated for child care, accessible to children under three years of age. .1719(a)(18) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 1/17/2024. 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: Cara McKeown 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 visits may be made during the year to monitor child care requirements. Unannounced Visits will also be conducted by a representative of the DCDEE until all CAP Items have been completed. The following Technical Assistance was discussed with Ms. Jacobs during the visit: NCAC 09 .1723 (5) Operator or other transportation provider did not have written permission from each child's parents or guardian to transport the child. A transportation authorization form for one child enrolled was not signed by a parent. This authorization ensures the operator has written permission to transport a child. Ms. Jacobs stated she did not realize the parent had not fully completed the form. I advised Ms. Jacobs to review all forms completed by parents, regardless of their nature, to ensure information is complete and correct. NCAC 09 .1721 (f)(4)(A) The daily schedule, activity plan, infant feeding plan, allergy posting, SIDS Sleep Chart/visual check were not maintained on file for a minimum of 30 days from the revision or replacement date. A current activity plan for January, 2024 was not available for review. Activity plans serve as a current guide for learning activities and progress toward mastery of developmental milestones. Ms. Jacobs stated she is currently transitioning from the activity plan she formerly used to the Creative Curriculum. I observed a handwritten activity plan draft from December, 2023. Ms. Jacobs stated she will finish January’s plans and place them on file. The following Consultation was provided/ discussed with Ms. Jacobs during the visit: The following Child Care Rules were thoroughly discussed and reviewed with Ms. Jacobs during the visit: 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS (5) 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) (29) 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a)(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-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. 1707 · Violation

Name of Operation: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 11/20/2023 Number Present: 3 Completed Date: 11/20/2023 Age: From 0 To 3 Total Minutes: 253 Time In: 12:17 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on August 31, 2023. The visit was conducted with Nicole Jacobs, Operator, by Cara McKeown-Stewart, Child Care Consultant. The Administrative Active was posted on the wall to the left of the main entrance, visible to parents and visitors, during the visit. The Notice of Administrative Action, Cover Letter and the Corrective Action Plan and the license must remain posted for a period of six months, until February 28, 2023. There were three children in care today, and children in care were observed to be playing with toys, participating in general routines, and napping during the visit. A walkthrough of the home was completed which included the primary space designated for child care, the bathroom used by children enrolled, and the outdoor learning environment. The supervision of children was monitored and found to be in compliance. Discipline, capacity/ group size, posting of the license and permit restrictions were monitored. Valid CPR and First Aid training, ITS-SIDS Training and Criminal Background Check Letters were monitored and found to be in compliance. NCAC 09 .1719 (a)(2) was monitored and found to be in compliance. A current activity plan was not on file for review. Monitoring of the items included in the Corrective Action occurred as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • General Statue 110-90.2 and Child Care Rule .1710(a), and .2703(q) regarding criminal background check • Child Care Rule 10A NCAC 09 .1719 (a), .1724 (b), .1714(c), and .1721 (e)(7) regarding general safety • Child Care Rule 10A NCAC 09 .1707(3) and (4), and NCAC 513.1 regarding fire safety • Child Care Rule 10A NCAC 09 .1723 (3) and (5), and (8), and (13) regarding transportation requirements • Child Care Rule 10A NCAC 09 .1725(a)(9) regarding sanitation • Child Care Rule 10A NCAC 09 .1721 (e)(6) regarding provider records. No medications were observed, nor reported. The door to the laundry area, located inside the bathroom used by children enrolled, was observed to be unlocked, with the key still inside the lock, and containing items labeled Keep Out of Reach of Children with additional warnings. This door was locked and the key removed from the lock during the visit. A certificate for Emergency Preparedness and Response training was not on file for review. A fire drill was not completed during the month of October, 2023. Ms. Jacobs purchased a new fire extinguisher following the last Annual Compliance visit. This new extinguisher was monitored during the Administrative Action Follow-Up visit conducted on 10/11/2023, during which the needle on the gauge for this new extinguisher was observed to point to the line dividing the green and red areas on the gauge. Ms. Jacobs stated she was going to return the extinguisher and exchange it for a new one. During today’s visit, the extinguisher had not yet been exchanged, and the needle was observed inside of the red area on the gauge. A transportation authorization form for one child enrolled was not signed by a parent. 2. Within one (1) week after this Notice is received, Nicole Jacobs, FCCH Operator, shall contact Cara McKeown- Stewart, Child Care Consultant, at telephone number 336-408-4849, 353 Jonestown Road, Unit 146, Winston Salem, NC 27104 or by e-mail at cara.mckeown-stewart@dhhs.nc.gov to conduct a rules review of all applicable child care requirements for family childcare homes. Special emphasis shall be placed on stipulations addressed in Item #1, as well as each the operator’s responsibility for assuring compliance with all applicable childcare requirements. This training must be completed during first shift operating hours, and children may not be present during the training. Documentation of the training shall include a training roster with the name and signature of the trainer and the training participant, as well as, the title of the training and the date and time the training was conducted. The documentation shall be maintained in the facility files for review by Division representatives upon request. Ms. Jacobs completed a scheduled Rules Review on Monday, 10/16/2023, conducted by Ms. McKeown-Stewart. 3. Within one (1) month after completing Item #2, Ms. Jacobs shall contact Ms. McKeown-Stewart, Child Care Consultant, at telephone number 336-408-4849, 353 Jonestown Road, Unit 146, Winston Salem, NC 27104, or by e-mail at cara.mckeown-stewart@dhhs.nc.gov to arrange a Technical Assistance Visit for the purpose of discussing organization with records and applicable childcare requirements. The operator will be required to present for the scheduled Technical Assistance Visit and may not participate in concurrent duties at the program. Ms. Jacobs completed a Technical Assistance Visit with Ms. McKeown-Stewart for the purpose of discussing organization with records and applicable childcare requirements on Monday, 11/06/2023. 4. Within two (2) weeks after the completion of Item #3, Ms. Jacobs, shall develop a written plan of achieving compliance with staff, program record, and transportation requirements, as well as, maintaining accurate records at all times. This written plan shall include, but not be limited to, the following: • Program Records, including the following: o Implementation of a program file checklist (as found in the Provider Documents and Forms) o Method of tracking when required items are due. o Schedule of records reviews o Steps to be taken when information is missing or has not been completed within required timeframes. o Procedures for the written recording of the individual arrival and departure times of each child. o Method of tracking daily individual arrival and departure times of each child. o Procedures for ensuring that all daily arrival and departure logs include the required information and are updated as changes occur. • Staff Records, including the following: o Implementation of a staff file checklist (as found in the Provider Documents and Forms) o Method of tracking when required items are due. o Schedule of file reviews o Steps to be taken when information is missing or has not been completed within required timeframes. • Transportation Requirements, including the following: o Implementation of a transportation monitoring checklist. o Method of tracking when required items are due. o Schedule of on-going transportation monitoring checklist by operator. o Steps to be taken when information is missing or has not been completed within required timeframes. A written plan of achieving compliance with staff, program record, and transportation requirements, as well as maintaining accurate records at all times is due to be submitted by Ms. Jacobs by the end of the day today, 11/20/2023. 5. Within two (2) weeks after the completion of Item #4, Ms. Jacobs, shall develop a written plan for achieving compliance with ensuring a safe indoor and outdoor environment for children. The written plan shall include, but not be limited to, the following: • Procedures for monitoring safety including safely physically picking up children, the storage and handling of hazardous supplies, storage of ammunition, and identification of safety or sanitation issues within the licensed indoor and outdoor childcare space including removing broken or hazardous items. • A schedule for monitoring the indoor and outdoor environment. • Steps to be taken when indoor and/or outdoor equipment is not sturdy, stable, and free of other hazards and safe environment is compromised. No Action is required until Item # 4 is completed. 6. Within two (2) weeks after the completion of Item #5, Ms. Jacobs, shall develop a written plan for achieving compliance with transportation requirements. The written plan shall include, but not be limited to, the following: • Procedures for monitoring transportation requirements including: maintaining current and complete written permission from parents/guardians to transport children, maintaining current and complete identifying information, including the child’s name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721 (a)(3), ensuring children use an individual seat belt or safety belt appropriate to the child’s age or weight, and maintaining written documentation on file verifying current liability insurance information for all vehicles used to transport children. • A schedule for monitoring all transportation requirements. • Steps to be taken when safety issues are identified or when information is missing or has not been completed within required timeframes. The written plan shall be submitted to Ms. McKeown-Stewart via email, cara.mckeown-stewart@dhhs.nc.gov . Ms. McKeown-Stewart shall notify Ms. Jacobs, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and incorporated into the facility’s operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education, upon request. No Action is required until Item # 5 is completed. The following violations were documented during today’s visit: Violation Number Comment Rule 306 At least one 5 lb 2-A:10-B:C type fire extinguisher was not readily accessible for every 2500 square feet of floor space in the home. A new fire extinguisher was monitored during the Administrative Action Follow-Up visit conducted on 10/11/2023, during which the needle on the gauge for this new extinguisher was observed to point to the line dividing the green and red areas on the gauge. During today’s visit, the needle was observed inside of the red area on the gauge. 10A NCAC 09. 1707(4) 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. The door to the laundry area, located inside the bathroom used by children enrolled, was observed to be unlocked, with the key still inside the lock, and containing items labeled Keep Out of Reach of Children with additional warnings. .1719 (a)(7) 1101 Operator or other transportation provider did not have written permission from each child's parents or guardian to transport the child. A transportation authorization form for one child enrolled was not signed by a parent. .1723(5) 1735 The daily schedule, activity plan, infant feeding plan, allergy posting, SIDS Sleep Chart/visual check were not maintained on file for a minimum of 30 days from the revision or replacement date. A current activity plan was not available for review. .1721((f)(4)(A) 1853 The operator did not conduct a monthly fire drill. A fire drill for October, 2023 was not completed. .1719(a)(15) & .1721( e)(2) 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 Emergency Preparedness and Response was not observed on file for the operator. .1714(b) 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 12/04/2023. 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 You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 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 visits may be made during the year to monitor child care requirements. Unannounced Visits will also be conducted by a representative of the DCDEE until all CAP Items have been completed. The following Technical Assistance was provided/ discussed with Ms. Jacobs during the visit: NCAC 09 .1707 (4) At least one 5 lb 2-A:10-B:C type fire extinguisher was not readily accessible for every 2500 square feet of floor space in the home. A new fire extinguisher was monitored during the Administrative Action Follow-Up visit conducted on 10/11/2023, during which the needle on the gauge for this new extinguisher was observed to point to the line dividing the green and red areas on the gauge. During today’s visit, the needle was observed inside of the red area on the gauge. A needle in the red area toward the left of the green area indicates the fire extinguisher is undercharged and warrants a recharge. Ms. Jacobs stated she had not been able to return to the store to exchange the extinguisher. She also stated she is first going to store the extinguisher in a warmer area of the home to see if this changes the reading on the gauge. I advised Ms. Jacobs to replace the extinguisher. NCAC 09 .1719 (a) (7) 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. The door to the laundry area, located inside the bathroom used by children enrolled, was observed to be unlocked, with the key still inside the lock, and containing items labeled Keep Out of Reach of Children with additional warnings. This door must remain locked because children enrolled access this bathroom during operating hours. Ms. Jacobs stated she had recently accessed the door to get a roll of paper towels after feeding the children lunch. She stated that when I arrived, she left the door unlocked while coming to let me into her home. I advised Ms. Jacobs to re-lock the door immediately after use when she needs to access this space. NCAC 09 .1723 (5) Operator or other transportation provider did not have written permission from each child's parents or guardian to transport the child. A transportation authorization form for one child enrolled was not signed by a parent. This authorization ensures the operator has written permission to transport a child. Ms. Jacobs stated she did not realize the parent had not fully completed the form. I advised Ms. Jacobs to review all forms completed by parents, regardless of their nature, to ensure information is complete and correct. NCAC 09 .1721 (f)(4)(A) The daily schedule, activity plan, infant feeding plan, allergy posting, SIDS Sleep Chart/visual check were not maintained on file for a minimum of 30 days from the revision or replacement date. A current activity plan was not available for review. Activity plans serve as a current guide for learning activities and progress toward mastery of developmental milestones. Ms. Jacobs stated she is currently transitioning from the activity plan she formerly used to the Creative Curriculum. I advised her to continue to use an updated version of her former activity plan format until she is ready to implement the Creative Curriculum. NCAC 09 .1719 (a)(15) & .1721 (e)(2) The operator did not conduct a monthly fire drill. A fire drill for October, 2023 was not completed. Practicing a monthly fire drill ensures the operator and children are prepared to know what to do if a fire evacuation is necessary. Ms. Jacobs stated she would complete a fire drill today. I recommended Ms. Jacobs set an email reminder or monthly notification/alarm on her phone to remind her to complete a drill each month. NCAC 09 .1714(b) 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 Emergency Preparedness and Response was not observed on file for the operator. The DCDEE requires all program records to be on file for review. Ms. Jacobs stated she did not realize this certificate had to be on file. I reminded Ms. Jacobs this was discussed during the Rules Review conducted on 10/16/2023. I shared with Ms. Jacobs she can contact her initial provider to obtain another copy of the certificate or letter of verification she has completed the EPR training to keep on file. I stated if this is not possible, she can retake the EPR course. The following Consultation was provided/ discussed with Ms. Jacobs during the visit: • Please ensure all children’s transportation authorization form have dates completed and 12-month standing authorization dates recorded on them. • Please record the date your Professional Development Plan was most recently updated on the plan. The following Child Care Rules were thoroughly discussed and reviewed with Ms. Jacobs during the visit: 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (1) Update the health questionnaire annually. This was monitored and current during the visit conducted on 10/11/2023, but was not on file for review during the visit today. - Please secure the baby gate to the bottom of the stairs during hours of operation, unless in use. 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 .1703 · Violation

Name of Operation: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 11/20/2023 Number Present: 3 Completed Date: 11/20/2023 Age: From 0 To 3 Total Minutes: 253 Time In: 12:17 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on August 31, 2023. The visit was conducted with Nicole Jacobs, Operator, by Cara McKeown-Stewart, Child Care Consultant. The Administrative Active was posted on the wall to the left of the main entrance, visible to parents and visitors, during the visit. The Notice of Administrative Action, Cover Letter and the Corrective Action Plan and the license must remain posted for a period of six months, until February 28, 2023. There were three children in care today, and children in care were observed to be playing with toys, participating in general routines, and napping during the visit. A walkthrough of the home was completed which included the primary space designated for child care, the bathroom used by children enrolled, and the outdoor learning environment. The supervision of children was monitored and found to be in compliance. Discipline, capacity/ group size, posting of the license and permit restrictions were monitored. Valid CPR and First Aid training, ITS-SIDS Training and Criminal Background Check Letters were monitored and found to be in compliance. NCAC 09 .1719 (a)(2) was monitored and found to be in compliance. A current activity plan was not on file for review. Monitoring of the items included in the Corrective Action occurred as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • General Statue 110-90.2 and Child Care Rule .1710(a), and .2703(q) regarding criminal background check • Child Care Rule 10A NCAC 09 .1719 (a), .1724 (b), .1714(c), and .1721 (e)(7) regarding general safety • Child Care Rule 10A NCAC 09 .1707(3) and (4), and NCAC 513.1 regarding fire safety • Child Care Rule 10A NCAC 09 .1723 (3) and (5), and (8), and (13) regarding transportation requirements • Child Care Rule 10A NCAC 09 .1725(a)(9) regarding sanitation • Child Care Rule 10A NCAC 09 .1721 (e)(6) regarding provider records. No medications were observed, nor reported. The door to the laundry area, located inside the bathroom used by children enrolled, was observed to be unlocked, with the key still inside the lock, and containing items labeled Keep Out of Reach of Children with additional warnings. This door was locked and the key removed from the lock during the visit. A certificate for Emergency Preparedness and Response training was not on file for review. A fire drill was not completed during the month of October, 2023. Ms. Jacobs purchased a new fire extinguisher following the last Annual Compliance visit. This new extinguisher was monitored during the Administrative Action Follow-Up visit conducted on 10/11/2023, during which the needle on the gauge for this new extinguisher was observed to point to the line dividing the green and red areas on the gauge. Ms. Jacobs stated she was going to return the extinguisher and exchange it for a new one. During today’s visit, the extinguisher had not yet been exchanged, and the needle was observed inside of the red area on the gauge. A transportation authorization form for one child enrolled was not signed by a parent. 2. Within one (1) week after this Notice is received, Nicole Jacobs, FCCH Operator, shall contact Cara McKeown- Stewart, Child Care Consultant, at telephone number 336-408-4849, 353 Jonestown Road, Unit 146, Winston Salem, NC 27104 or by e-mail at cara.mckeown-stewart@dhhs.nc.gov to conduct a rules review of all applicable child care requirements for family childcare homes. Special emphasis shall be placed on stipulations addressed in Item #1, as well as each the operator’s responsibility for assuring compliance with all applicable childcare requirements. This training must be completed during first shift operating hours, and children may not be present during the training. Documentation of the training shall include a training roster with the name and signature of the trainer and the training participant, as well as, the title of the training and the date and time the training was conducted. The documentation shall be maintained in the facility files for review by Division representatives upon request. Ms. Jacobs completed a scheduled Rules Review on Monday, 10/16/2023, conducted by Ms. McKeown-Stewart. 3. Within one (1) month after completing Item #2, Ms. Jacobs shall contact Ms. McKeown-Stewart, Child Care Consultant, at telephone number 336-408-4849, 353 Jonestown Road, Unit 146, Winston Salem, NC 27104, or by e-mail at cara.mckeown-stewart@dhhs.nc.gov to arrange a Technical Assistance Visit for the purpose of discussing organization with records and applicable childcare requirements. The operator will be required to present for the scheduled Technical Assistance Visit and may not participate in concurrent duties at the program. Ms. Jacobs completed a Technical Assistance Visit with Ms. McKeown-Stewart for the purpose of discussing organization with records and applicable childcare requirements on Monday, 11/06/2023. 4. Within two (2) weeks after the completion of Item #3, Ms. Jacobs, shall develop a written plan of achieving compliance with staff, program record, and transportation requirements, as well as, maintaining accurate records at all times. This written plan shall include, but not be limited to, the following: • Program Records, including the following: o Implementation of a program file checklist (as found in the Provider Documents and Forms) o Method of tracking when required items are due. o Schedule of records reviews o Steps to be taken when information is missing or has not been completed within required timeframes. o Procedures for the written recording of the individual arrival and departure times of each child. o Method of tracking daily individual arrival and departure times of each child. o Procedures for ensuring that all daily arrival and departure logs include the required information and are updated as changes occur. • Staff Records, including the following: o Implementation of a staff file checklist (as found in the Provider Documents and Forms) o Method of tracking when required items are due. o Schedule of file reviews o Steps to be taken when information is missing or has not been completed within required timeframes. • Transportation Requirements, including the following: o Implementation of a transportation monitoring checklist. o Method of tracking when required items are due. o Schedule of on-going transportation monitoring checklist by operator. o Steps to be taken when information is missing or has not been completed within required timeframes. A written plan of achieving compliance with staff, program record, and transportation requirements, as well as maintaining accurate records at all times is due to be submitted by Ms. Jacobs by the end of the day today, 11/20/2023. 5. Within two (2) weeks after the completion of Item #4, Ms. Jacobs, shall develop a written plan for achieving compliance with ensuring a safe indoor and outdoor environment for children. The written plan shall include, but not be limited to, the following: • Procedures for monitoring safety including safely physically picking up children, the storage and handling of hazardous supplies, storage of ammunition, and identification of safety or sanitation issues within the licensed indoor and outdoor childcare space including removing broken or hazardous items. • A schedule for monitoring the indoor and outdoor environment. • Steps to be taken when indoor and/or outdoor equipment is not sturdy, stable, and free of other hazards and safe environment is compromised. No Action is required until Item # 4 is completed. 6. Within two (2) weeks after the completion of Item #5, Ms. Jacobs, shall develop a written plan for achieving compliance with transportation requirements. The written plan shall include, but not be limited to, the following: • Procedures for monitoring transportation requirements including: maintaining current and complete written permission from parents/guardians to transport children, maintaining current and complete identifying information, including the child’s name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721 (a)(3), ensuring children use an individual seat belt or safety belt appropriate to the child’s age or weight, and maintaining written documentation on file verifying current liability insurance information for all vehicles used to transport children. • A schedule for monitoring all transportation requirements. • Steps to be taken when safety issues are identified or when information is missing or has not been completed within required timeframes. The written plan shall be submitted to Ms. McKeown-Stewart via email, cara.mckeown-stewart@dhhs.nc.gov . Ms. McKeown-Stewart shall notify Ms. Jacobs, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and incorporated into the facility’s operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education, upon request. No Action is required until Item # 5 is completed. The following violations were documented during today’s visit: Violation Number Comment Rule 306 At least one 5 lb 2-A:10-B:C type fire extinguisher was not readily accessible for every 2500 square feet of floor space in the home. A new fire extinguisher was monitored during the Administrative Action Follow-Up visit conducted on 10/11/2023, during which the needle on the gauge for this new extinguisher was observed to point to the line dividing the green and red areas on the gauge. During today’s visit, the needle was observed inside of the red area on the gauge. 10A NCAC 09. 1707(4) 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. The door to the laundry area, located inside the bathroom used by children enrolled, was observed to be unlocked, with the key still inside the lock, and containing items labeled Keep Out of Reach of Children with additional warnings. .1719 (a)(7) 1101 Operator or other transportation provider did not have written permission from each child's parents or guardian to transport the child. A transportation authorization form for one child enrolled was not signed by a parent. .1723(5) 1735 The daily schedule, activity plan, infant feeding plan, allergy posting, SIDS Sleep Chart/visual check were not maintained on file for a minimum of 30 days from the revision or replacement date. A current activity plan was not available for review. .1721((f)(4)(A) 1853 The operator did not conduct a monthly fire drill. A fire drill for October, 2023 was not completed. .1719(a)(15) & .1721( e)(2) 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 Emergency Preparedness and Response was not observed on file for the operator. .1714(b) 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 12/04/2023. 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 You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 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 visits may be made during the year to monitor child care requirements. Unannounced Visits will also be conducted by a representative of the DCDEE until all CAP Items have been completed. The following Technical Assistance was provided/ discussed with Ms. Jacobs during the visit: NCAC 09 .1707 (4) At least one 5 lb 2-A:10-B:C type fire extinguisher was not readily accessible for every 2500 square feet of floor space in the home. A new fire extinguisher was monitored during the Administrative Action Follow-Up visit conducted on 10/11/2023, during which the needle on the gauge for this new extinguisher was observed to point to the line dividing the green and red areas on the gauge. During today’s visit, the needle was observed inside of the red area on the gauge. A needle in the red area toward the left of the green area indicates the fire extinguisher is undercharged and warrants a recharge. Ms. Jacobs stated she had not been able to return to the store to exchange the extinguisher. She also stated she is first going to store the extinguisher in a warmer area of the home to see if this changes the reading on the gauge. I advised Ms. Jacobs to replace the extinguisher. NCAC 09 .1719 (a) (7) 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. The door to the laundry area, located inside the bathroom used by children enrolled, was observed to be unlocked, with the key still inside the lock, and containing items labeled Keep Out of Reach of Children with additional warnings. This door must remain locked because children enrolled access this bathroom during operating hours. Ms. Jacobs stated she had recently accessed the door to get a roll of paper towels after feeding the children lunch. She stated that when I arrived, she left the door unlocked while coming to let me into her home. I advised Ms. Jacobs to re-lock the door immediately after use when she needs to access this space. NCAC 09 .1723 (5) Operator or other transportation provider did not have written permission from each child's parents or guardian to transport the child. A transportation authorization form for one child enrolled was not signed by a parent. This authorization ensures the operator has written permission to transport a child. Ms. Jacobs stated she did not realize the parent had not fully completed the form. I advised Ms. Jacobs to review all forms completed by parents, regardless of their nature, to ensure information is complete and correct. NCAC 09 .1721 (f)(4)(A) The daily schedule, activity plan, infant feeding plan, allergy posting, SIDS Sleep Chart/visual check were not maintained on file for a minimum of 30 days from the revision or replacement date. A current activity plan was not available for review. Activity plans serve as a current guide for learning activities and progress toward mastery of developmental milestones. Ms. Jacobs stated she is currently transitioning from the activity plan she formerly used to the Creative Curriculum. I advised her to continue to use an updated version of her former activity plan format until she is ready to implement the Creative Curriculum. NCAC 09 .1719 (a)(15) & .1721 (e)(2) The operator did not conduct a monthly fire drill. A fire drill for October, 2023 was not completed. Practicing a monthly fire drill ensures the operator and children are prepared to know what to do if a fire evacuation is necessary. Ms. Jacobs stated she would complete a fire drill today. I recommended Ms. Jacobs set an email reminder or monthly notification/alarm on her phone to remind her to complete a drill each month. NCAC 09 .1714(b) 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 Emergency Preparedness and Response was not observed on file for the operator. The DCDEE requires all program records to be on file for review. Ms. Jacobs stated she did not realize this certificate had to be on file. I reminded Ms. Jacobs this was discussed during the Rules Review conducted on 10/16/2023. I shared with Ms. Jacobs she can contact her initial provider to obtain another copy of the certificate or letter of verification she has completed the EPR training to keep on file. I stated if this is not possible, she can retake the EPR course. The following Consultation was provided/ discussed with Ms. Jacobs during the visit: • Please ensure all children’s transportation authorization form have dates completed and 12-month standing authorization dates recorded on them. • Please record the date your Professional Development Plan was most recently updated on the plan. The following Child Care Rules were thoroughly discussed and reviewed with Ms. Jacobs during the visit: 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (1) Update the health questionnaire annually. This was monitored and current during the visit conducted on 10/11/2023, but was not on file for review during the visit today. - Please secure the baby gate to the bottom of the stairs during hours of operation, unless in use. 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 .1707 · Violation

Name of Operation: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 11/20/2023 Number Present: 3 Completed Date: 11/20/2023 Age: From 0 To 3 Total Minutes: 253 Time In: 12:17 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on August 31, 2023. The visit was conducted with Nicole Jacobs, Operator, by Cara McKeown-Stewart, Child Care Consultant. The Administrative Active was posted on the wall to the left of the main entrance, visible to parents and visitors, during the visit. The Notice of Administrative Action, Cover Letter and the Corrective Action Plan and the license must remain posted for a period of six months, until February 28, 2023. There were three children in care today, and children in care were observed to be playing with toys, participating in general routines, and napping during the visit. A walkthrough of the home was completed which included the primary space designated for child care, the bathroom used by children enrolled, and the outdoor learning environment. The supervision of children was monitored and found to be in compliance. Discipline, capacity/ group size, posting of the license and permit restrictions were monitored. Valid CPR and First Aid training, ITS-SIDS Training and Criminal Background Check Letters were monitored and found to be in compliance. NCAC 09 .1719 (a)(2) was monitored and found to be in compliance. A current activity plan was not on file for review. Monitoring of the items included in the Corrective Action occurred as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • General Statue 110-90.2 and Child Care Rule .1710(a), and .2703(q) regarding criminal background check • Child Care Rule 10A NCAC 09 .1719 (a), .1724 (b), .1714(c), and .1721 (e)(7) regarding general safety • Child Care Rule 10A NCAC 09 .1707(3) and (4), and NCAC 513.1 regarding fire safety • Child Care Rule 10A NCAC 09 .1723 (3) and (5), and (8), and (13) regarding transportation requirements • Child Care Rule 10A NCAC 09 .1725(a)(9) regarding sanitation • Child Care Rule 10A NCAC 09 .1721 (e)(6) regarding provider records. No medications were observed, nor reported. The door to the laundry area, located inside the bathroom used by children enrolled, was observed to be unlocked, with the key still inside the lock, and containing items labeled Keep Out of Reach of Children with additional warnings. This door was locked and the key removed from the lock during the visit. A certificate for Emergency Preparedness and Response training was not on file for review. A fire drill was not completed during the month of October, 2023. Ms. Jacobs purchased a new fire extinguisher following the last Annual Compliance visit. This new extinguisher was monitored during the Administrative Action Follow-Up visit conducted on 10/11/2023, during which the needle on the gauge for this new extinguisher was observed to point to the line dividing the green and red areas on the gauge. Ms. Jacobs stated she was going to return the extinguisher and exchange it for a new one. During today’s visit, the extinguisher had not yet been exchanged, and the needle was observed inside of the red area on the gauge. A transportation authorization form for one child enrolled was not signed by a parent. 2. Within one (1) week after this Notice is received, Nicole Jacobs, FCCH Operator, shall contact Cara McKeown- Stewart, Child Care Consultant, at telephone number 336-408-4849, 353 Jonestown Road, Unit 146, Winston Salem, NC 27104 or by e-mail at cara.mckeown-stewart@dhhs.nc.gov to conduct a rules review of all applicable child care requirements for family childcare homes. Special emphasis shall be placed on stipulations addressed in Item #1, as well as each the operator’s responsibility for assuring compliance with all applicable childcare requirements. This training must be completed during first shift operating hours, and children may not be present during the training. Documentation of the training shall include a training roster with the name and signature of the trainer and the training participant, as well as, the title of the training and the date and time the training was conducted. The documentation shall be maintained in the facility files for review by Division representatives upon request. Ms. Jacobs completed a scheduled Rules Review on Monday, 10/16/2023, conducted by Ms. McKeown-Stewart. 3. Within one (1) month after completing Item #2, Ms. Jacobs shall contact Ms. McKeown-Stewart, Child Care Consultant, at telephone number 336-408-4849, 353 Jonestown Road, Unit 146, Winston Salem, NC 27104, or by e-mail at cara.mckeown-stewart@dhhs.nc.gov to arrange a Technical Assistance Visit for the purpose of discussing organization with records and applicable childcare requirements. The operator will be required to present for the scheduled Technical Assistance Visit and may not participate in concurrent duties at the program. Ms. Jacobs completed a Technical Assistance Visit with Ms. McKeown-Stewart for the purpose of discussing organization with records and applicable childcare requirements on Monday, 11/06/2023. 4. Within two (2) weeks after the completion of Item #3, Ms. Jacobs, shall develop a written plan of achieving compliance with staff, program record, and transportation requirements, as well as, maintaining accurate records at all times. This written plan shall include, but not be limited to, the following: • Program Records, including the following: o Implementation of a program file checklist (as found in the Provider Documents and Forms) o Method of tracking when required items are due. o Schedule of records reviews o Steps to be taken when information is missing or has not been completed within required timeframes. o Procedures for the written recording of the individual arrival and departure times of each child. o Method of tracking daily individual arrival and departure times of each child. o Procedures for ensuring that all daily arrival and departure logs include the required information and are updated as changes occur. • Staff Records, including the following: o Implementation of a staff file checklist (as found in the Provider Documents and Forms) o Method of tracking when required items are due. o Schedule of file reviews o Steps to be taken when information is missing or has not been completed within required timeframes. • Transportation Requirements, including the following: o Implementation of a transportation monitoring checklist. o Method of tracking when required items are due. o Schedule of on-going transportation monitoring checklist by operator. o Steps to be taken when information is missing or has not been completed within required timeframes. A written plan of achieving compliance with staff, program record, and transportation requirements, as well as maintaining accurate records at all times is due to be submitted by Ms. Jacobs by the end of the day today, 11/20/2023. 5. Within two (2) weeks after the completion of Item #4, Ms. Jacobs, shall develop a written plan for achieving compliance with ensuring a safe indoor and outdoor environment for children. The written plan shall include, but not be limited to, the following: • Procedures for monitoring safety including safely physically picking up children, the storage and handling of hazardous supplies, storage of ammunition, and identification of safety or sanitation issues within the licensed indoor and outdoor childcare space including removing broken or hazardous items. • A schedule for monitoring the indoor and outdoor environment. • Steps to be taken when indoor and/or outdoor equipment is not sturdy, stable, and free of other hazards and safe environment is compromised. No Action is required until Item # 4 is completed. 6. Within two (2) weeks after the completion of Item #5, Ms. Jacobs, shall develop a written plan for achieving compliance with transportation requirements. The written plan shall include, but not be limited to, the following: • Procedures for monitoring transportation requirements including: maintaining current and complete written permission from parents/guardians to transport children, maintaining current and complete identifying information, including the child’s name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721 (a)(3), ensuring children use an individual seat belt or safety belt appropriate to the child’s age or weight, and maintaining written documentation on file verifying current liability insurance information for all vehicles used to transport children. • A schedule for monitoring all transportation requirements. • Steps to be taken when safety issues are identified or when information is missing or has not been completed within required timeframes. The written plan shall be submitted to Ms. McKeown-Stewart via email, cara.mckeown-stewart@dhhs.nc.gov . Ms. McKeown-Stewart shall notify Ms. Jacobs, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and incorporated into the facility’s operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education, upon request. No Action is required until Item # 5 is completed. The following violations were documented during today’s visit: Violation Number Comment Rule 306 At least one 5 lb 2-A:10-B:C type fire extinguisher was not readily accessible for every 2500 square feet of floor space in the home. A new fire extinguisher was monitored during the Administrative Action Follow-Up visit conducted on 10/11/2023, during which the needle on the gauge for this new extinguisher was observed to point to the line dividing the green and red areas on the gauge. During today’s visit, the needle was observed inside of the red area on the gauge. 10A NCAC 09. 1707(4) 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. The door to the laundry area, located inside the bathroom used by children enrolled, was observed to be unlocked, with the key still inside the lock, and containing items labeled Keep Out of Reach of Children with additional warnings. .1719 (a)(7) 1101 Operator or other transportation provider did not have written permission from each child's parents or guardian to transport the child. A transportation authorization form for one child enrolled was not signed by a parent. .1723(5) 1735 The daily schedule, activity plan, infant feeding plan, allergy posting, SIDS Sleep Chart/visual check were not maintained on file for a minimum of 30 days from the revision or replacement date. A current activity plan was not available for review. .1721((f)(4)(A) 1853 The operator did not conduct a monthly fire drill. A fire drill for October, 2023 was not completed. .1719(a)(15) & .1721( e)(2) 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 Emergency Preparedness and Response was not observed on file for the operator. .1714(b) 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 12/04/2023. 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 You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 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 visits may be made during the year to monitor child care requirements. Unannounced Visits will also be conducted by a representative of the DCDEE until all CAP Items have been completed. The following Technical Assistance was provided/ discussed with Ms. Jacobs during the visit: NCAC 09 .1707 (4) At least one 5 lb 2-A:10-B:C type fire extinguisher was not readily accessible for every 2500 square feet of floor space in the home. A new fire extinguisher was monitored during the Administrative Action Follow-Up visit conducted on 10/11/2023, during which the needle on the gauge for this new extinguisher was observed to point to the line dividing the green and red areas on the gauge. During today’s visit, the needle was observed inside of the red area on the gauge. A needle in the red area toward the left of the green area indicates the fire extinguisher is undercharged and warrants a recharge. Ms. Jacobs stated she had not been able to return to the store to exchange the extinguisher. She also stated she is first going to store the extinguisher in a warmer area of the home to see if this changes the reading on the gauge. I advised Ms. Jacobs to replace the extinguisher. NCAC 09 .1719 (a) (7) 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. The door to the laundry area, located inside the bathroom used by children enrolled, was observed to be unlocked, with the key still inside the lock, and containing items labeled Keep Out of Reach of Children with additional warnings. This door must remain locked because children enrolled access this bathroom during operating hours. Ms. Jacobs stated she had recently accessed the door to get a roll of paper towels after feeding the children lunch. She stated that when I arrived, she left the door unlocked while coming to let me into her home. I advised Ms. Jacobs to re-lock the door immediately after use when she needs to access this space. NCAC 09 .1723 (5) Operator or other transportation provider did not have written permission from each child's parents or guardian to transport the child. A transportation authorization form for one child enrolled was not signed by a parent. This authorization ensures the operator has written permission to transport a child. Ms. Jacobs stated she did not realize the parent had not fully completed the form. I advised Ms. Jacobs to review all forms completed by parents, regardless of their nature, to ensure information is complete and correct. NCAC 09 .1721 (f)(4)(A) The daily schedule, activity plan, infant feeding plan, allergy posting, SIDS Sleep Chart/visual check were not maintained on file for a minimum of 30 days from the revision or replacement date. A current activity plan was not available for review. Activity plans serve as a current guide for learning activities and progress toward mastery of developmental milestones. Ms. Jacobs stated she is currently transitioning from the activity plan she formerly used to the Creative Curriculum. I advised her to continue to use an updated version of her former activity plan format until she is ready to implement the Creative Curriculum. NCAC 09 .1719 (a)(15) & .1721 (e)(2) The operator did not conduct a monthly fire drill. A fire drill for October, 2023 was not completed. Practicing a monthly fire drill ensures the operator and children are prepared to know what to do if a fire evacuation is necessary. Ms. Jacobs stated she would complete a fire drill today. I recommended Ms. Jacobs set an email reminder or monthly notification/alarm on her phone to remind her to complete a drill each month. NCAC 09 .1714(b) 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 Emergency Preparedness and Response was not observed on file for the operator. The DCDEE requires all program records to be on file for review. Ms. Jacobs stated she did not realize this certificate had to be on file. I reminded Ms. Jacobs this was discussed during the Rules Review conducted on 10/16/2023. I shared with Ms. Jacobs she can contact her initial provider to obtain another copy of the certificate or letter of verification she has completed the EPR training to keep on file. I stated if this is not possible, she can retake the EPR course. The following Consultation was provided/ discussed with Ms. Jacobs during the visit: • Please ensure all children’s transportation authorization form have dates completed and 12-month standing authorization dates recorded on them. • Please record the date your Professional Development Plan was most recently updated on the plan. The following Child Care Rules were thoroughly discussed and reviewed with Ms. Jacobs during the visit: 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (1) Update the health questionnaire annually. This was monitored and current during the visit conducted on 10/11/2023, but was not on file for review during the visit today. - Please secure the baby gate to the bottom of the stairs during hours of operation, unless in use. 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 .1719 · Violation

Name of Operation: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 11/20/2023 Number Present: 3 Completed Date: 11/20/2023 Age: From 0 To 3 Total Minutes: 253 Time In: 12:17 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on August 31, 2023. The visit was conducted with Nicole Jacobs, Operator, by Cara McKeown-Stewart, Child Care Consultant. The Administrative Active was posted on the wall to the left of the main entrance, visible to parents and visitors, during the visit. The Notice of Administrative Action, Cover Letter and the Corrective Action Plan and the license must remain posted for a period of six months, until February 28, 2023. There were three children in care today, and children in care were observed to be playing with toys, participating in general routines, and napping during the visit. A walkthrough of the home was completed which included the primary space designated for child care, the bathroom used by children enrolled, and the outdoor learning environment. The supervision of children was monitored and found to be in compliance. Discipline, capacity/ group size, posting of the license and permit restrictions were monitored. Valid CPR and First Aid training, ITS-SIDS Training and Criminal Background Check Letters were monitored and found to be in compliance. NCAC 09 .1719 (a)(2) was monitored and found to be in compliance. A current activity plan was not on file for review. Monitoring of the items included in the Corrective Action occurred as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • General Statue 110-90.2 and Child Care Rule .1710(a), and .2703(q) regarding criminal background check • Child Care Rule 10A NCAC 09 .1719 (a), .1724 (b), .1714(c), and .1721 (e)(7) regarding general safety • Child Care Rule 10A NCAC 09 .1707(3) and (4), and NCAC 513.1 regarding fire safety • Child Care Rule 10A NCAC 09 .1723 (3) and (5), and (8), and (13) regarding transportation requirements • Child Care Rule 10A NCAC 09 .1725(a)(9) regarding sanitation • Child Care Rule 10A NCAC 09 .1721 (e)(6) regarding provider records. No medications were observed, nor reported. The door to the laundry area, located inside the bathroom used by children enrolled, was observed to be unlocked, with the key still inside the lock, and containing items labeled Keep Out of Reach of Children with additional warnings. This door was locked and the key removed from the lock during the visit. A certificate for Emergency Preparedness and Response training was not on file for review. A fire drill was not completed during the month of October, 2023. Ms. Jacobs purchased a new fire extinguisher following the last Annual Compliance visit. This new extinguisher was monitored during the Administrative Action Follow-Up visit conducted on 10/11/2023, during which the needle on the gauge for this new extinguisher was observed to point to the line dividing the green and red areas on the gauge. Ms. Jacobs stated she was going to return the extinguisher and exchange it for a new one. During today’s visit, the extinguisher had not yet been exchanged, and the needle was observed inside of the red area on the gauge. A transportation authorization form for one child enrolled was not signed by a parent. 2. Within one (1) week after this Notice is received, Nicole Jacobs, FCCH Operator, shall contact Cara McKeown- Stewart, Child Care Consultant, at telephone number 336-408-4849, 353 Jonestown Road, Unit 146, Winston Salem, NC 27104 or by e-mail at cara.mckeown-stewart@dhhs.nc.gov to conduct a rules review of all applicable child care requirements for family childcare homes. Special emphasis shall be placed on stipulations addressed in Item #1, as well as each the operator’s responsibility for assuring compliance with all applicable childcare requirements. This training must be completed during first shift operating hours, and children may not be present during the training. Documentation of the training shall include a training roster with the name and signature of the trainer and the training participant, as well as, the title of the training and the date and time the training was conducted. The documentation shall be maintained in the facility files for review by Division representatives upon request. Ms. Jacobs completed a scheduled Rules Review on Monday, 10/16/2023, conducted by Ms. McKeown-Stewart. 3. Within one (1) month after completing Item #2, Ms. Jacobs shall contact Ms. McKeown-Stewart, Child Care Consultant, at telephone number 336-408-4849, 353 Jonestown Road, Unit 146, Winston Salem, NC 27104, or by e-mail at cara.mckeown-stewart@dhhs.nc.gov to arrange a Technical Assistance Visit for the purpose of discussing organization with records and applicable childcare requirements. The operator will be required to present for the scheduled Technical Assistance Visit and may not participate in concurrent duties at the program. Ms. Jacobs completed a Technical Assistance Visit with Ms. McKeown-Stewart for the purpose of discussing organization with records and applicable childcare requirements on Monday, 11/06/2023. 4. Within two (2) weeks after the completion of Item #3, Ms. Jacobs, shall develop a written plan of achieving compliance with staff, program record, and transportation requirements, as well as, maintaining accurate records at all times. This written plan shall include, but not be limited to, the following: • Program Records, including the following: o Implementation of a program file checklist (as found in the Provider Documents and Forms) o Method of tracking when required items are due. o Schedule of records reviews o Steps to be taken when information is missing or has not been completed within required timeframes. o Procedures for the written recording of the individual arrival and departure times of each child. o Method of tracking daily individual arrival and departure times of each child. o Procedures for ensuring that all daily arrival and departure logs include the required information and are updated as changes occur. • Staff Records, including the following: o Implementation of a staff file checklist (as found in the Provider Documents and Forms) o Method of tracking when required items are due. o Schedule of file reviews o Steps to be taken when information is missing or has not been completed within required timeframes. • Transportation Requirements, including the following: o Implementation of a transportation monitoring checklist. o Method of tracking when required items are due. o Schedule of on-going transportation monitoring checklist by operator. o Steps to be taken when information is missing or has not been completed within required timeframes. A written plan of achieving compliance with staff, program record, and transportation requirements, as well as maintaining accurate records at all times is due to be submitted by Ms. Jacobs by the end of the day today, 11/20/2023. 5. Within two (2) weeks after the completion of Item #4, Ms. Jacobs, shall develop a written plan for achieving compliance with ensuring a safe indoor and outdoor environment for children. The written plan shall include, but not be limited to, the following: • Procedures for monitoring safety including safely physically picking up children, the storage and handling of hazardous supplies, storage of ammunition, and identification of safety or sanitation issues within the licensed indoor and outdoor childcare space including removing broken or hazardous items. • A schedule for monitoring the indoor and outdoor environment. • Steps to be taken when indoor and/or outdoor equipment is not sturdy, stable, and free of other hazards and safe environment is compromised. No Action is required until Item # 4 is completed. 6. Within two (2) weeks after the completion of Item #5, Ms. Jacobs, shall develop a written plan for achieving compliance with transportation requirements. The written plan shall include, but not be limited to, the following: • Procedures for monitoring transportation requirements including: maintaining current and complete written permission from parents/guardians to transport children, maintaining current and complete identifying information, including the child’s name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721 (a)(3), ensuring children use an individual seat belt or safety belt appropriate to the child’s age or weight, and maintaining written documentation on file verifying current liability insurance information for all vehicles used to transport children. • A schedule for monitoring all transportation requirements. • Steps to be taken when safety issues are identified or when information is missing or has not been completed within required timeframes. The written plan shall be submitted to Ms. McKeown-Stewart via email, cara.mckeown-stewart@dhhs.nc.gov . Ms. McKeown-Stewart shall notify Ms. Jacobs, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and incorporated into the facility’s operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education, upon request. No Action is required until Item # 5 is completed. The following violations were documented during today’s visit: Violation Number Comment Rule 306 At least one 5 lb 2-A:10-B:C type fire extinguisher was not readily accessible for every 2500 square feet of floor space in the home. A new fire extinguisher was monitored during the Administrative Action Follow-Up visit conducted on 10/11/2023, during which the needle on the gauge for this new extinguisher was observed to point to the line dividing the green and red areas on the gauge. During today’s visit, the needle was observed inside of the red area on the gauge. 10A NCAC 09. 1707(4) 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. The door to the laundry area, located inside the bathroom used by children enrolled, was observed to be unlocked, with the key still inside the lock, and containing items labeled Keep Out of Reach of Children with additional warnings. .1719 (a)(7) 1101 Operator or other transportation provider did not have written permission from each child's parents or guardian to transport the child. A transportation authorization form for one child enrolled was not signed by a parent. .1723(5) 1735 The daily schedule, activity plan, infant feeding plan, allergy posting, SIDS Sleep Chart/visual check were not maintained on file for a minimum of 30 days from the revision or replacement date. A current activity plan was not available for review. .1721((f)(4)(A) 1853 The operator did not conduct a monthly fire drill. A fire drill for October, 2023 was not completed. .1719(a)(15) & .1721( e)(2) 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 Emergency Preparedness and Response was not observed on file for the operator. .1714(b) 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 12/04/2023. 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 You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 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 visits may be made during the year to monitor child care requirements. Unannounced Visits will also be conducted by a representative of the DCDEE until all CAP Items have been completed. The following Technical Assistance was provided/ discussed with Ms. Jacobs during the visit: NCAC 09 .1707 (4) At least one 5 lb 2-A:10-B:C type fire extinguisher was not readily accessible for every 2500 square feet of floor space in the home. A new fire extinguisher was monitored during the Administrative Action Follow-Up visit conducted on 10/11/2023, during which the needle on the gauge for this new extinguisher was observed to point to the line dividing the green and red areas on the gauge. During today’s visit, the needle was observed inside of the red area on the gauge. A needle in the red area toward the left of the green area indicates the fire extinguisher is undercharged and warrants a recharge. Ms. Jacobs stated she had not been able to return to the store to exchange the extinguisher. She also stated she is first going to store the extinguisher in a warmer area of the home to see if this changes the reading on the gauge. I advised Ms. Jacobs to replace the extinguisher. NCAC 09 .1719 (a) (7) 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. The door to the laundry area, located inside the bathroom used by children enrolled, was observed to be unlocked, with the key still inside the lock, and containing items labeled Keep Out of Reach of Children with additional warnings. This door must remain locked because children enrolled access this bathroom during operating hours. Ms. Jacobs stated she had recently accessed the door to get a roll of paper towels after feeding the children lunch. She stated that when I arrived, she left the door unlocked while coming to let me into her home. I advised Ms. Jacobs to re-lock the door immediately after use when she needs to access this space. NCAC 09 .1723 (5) Operator or other transportation provider did not have written permission from each child's parents or guardian to transport the child. A transportation authorization form for one child enrolled was not signed by a parent. This authorization ensures the operator has written permission to transport a child. Ms. Jacobs stated she did not realize the parent had not fully completed the form. I advised Ms. Jacobs to review all forms completed by parents, regardless of their nature, to ensure information is complete and correct. NCAC 09 .1721 (f)(4)(A) The daily schedule, activity plan, infant feeding plan, allergy posting, SIDS Sleep Chart/visual check were not maintained on file for a minimum of 30 days from the revision or replacement date. A current activity plan was not available for review. Activity plans serve as a current guide for learning activities and progress toward mastery of developmental milestones. Ms. Jacobs stated she is currently transitioning from the activity plan she formerly used to the Creative Curriculum. I advised her to continue to use an updated version of her former activity plan format until she is ready to implement the Creative Curriculum. NCAC 09 .1719 (a)(15) & .1721 (e)(2) The operator did not conduct a monthly fire drill. A fire drill for October, 2023 was not completed. Practicing a monthly fire drill ensures the operator and children are prepared to know what to do if a fire evacuation is necessary. Ms. Jacobs stated she would complete a fire drill today. I recommended Ms. Jacobs set an email reminder or monthly notification/alarm on her phone to remind her to complete a drill each month. NCAC 09 .1714(b) 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 Emergency Preparedness and Response was not observed on file for the operator. The DCDEE requires all program records to be on file for review. Ms. Jacobs stated she did not realize this certificate had to be on file. I reminded Ms. Jacobs this was discussed during the Rules Review conducted on 10/16/2023. I shared with Ms. Jacobs she can contact her initial provider to obtain another copy of the certificate or letter of verification she has completed the EPR training to keep on file. I stated if this is not possible, she can retake the EPR course. The following Consultation was provided/ discussed with Ms. Jacobs during the visit: • Please ensure all children’s transportation authorization form have dates completed and 12-month standing authorization dates recorded on them. • Please record the date your Professional Development Plan was most recently updated on the plan. The following Child Care Rules were thoroughly discussed and reviewed with Ms. Jacobs during the visit: 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (1) Update the health questionnaire annually. This was monitored and current during the visit conducted on 10/11/2023, but was not on file for review during the visit today. - Please secure the baby gate to the bottom of the stairs during hours of operation, unless in use. 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: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 11/20/2023 Number Present: 3 Completed Date: 11/20/2023 Age: From 0 To 3 Total Minutes: 253 Time In: 12:17 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on August 31, 2023. The visit was conducted with Nicole Jacobs, Operator, by Cara McKeown-Stewart, Child Care Consultant. The Administrative Active was posted on the wall to the left of the main entrance, visible to parents and visitors, during the visit. The Notice of Administrative Action, Cover Letter and the Corrective Action Plan and the license must remain posted for a period of six months, until February 28, 2023. There were three children in care today, and children in care were observed to be playing with toys, participating in general routines, and napping during the visit. A walkthrough of the home was completed which included the primary space designated for child care, the bathroom used by children enrolled, and the outdoor learning environment. The supervision of children was monitored and found to be in compliance. Discipline, capacity/ group size, posting of the license and permit restrictions were monitored. Valid CPR and First Aid training, ITS-SIDS Training and Criminal Background Check Letters were monitored and found to be in compliance. NCAC 09 .1719 (a)(2) was monitored and found to be in compliance. A current activity plan was not on file for review. Monitoring of the items included in the Corrective Action occurred as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • General Statue 110-90.2 and Child Care Rule .1710(a), and .2703(q) regarding criminal background check • Child Care Rule 10A NCAC 09 .1719 (a), .1724 (b), .1714(c), and .1721 (e)(7) regarding general safety • Child Care Rule 10A NCAC 09 .1707(3) and (4), and NCAC 513.1 regarding fire safety • Child Care Rule 10A NCAC 09 .1723 (3) and (5), and (8), and (13) regarding transportation requirements • Child Care Rule 10A NCAC 09 .1725(a)(9) regarding sanitation • Child Care Rule 10A NCAC 09 .1721 (e)(6) regarding provider records. No medications were observed, nor reported. The door to the laundry area, located inside the bathroom used by children enrolled, was observed to be unlocked, with the key still inside the lock, and containing items labeled Keep Out of Reach of Children with additional warnings. This door was locked and the key removed from the lock during the visit. A certificate for Emergency Preparedness and Response training was not on file for review. A fire drill was not completed during the month of October, 2023. Ms. Jacobs purchased a new fire extinguisher following the last Annual Compliance visit. This new extinguisher was monitored during the Administrative Action Follow-Up visit conducted on 10/11/2023, during which the needle on the gauge for this new extinguisher was observed to point to the line dividing the green and red areas on the gauge. Ms. Jacobs stated she was going to return the extinguisher and exchange it for a new one. During today’s visit, the extinguisher had not yet been exchanged, and the needle was observed inside of the red area on the gauge. A transportation authorization form for one child enrolled was not signed by a parent. 2. Within one (1) week after this Notice is received, Nicole Jacobs, FCCH Operator, shall contact Cara McKeown- Stewart, Child Care Consultant, at telephone number 336-408-4849, 353 Jonestown Road, Unit 146, Winston Salem, NC 27104 or by e-mail at cara.mckeown-stewart@dhhs.nc.gov to conduct a rules review of all applicable child care requirements for family childcare homes. Special emphasis shall be placed on stipulations addressed in Item #1, as well as each the operator’s responsibility for assuring compliance with all applicable childcare requirements. This training must be completed during first shift operating hours, and children may not be present during the training. Documentation of the training shall include a training roster with the name and signature of the trainer and the training participant, as well as, the title of the training and the date and time the training was conducted. The documentation shall be maintained in the facility files for review by Division representatives upon request. Ms. Jacobs completed a scheduled Rules Review on Monday, 10/16/2023, conducted by Ms. McKeown-Stewart. 3. Within one (1) month after completing Item #2, Ms. Jacobs shall contact Ms. McKeown-Stewart, Child Care Consultant, at telephone number 336-408-4849, 353 Jonestown Road, Unit 146, Winston Salem, NC 27104, or by e-mail at cara.mckeown-stewart@dhhs.nc.gov to arrange a Technical Assistance Visit for the purpose of discussing organization with records and applicable childcare requirements. The operator will be required to present for the scheduled Technical Assistance Visit and may not participate in concurrent duties at the program. Ms. Jacobs completed a Technical Assistance Visit with Ms. McKeown-Stewart for the purpose of discussing organization with records and applicable childcare requirements on Monday, 11/06/2023. 4. Within two (2) weeks after the completion of Item #3, Ms. Jacobs, shall develop a written plan of achieving compliance with staff, program record, and transportation requirements, as well as, maintaining accurate records at all times. This written plan shall include, but not be limited to, the following: • Program Records, including the following: o Implementation of a program file checklist (as found in the Provider Documents and Forms) o Method of tracking when required items are due. o Schedule of records reviews o Steps to be taken when information is missing or has not been completed within required timeframes. o Procedures for the written recording of the individual arrival and departure times of each child. o Method of tracking daily individual arrival and departure times of each child. o Procedures for ensuring that all daily arrival and departure logs include the required information and are updated as changes occur. • Staff Records, including the following: o Implementation of a staff file checklist (as found in the Provider Documents and Forms) o Method of tracking when required items are due. o Schedule of file reviews o Steps to be taken when information is missing or has not been completed within required timeframes. • Transportation Requirements, including the following: o Implementation of a transportation monitoring checklist. o Method of tracking when required items are due. o Schedule of on-going transportation monitoring checklist by operator. o Steps to be taken when information is missing or has not been completed within required timeframes. A written plan of achieving compliance with staff, program record, and transportation requirements, as well as maintaining accurate records at all times is due to be submitted by Ms. Jacobs by the end of the day today, 11/20/2023. 5. Within two (2) weeks after the completion of Item #4, Ms. Jacobs, shall develop a written plan for achieving compliance with ensuring a safe indoor and outdoor environment for children. The written plan shall include, but not be limited to, the following: • Procedures for monitoring safety including safely physically picking up children, the storage and handling of hazardous supplies, storage of ammunition, and identification of safety or sanitation issues within the licensed indoor and outdoor childcare space including removing broken or hazardous items. • A schedule for monitoring the indoor and outdoor environment. • Steps to be taken when indoor and/or outdoor equipment is not sturdy, stable, and free of other hazards and safe environment is compromised. No Action is required until Item # 4 is completed. 6. Within two (2) weeks after the completion of Item #5, Ms. Jacobs, shall develop a written plan for achieving compliance with transportation requirements. The written plan shall include, but not be limited to, the following: • Procedures for monitoring transportation requirements including: maintaining current and complete written permission from parents/guardians to transport children, maintaining current and complete identifying information, including the child’s name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721 (a)(3), ensuring children use an individual seat belt or safety belt appropriate to the child’s age or weight, and maintaining written documentation on file verifying current liability insurance information for all vehicles used to transport children. • A schedule for monitoring all transportation requirements. • Steps to be taken when safety issues are identified or when information is missing or has not been completed within required timeframes. The written plan shall be submitted to Ms. McKeown-Stewart via email, cara.mckeown-stewart@dhhs.nc.gov . Ms. McKeown-Stewart shall notify Ms. Jacobs, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and incorporated into the facility’s operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education, upon request. No Action is required until Item # 5 is completed. The following violations were documented during today’s visit: Violation Number Comment Rule 306 At least one 5 lb 2-A:10-B:C type fire extinguisher was not readily accessible for every 2500 square feet of floor space in the home. A new fire extinguisher was monitored during the Administrative Action Follow-Up visit conducted on 10/11/2023, during which the needle on the gauge for this new extinguisher was observed to point to the line dividing the green and red areas on the gauge. During today’s visit, the needle was observed inside of the red area on the gauge. 10A NCAC 09. 1707(4) 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. The door to the laundry area, located inside the bathroom used by children enrolled, was observed to be unlocked, with the key still inside the lock, and containing items labeled Keep Out of Reach of Children with additional warnings. .1719 (a)(7) 1101 Operator or other transportation provider did not have written permission from each child's parents or guardian to transport the child. A transportation authorization form for one child enrolled was not signed by a parent. .1723(5) 1735 The daily schedule, activity plan, infant feeding plan, allergy posting, SIDS Sleep Chart/visual check were not maintained on file for a minimum of 30 days from the revision or replacement date. A current activity plan was not available for review. .1721((f)(4)(A) 1853 The operator did not conduct a monthly fire drill. A fire drill for October, 2023 was not completed. .1719(a)(15) & .1721( e)(2) 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 Emergency Preparedness and Response was not observed on file for the operator. .1714(b) 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 12/04/2023. 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 You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 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 visits may be made during the year to monitor child care requirements. Unannounced Visits will also be conducted by a representative of the DCDEE until all CAP Items have been completed. The following Technical Assistance was provided/ discussed with Ms. Jacobs during the visit: NCAC 09 .1707 (4) At least one 5 lb 2-A:10-B:C type fire extinguisher was not readily accessible for every 2500 square feet of floor space in the home. A new fire extinguisher was monitored during the Administrative Action Follow-Up visit conducted on 10/11/2023, during which the needle on the gauge for this new extinguisher was observed to point to the line dividing the green and red areas on the gauge. During today’s visit, the needle was observed inside of the red area on the gauge. A needle in the red area toward the left of the green area indicates the fire extinguisher is undercharged and warrants a recharge. Ms. Jacobs stated she had not been able to return to the store to exchange the extinguisher. She also stated she is first going to store the extinguisher in a warmer area of the home to see if this changes the reading on the gauge. I advised Ms. Jacobs to replace the extinguisher. NCAC 09 .1719 (a) (7) 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. The door to the laundry area, located inside the bathroom used by children enrolled, was observed to be unlocked, with the key still inside the lock, and containing items labeled Keep Out of Reach of Children with additional warnings. This door must remain locked because children enrolled access this bathroom during operating hours. Ms. Jacobs stated she had recently accessed the door to get a roll of paper towels after feeding the children lunch. She stated that when I arrived, she left the door unlocked while coming to let me into her home. I advised Ms. Jacobs to re-lock the door immediately after use when she needs to access this space. NCAC 09 .1723 (5) Operator or other transportation provider did not have written permission from each child's parents or guardian to transport the child. A transportation authorization form for one child enrolled was not signed by a parent. This authorization ensures the operator has written permission to transport a child. Ms. Jacobs stated she did not realize the parent had not fully completed the form. I advised Ms. Jacobs to review all forms completed by parents, regardless of their nature, to ensure information is complete and correct. NCAC 09 .1721 (f)(4)(A) The daily schedule, activity plan, infant feeding plan, allergy posting, SIDS Sleep Chart/visual check were not maintained on file for a minimum of 30 days from the revision or replacement date. A current activity plan was not available for review. Activity plans serve as a current guide for learning activities and progress toward mastery of developmental milestones. Ms. Jacobs stated she is currently transitioning from the activity plan she formerly used to the Creative Curriculum. I advised her to continue to use an updated version of her former activity plan format until she is ready to implement the Creative Curriculum. NCAC 09 .1719 (a)(15) & .1721 (e)(2) The operator did not conduct a monthly fire drill. A fire drill for October, 2023 was not completed. Practicing a monthly fire drill ensures the operator and children are prepared to know what to do if a fire evacuation is necessary. Ms. Jacobs stated she would complete a fire drill today. I recommended Ms. Jacobs set an email reminder or monthly notification/alarm on her phone to remind her to complete a drill each month. NCAC 09 .1714(b) 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 Emergency Preparedness and Response was not observed on file for the operator. The DCDEE requires all program records to be on file for review. Ms. Jacobs stated she did not realize this certificate had to be on file. I reminded Ms. Jacobs this was discussed during the Rules Review conducted on 10/16/2023. I shared with Ms. Jacobs she can contact her initial provider to obtain another copy of the certificate or letter of verification she has completed the EPR training to keep on file. I stated if this is not possible, she can retake the EPR course. The following Consultation was provided/ discussed with Ms. Jacobs during the visit: • Please ensure all children’s transportation authorization form have dates completed and 12-month standing authorization dates recorded on them. • Please record the date your Professional Development Plan was most recently updated on the plan. The following Child Care Rules were thoroughly discussed and reviewed with Ms. Jacobs during the visit: 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (1) Update the health questionnaire annually. This was monitored and current during the visit conducted on 10/11/2023, but was not on file for review during the visit today. - Please secure the baby gate to the bottom of the stairs during hours of operation, unless in use. 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 .1723 · Violation

Name of Operation: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 11/20/2023 Number Present: 3 Completed Date: 11/20/2023 Age: From 0 To 3 Total Minutes: 253 Time In: 12:17 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on August 31, 2023. The visit was conducted with Nicole Jacobs, Operator, by Cara McKeown-Stewart, Child Care Consultant. The Administrative Active was posted on the wall to the left of the main entrance, visible to parents and visitors, during the visit. The Notice of Administrative Action, Cover Letter and the Corrective Action Plan and the license must remain posted for a period of six months, until February 28, 2023. There were three children in care today, and children in care were observed to be playing with toys, participating in general routines, and napping during the visit. A walkthrough of the home was completed which included the primary space designated for child care, the bathroom used by children enrolled, and the outdoor learning environment. The supervision of children was monitored and found to be in compliance. Discipline, capacity/ group size, posting of the license and permit restrictions were monitored. Valid CPR and First Aid training, ITS-SIDS Training and Criminal Background Check Letters were monitored and found to be in compliance. NCAC 09 .1719 (a)(2) was monitored and found to be in compliance. A current activity plan was not on file for review. Monitoring of the items included in the Corrective Action occurred as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • General Statue 110-90.2 and Child Care Rule .1710(a), and .2703(q) regarding criminal background check • Child Care Rule 10A NCAC 09 .1719 (a), .1724 (b), .1714(c), and .1721 (e)(7) regarding general safety • Child Care Rule 10A NCAC 09 .1707(3) and (4), and NCAC 513.1 regarding fire safety • Child Care Rule 10A NCAC 09 .1723 (3) and (5), and (8), and (13) regarding transportation requirements • Child Care Rule 10A NCAC 09 .1725(a)(9) regarding sanitation • Child Care Rule 10A NCAC 09 .1721 (e)(6) regarding provider records. No medications were observed, nor reported. The door to the laundry area, located inside the bathroom used by children enrolled, was observed to be unlocked, with the key still inside the lock, and containing items labeled Keep Out of Reach of Children with additional warnings. This door was locked and the key removed from the lock during the visit. A certificate for Emergency Preparedness and Response training was not on file for review. A fire drill was not completed during the month of October, 2023. Ms. Jacobs purchased a new fire extinguisher following the last Annual Compliance visit. This new extinguisher was monitored during the Administrative Action Follow-Up visit conducted on 10/11/2023, during which the needle on the gauge for this new extinguisher was observed to point to the line dividing the green and red areas on the gauge. Ms. Jacobs stated she was going to return the extinguisher and exchange it for a new one. During today’s visit, the extinguisher had not yet been exchanged, and the needle was observed inside of the red area on the gauge. A transportation authorization form for one child enrolled was not signed by a parent. 2. Within one (1) week after this Notice is received, Nicole Jacobs, FCCH Operator, shall contact Cara McKeown- Stewart, Child Care Consultant, at telephone number 336-408-4849, 353 Jonestown Road, Unit 146, Winston Salem, NC 27104 or by e-mail at cara.mckeown-stewart@dhhs.nc.gov to conduct a rules review of all applicable child care requirements for family childcare homes. Special emphasis shall be placed on stipulations addressed in Item #1, as well as each the operator’s responsibility for assuring compliance with all applicable childcare requirements. This training must be completed during first shift operating hours, and children may not be present during the training. Documentation of the training shall include a training roster with the name and signature of the trainer and the training participant, as well as, the title of the training and the date and time the training was conducted. The documentation shall be maintained in the facility files for review by Division representatives upon request. Ms. Jacobs completed a scheduled Rules Review on Monday, 10/16/2023, conducted by Ms. McKeown-Stewart. 3. Within one (1) month after completing Item #2, Ms. Jacobs shall contact Ms. McKeown-Stewart, Child Care Consultant, at telephone number 336-408-4849, 353 Jonestown Road, Unit 146, Winston Salem, NC 27104, or by e-mail at cara.mckeown-stewart@dhhs.nc.gov to arrange a Technical Assistance Visit for the purpose of discussing organization with records and applicable childcare requirements. The operator will be required to present for the scheduled Technical Assistance Visit and may not participate in concurrent duties at the program. Ms. Jacobs completed a Technical Assistance Visit with Ms. McKeown-Stewart for the purpose of discussing organization with records and applicable childcare requirements on Monday, 11/06/2023. 4. Within two (2) weeks after the completion of Item #3, Ms. Jacobs, shall develop a written plan of achieving compliance with staff, program record, and transportation requirements, as well as, maintaining accurate records at all times. This written plan shall include, but not be limited to, the following: • Program Records, including the following: o Implementation of a program file checklist (as found in the Provider Documents and Forms) o Method of tracking when required items are due. o Schedule of records reviews o Steps to be taken when information is missing or has not been completed within required timeframes. o Procedures for the written recording of the individual arrival and departure times of each child. o Method of tracking daily individual arrival and departure times of each child. o Procedures for ensuring that all daily arrival and departure logs include the required information and are updated as changes occur. • Staff Records, including the following: o Implementation of a staff file checklist (as found in the Provider Documents and Forms) o Method of tracking when required items are due. o Schedule of file reviews o Steps to be taken when information is missing or has not been completed within required timeframes. • Transportation Requirements, including the following: o Implementation of a transportation monitoring checklist. o Method of tracking when required items are due. o Schedule of on-going transportation monitoring checklist by operator. o Steps to be taken when information is missing or has not been completed within required timeframes. A written plan of achieving compliance with staff, program record, and transportation requirements, as well as maintaining accurate records at all times is due to be submitted by Ms. Jacobs by the end of the day today, 11/20/2023. 5. Within two (2) weeks after the completion of Item #4, Ms. Jacobs, shall develop a written plan for achieving compliance with ensuring a safe indoor and outdoor environment for children. The written plan shall include, but not be limited to, the following: • Procedures for monitoring safety including safely physically picking up children, the storage and handling of hazardous supplies, storage of ammunition, and identification of safety or sanitation issues within the licensed indoor and outdoor childcare space including removing broken or hazardous items. • A schedule for monitoring the indoor and outdoor environment. • Steps to be taken when indoor and/or outdoor equipment is not sturdy, stable, and free of other hazards and safe environment is compromised. No Action is required until Item # 4 is completed. 6. Within two (2) weeks after the completion of Item #5, Ms. Jacobs, shall develop a written plan for achieving compliance with transportation requirements. The written plan shall include, but not be limited to, the following: • Procedures for monitoring transportation requirements including: maintaining current and complete written permission from parents/guardians to transport children, maintaining current and complete identifying information, including the child’s name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721 (a)(3), ensuring children use an individual seat belt or safety belt appropriate to the child’s age or weight, and maintaining written documentation on file verifying current liability insurance information for all vehicles used to transport children. • A schedule for monitoring all transportation requirements. • Steps to be taken when safety issues are identified or when information is missing or has not been completed within required timeframes. The written plan shall be submitted to Ms. McKeown-Stewart via email, cara.mckeown-stewart@dhhs.nc.gov . Ms. McKeown-Stewart shall notify Ms. Jacobs, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and incorporated into the facility’s operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education, upon request. No Action is required until Item # 5 is completed. The following violations were documented during today’s visit: Violation Number Comment Rule 306 At least one 5 lb 2-A:10-B:C type fire extinguisher was not readily accessible for every 2500 square feet of floor space in the home. A new fire extinguisher was monitored during the Administrative Action Follow-Up visit conducted on 10/11/2023, during which the needle on the gauge for this new extinguisher was observed to point to the line dividing the green and red areas on the gauge. During today’s visit, the needle was observed inside of the red area on the gauge. 10A NCAC 09. 1707(4) 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. The door to the laundry area, located inside the bathroom used by children enrolled, was observed to be unlocked, with the key still inside the lock, and containing items labeled Keep Out of Reach of Children with additional warnings. .1719 (a)(7) 1101 Operator or other transportation provider did not have written permission from each child's parents or guardian to transport the child. A transportation authorization form for one child enrolled was not signed by a parent. .1723(5) 1735 The daily schedule, activity plan, infant feeding plan, allergy posting, SIDS Sleep Chart/visual check were not maintained on file for a minimum of 30 days from the revision or replacement date. A current activity plan was not available for review. .1721((f)(4)(A) 1853 The operator did not conduct a monthly fire drill. A fire drill for October, 2023 was not completed. .1719(a)(15) & .1721( e)(2) 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 Emergency Preparedness and Response was not observed on file for the operator. .1714(b) 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 12/04/2023. 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 You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 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 visits may be made during the year to monitor child care requirements. Unannounced Visits will also be conducted by a representative of the DCDEE until all CAP Items have been completed. The following Technical Assistance was provided/ discussed with Ms. Jacobs during the visit: NCAC 09 .1707 (4) At least one 5 lb 2-A:10-B:C type fire extinguisher was not readily accessible for every 2500 square feet of floor space in the home. A new fire extinguisher was monitored during the Administrative Action Follow-Up visit conducted on 10/11/2023, during which the needle on the gauge for this new extinguisher was observed to point to the line dividing the green and red areas on the gauge. During today’s visit, the needle was observed inside of the red area on the gauge. A needle in the red area toward the left of the green area indicates the fire extinguisher is undercharged and warrants a recharge. Ms. Jacobs stated she had not been able to return to the store to exchange the extinguisher. She also stated she is first going to store the extinguisher in a warmer area of the home to see if this changes the reading on the gauge. I advised Ms. Jacobs to replace the extinguisher. NCAC 09 .1719 (a) (7) 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. The door to the laundry area, located inside the bathroom used by children enrolled, was observed to be unlocked, with the key still inside the lock, and containing items labeled Keep Out of Reach of Children with additional warnings. This door must remain locked because children enrolled access this bathroom during operating hours. Ms. Jacobs stated she had recently accessed the door to get a roll of paper towels after feeding the children lunch. She stated that when I arrived, she left the door unlocked while coming to let me into her home. I advised Ms. Jacobs to re-lock the door immediately after use when she needs to access this space. NCAC 09 .1723 (5) Operator or other transportation provider did not have written permission from each child's parents or guardian to transport the child. A transportation authorization form for one child enrolled was not signed by a parent. This authorization ensures the operator has written permission to transport a child. Ms. Jacobs stated she did not realize the parent had not fully completed the form. I advised Ms. Jacobs to review all forms completed by parents, regardless of their nature, to ensure information is complete and correct. NCAC 09 .1721 (f)(4)(A) The daily schedule, activity plan, infant feeding plan, allergy posting, SIDS Sleep Chart/visual check were not maintained on file for a minimum of 30 days from the revision or replacement date. A current activity plan was not available for review. Activity plans serve as a current guide for learning activities and progress toward mastery of developmental milestones. Ms. Jacobs stated she is currently transitioning from the activity plan she formerly used to the Creative Curriculum. I advised her to continue to use an updated version of her former activity plan format until she is ready to implement the Creative Curriculum. NCAC 09 .1719 (a)(15) & .1721 (e)(2) The operator did not conduct a monthly fire drill. A fire drill for October, 2023 was not completed. Practicing a monthly fire drill ensures the operator and children are prepared to know what to do if a fire evacuation is necessary. Ms. Jacobs stated she would complete a fire drill today. I recommended Ms. Jacobs set an email reminder or monthly notification/alarm on her phone to remind her to complete a drill each month. NCAC 09 .1714(b) 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 Emergency Preparedness and Response was not observed on file for the operator. The DCDEE requires all program records to be on file for review. Ms. Jacobs stated she did not realize this certificate had to be on file. I reminded Ms. Jacobs this was discussed during the Rules Review conducted on 10/16/2023. I shared with Ms. Jacobs she can contact her initial provider to obtain another copy of the certificate or letter of verification she has completed the EPR training to keep on file. I stated if this is not possible, she can retake the EPR course. The following Consultation was provided/ discussed with Ms. Jacobs during the visit: • Please ensure all children’s transportation authorization form have dates completed and 12-month standing authorization dates recorded on them. • Please record the date your Professional Development Plan was most recently updated on the plan. The following Child Care Rules were thoroughly discussed and reviewed with Ms. Jacobs during the visit: 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (1) Update the health questionnaire annually. This was monitored and current during the visit conducted on 10/11/2023, but was not on file for review during the visit today. - Please secure the baby gate to the bottom of the stairs during hours of operation, unless in use. 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: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 11/20/2023 Number Present: 3 Completed Date: 11/20/2023 Age: From 0 To 3 Total Minutes: 253 Time In: 12:17 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on August 31, 2023. The visit was conducted with Nicole Jacobs, Operator, by Cara McKeown-Stewart, Child Care Consultant. The Administrative Active was posted on the wall to the left of the main entrance, visible to parents and visitors, during the visit. The Notice of Administrative Action, Cover Letter and the Corrective Action Plan and the license must remain posted for a period of six months, until February 28, 2023. There were three children in care today, and children in care were observed to be playing with toys, participating in general routines, and napping during the visit. A walkthrough of the home was completed which included the primary space designated for child care, the bathroom used by children enrolled, and the outdoor learning environment. The supervision of children was monitored and found to be in compliance. Discipline, capacity/ group size, posting of the license and permit restrictions were monitored. Valid CPR and First Aid training, ITS-SIDS Training and Criminal Background Check Letters were monitored and found to be in compliance. NCAC 09 .1719 (a)(2) was monitored and found to be in compliance. A current activity plan was not on file for review. Monitoring of the items included in the Corrective Action occurred as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • General Statue 110-90.2 and Child Care Rule .1710(a), and .2703(q) regarding criminal background check • Child Care Rule 10A NCAC 09 .1719 (a), .1724 (b), .1714(c), and .1721 (e)(7) regarding general safety • Child Care Rule 10A NCAC 09 .1707(3) and (4), and NCAC 513.1 regarding fire safety • Child Care Rule 10A NCAC 09 .1723 (3) and (5), and (8), and (13) regarding transportation requirements • Child Care Rule 10A NCAC 09 .1725(a)(9) regarding sanitation • Child Care Rule 10A NCAC 09 .1721 (e)(6) regarding provider records. No medications were observed, nor reported. The door to the laundry area, located inside the bathroom used by children enrolled, was observed to be unlocked, with the key still inside the lock, and containing items labeled Keep Out of Reach of Children with additional warnings. This door was locked and the key removed from the lock during the visit. A certificate for Emergency Preparedness and Response training was not on file for review. A fire drill was not completed during the month of October, 2023. Ms. Jacobs purchased a new fire extinguisher following the last Annual Compliance visit. This new extinguisher was monitored during the Administrative Action Follow-Up visit conducted on 10/11/2023, during which the needle on the gauge for this new extinguisher was observed to point to the line dividing the green and red areas on the gauge. Ms. Jacobs stated she was going to return the extinguisher and exchange it for a new one. During today’s visit, the extinguisher had not yet been exchanged, and the needle was observed inside of the red area on the gauge. A transportation authorization form for one child enrolled was not signed by a parent. 2. Within one (1) week after this Notice is received, Nicole Jacobs, FCCH Operator, shall contact Cara McKeown- Stewart, Child Care Consultant, at telephone number 336-408-4849, 353 Jonestown Road, Unit 146, Winston Salem, NC 27104 or by e-mail at cara.mckeown-stewart@dhhs.nc.gov to conduct a rules review of all applicable child care requirements for family childcare homes. Special emphasis shall be placed on stipulations addressed in Item #1, as well as each the operator’s responsibility for assuring compliance with all applicable childcare requirements. This training must be completed during first shift operating hours, and children may not be present during the training. Documentation of the training shall include a training roster with the name and signature of the trainer and the training participant, as well as, the title of the training and the date and time the training was conducted. The documentation shall be maintained in the facility files for review by Division representatives upon request. Ms. Jacobs completed a scheduled Rules Review on Monday, 10/16/2023, conducted by Ms. McKeown-Stewart. 3. Within one (1) month after completing Item #2, Ms. Jacobs shall contact Ms. McKeown-Stewart, Child Care Consultant, at telephone number 336-408-4849, 353 Jonestown Road, Unit 146, Winston Salem, NC 27104, or by e-mail at cara.mckeown-stewart@dhhs.nc.gov to arrange a Technical Assistance Visit for the purpose of discussing organization with records and applicable childcare requirements. The operator will be required to present for the scheduled Technical Assistance Visit and may not participate in concurrent duties at the program. Ms. Jacobs completed a Technical Assistance Visit with Ms. McKeown-Stewart for the purpose of discussing organization with records and applicable childcare requirements on Monday, 11/06/2023. 4. Within two (2) weeks after the completion of Item #3, Ms. Jacobs, shall develop a written plan of achieving compliance with staff, program record, and transportation requirements, as well as, maintaining accurate records at all times. This written plan shall include, but not be limited to, the following: • Program Records, including the following: o Implementation of a program file checklist (as found in the Provider Documents and Forms) o Method of tracking when required items are due. o Schedule of records reviews o Steps to be taken when information is missing or has not been completed within required timeframes. o Procedures for the written recording of the individual arrival and departure times of each child. o Method of tracking daily individual arrival and departure times of each child. o Procedures for ensuring that all daily arrival and departure logs include the required information and are updated as changes occur. • Staff Records, including the following: o Implementation of a staff file checklist (as found in the Provider Documents and Forms) o Method of tracking when required items are due. o Schedule of file reviews o Steps to be taken when information is missing or has not been completed within required timeframes. • Transportation Requirements, including the following: o Implementation of a transportation monitoring checklist. o Method of tracking when required items are due. o Schedule of on-going transportation monitoring checklist by operator. o Steps to be taken when information is missing or has not been completed within required timeframes. A written plan of achieving compliance with staff, program record, and transportation requirements, as well as maintaining accurate records at all times is due to be submitted by Ms. Jacobs by the end of the day today, 11/20/2023. 5. Within two (2) weeks after the completion of Item #4, Ms. Jacobs, shall develop a written plan for achieving compliance with ensuring a safe indoor and outdoor environment for children. The written plan shall include, but not be limited to, the following: • Procedures for monitoring safety including safely physically picking up children, the storage and handling of hazardous supplies, storage of ammunition, and identification of safety or sanitation issues within the licensed indoor and outdoor childcare space including removing broken or hazardous items. • A schedule for monitoring the indoor and outdoor environment. • Steps to be taken when indoor and/or outdoor equipment is not sturdy, stable, and free of other hazards and safe environment is compromised. No Action is required until Item # 4 is completed. 6. Within two (2) weeks after the completion of Item #5, Ms. Jacobs, shall develop a written plan for achieving compliance with transportation requirements. The written plan shall include, but not be limited to, the following: • Procedures for monitoring transportation requirements including: maintaining current and complete written permission from parents/guardians to transport children, maintaining current and complete identifying information, including the child’s name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721 (a)(3), ensuring children use an individual seat belt or safety belt appropriate to the child’s age or weight, and maintaining written documentation on file verifying current liability insurance information for all vehicles used to transport children. • A schedule for monitoring all transportation requirements. • Steps to be taken when safety issues are identified or when information is missing or has not been completed within required timeframes. The written plan shall be submitted to Ms. McKeown-Stewart via email, cara.mckeown-stewart@dhhs.nc.gov . Ms. McKeown-Stewart shall notify Ms. Jacobs, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and incorporated into the facility’s operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education, upon request. No Action is required until Item # 5 is completed. The following violations were documented during today’s visit: Violation Number Comment Rule 306 At least one 5 lb 2-A:10-B:C type fire extinguisher was not readily accessible for every 2500 square feet of floor space in the home. A new fire extinguisher was monitored during the Administrative Action Follow-Up visit conducted on 10/11/2023, during which the needle on the gauge for this new extinguisher was observed to point to the line dividing the green and red areas on the gauge. During today’s visit, the needle was observed inside of the red area on the gauge. 10A NCAC 09. 1707(4) 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. The door to the laundry area, located inside the bathroom used by children enrolled, was observed to be unlocked, with the key still inside the lock, and containing items labeled Keep Out of Reach of Children with additional warnings. .1719 (a)(7) 1101 Operator or other transportation provider did not have written permission from each child's parents or guardian to transport the child. A transportation authorization form for one child enrolled was not signed by a parent. .1723(5) 1735 The daily schedule, activity plan, infant feeding plan, allergy posting, SIDS Sleep Chart/visual check were not maintained on file for a minimum of 30 days from the revision or replacement date. A current activity plan was not available for review. .1721((f)(4)(A) 1853 The operator did not conduct a monthly fire drill. A fire drill for October, 2023 was not completed. .1719(a)(15) & .1721( e)(2) 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 Emergency Preparedness and Response was not observed on file for the operator. .1714(b) 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 12/04/2023. 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 You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 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 visits may be made during the year to monitor child care requirements. Unannounced Visits will also be conducted by a representative of the DCDEE until all CAP Items have been completed. The following Technical Assistance was provided/ discussed with Ms. Jacobs during the visit: NCAC 09 .1707 (4) At least one 5 lb 2-A:10-B:C type fire extinguisher was not readily accessible for every 2500 square feet of floor space in the home. A new fire extinguisher was monitored during the Administrative Action Follow-Up visit conducted on 10/11/2023, during which the needle on the gauge for this new extinguisher was observed to point to the line dividing the green and red areas on the gauge. During today’s visit, the needle was observed inside of the red area on the gauge. A needle in the red area toward the left of the green area indicates the fire extinguisher is undercharged and warrants a recharge. Ms. Jacobs stated she had not been able to return to the store to exchange the extinguisher. She also stated she is first going to store the extinguisher in a warmer area of the home to see if this changes the reading on the gauge. I advised Ms. Jacobs to replace the extinguisher. NCAC 09 .1719 (a) (7) 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. The door to the laundry area, located inside the bathroom used by children enrolled, was observed to be unlocked, with the key still inside the lock, and containing items labeled Keep Out of Reach of Children with additional warnings. This door must remain locked because children enrolled access this bathroom during operating hours. Ms. Jacobs stated she had recently accessed the door to get a roll of paper towels after feeding the children lunch. She stated that when I arrived, she left the door unlocked while coming to let me into her home. I advised Ms. Jacobs to re-lock the door immediately after use when she needs to access this space. NCAC 09 .1723 (5) Operator or other transportation provider did not have written permission from each child's parents or guardian to transport the child. A transportation authorization form for one child enrolled was not signed by a parent. This authorization ensures the operator has written permission to transport a child. Ms. Jacobs stated she did not realize the parent had not fully completed the form. I advised Ms. Jacobs to review all forms completed by parents, regardless of their nature, to ensure information is complete and correct. NCAC 09 .1721 (f)(4)(A) The daily schedule, activity plan, infant feeding plan, allergy posting, SIDS Sleep Chart/visual check were not maintained on file for a minimum of 30 days from the revision or replacement date. A current activity plan was not available for review. Activity plans serve as a current guide for learning activities and progress toward mastery of developmental milestones. Ms. Jacobs stated she is currently transitioning from the activity plan she formerly used to the Creative Curriculum. I advised her to continue to use an updated version of her former activity plan format until she is ready to implement the Creative Curriculum. NCAC 09 .1719 (a)(15) & .1721 (e)(2) The operator did not conduct a monthly fire drill. A fire drill for October, 2023 was not completed. Practicing a monthly fire drill ensures the operator and children are prepared to know what to do if a fire evacuation is necessary. Ms. Jacobs stated she would complete a fire drill today. I recommended Ms. Jacobs set an email reminder or monthly notification/alarm on her phone to remind her to complete a drill each month. NCAC 09 .1714(b) 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 Emergency Preparedness and Response was not observed on file for the operator. The DCDEE requires all program records to be on file for review. Ms. Jacobs stated she did not realize this certificate had to be on file. I reminded Ms. Jacobs this was discussed during the Rules Review conducted on 10/16/2023. I shared with Ms. Jacobs she can contact her initial provider to obtain another copy of the certificate or letter of verification she has completed the EPR training to keep on file. I stated if this is not possible, she can retake the EPR course. The following Consultation was provided/ discussed with Ms. Jacobs during the visit: • Please ensure all children’s transportation authorization form have dates completed and 12-month standing authorization dates recorded on them. • Please record the date your Professional Development Plan was most recently updated on the plan. The following Child Care Rules were thoroughly discussed and reviewed with Ms. Jacobs during the visit: 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (1) Update the health questionnaire annually. This was monitored and current during the visit conducted on 10/11/2023, but was not on file for review during the visit today. - Please secure the baby gate to the bottom of the stairs during hours of operation, unless in use. 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: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 11/20/2023 Number Present: 3 Completed Date: 11/20/2023 Age: From 0 To 3 Total Minutes: 253 Time In: 12:17 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on August 31, 2023. The visit was conducted with Nicole Jacobs, Operator, by Cara McKeown-Stewart, Child Care Consultant. The Administrative Active was posted on the wall to the left of the main entrance, visible to parents and visitors, during the visit. The Notice of Administrative Action, Cover Letter and the Corrective Action Plan and the license must remain posted for a period of six months, until February 28, 2023. There were three children in care today, and children in care were observed to be playing with toys, participating in general routines, and napping during the visit. A walkthrough of the home was completed which included the primary space designated for child care, the bathroom used by children enrolled, and the outdoor learning environment. The supervision of children was monitored and found to be in compliance. Discipline, capacity/ group size, posting of the license and permit restrictions were monitored. Valid CPR and First Aid training, ITS-SIDS Training and Criminal Background Check Letters were monitored and found to be in compliance. NCAC 09 .1719 (a)(2) was monitored and found to be in compliance. A current activity plan was not on file for review. Monitoring of the items included in the Corrective Action occurred as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • General Statue 110-90.2 and Child Care Rule .1710(a), and .2703(q) regarding criminal background check • Child Care Rule 10A NCAC 09 .1719 (a), .1724 (b), .1714(c), and .1721 (e)(7) regarding general safety • Child Care Rule 10A NCAC 09 .1707(3) and (4), and NCAC 513.1 regarding fire safety • Child Care Rule 10A NCAC 09 .1723 (3) and (5), and (8), and (13) regarding transportation requirements • Child Care Rule 10A NCAC 09 .1725(a)(9) regarding sanitation • Child Care Rule 10A NCAC 09 .1721 (e)(6) regarding provider records. No medications were observed, nor reported. The door to the laundry area, located inside the bathroom used by children enrolled, was observed to be unlocked, with the key still inside the lock, and containing items labeled Keep Out of Reach of Children with additional warnings. This door was locked and the key removed from the lock during the visit. A certificate for Emergency Preparedness and Response training was not on file for review. A fire drill was not completed during the month of October, 2023. Ms. Jacobs purchased a new fire extinguisher following the last Annual Compliance visit. This new extinguisher was monitored during the Administrative Action Follow-Up visit conducted on 10/11/2023, during which the needle on the gauge for this new extinguisher was observed to point to the line dividing the green and red areas on the gauge. Ms. Jacobs stated she was going to return the extinguisher and exchange it for a new one. During today’s visit, the extinguisher had not yet been exchanged, and the needle was observed inside of the red area on the gauge. A transportation authorization form for one child enrolled was not signed by a parent. 2. Within one (1) week after this Notice is received, Nicole Jacobs, FCCH Operator, shall contact Cara McKeown- Stewart, Child Care Consultant, at telephone number 336-408-4849, 353 Jonestown Road, Unit 146, Winston Salem, NC 27104 or by e-mail at cara.mckeown-stewart@dhhs.nc.gov to conduct a rules review of all applicable child care requirements for family childcare homes. Special emphasis shall be placed on stipulations addressed in Item #1, as well as each the operator’s responsibility for assuring compliance with all applicable childcare requirements. This training must be completed during first shift operating hours, and children may not be present during the training. Documentation of the training shall include a training roster with the name and signature of the trainer and the training participant, as well as, the title of the training and the date and time the training was conducted. The documentation shall be maintained in the facility files for review by Division representatives upon request. Ms. Jacobs completed a scheduled Rules Review on Monday, 10/16/2023, conducted by Ms. McKeown-Stewart. 3. Within one (1) month after completing Item #2, Ms. Jacobs shall contact Ms. McKeown-Stewart, Child Care Consultant, at telephone number 336-408-4849, 353 Jonestown Road, Unit 146, Winston Salem, NC 27104, or by e-mail at cara.mckeown-stewart@dhhs.nc.gov to arrange a Technical Assistance Visit for the purpose of discussing organization with records and applicable childcare requirements. The operator will be required to present for the scheduled Technical Assistance Visit and may not participate in concurrent duties at the program. Ms. Jacobs completed a Technical Assistance Visit with Ms. McKeown-Stewart for the purpose of discussing organization with records and applicable childcare requirements on Monday, 11/06/2023. 4. Within two (2) weeks after the completion of Item #3, Ms. Jacobs, shall develop a written plan of achieving compliance with staff, program record, and transportation requirements, as well as, maintaining accurate records at all times. This written plan shall include, but not be limited to, the following: • Program Records, including the following: o Implementation of a program file checklist (as found in the Provider Documents and Forms) o Method of tracking when required items are due. o Schedule of records reviews o Steps to be taken when information is missing or has not been completed within required timeframes. o Procedures for the written recording of the individual arrival and departure times of each child. o Method of tracking daily individual arrival and departure times of each child. o Procedures for ensuring that all daily arrival and departure logs include the required information and are updated as changes occur. • Staff Records, including the following: o Implementation of a staff file checklist (as found in the Provider Documents and Forms) o Method of tracking when required items are due. o Schedule of file reviews o Steps to be taken when information is missing or has not been completed within required timeframes. • Transportation Requirements, including the following: o Implementation of a transportation monitoring checklist. o Method of tracking when required items are due. o Schedule of on-going transportation monitoring checklist by operator. o Steps to be taken when information is missing or has not been completed within required timeframes. A written plan of achieving compliance with staff, program record, and transportation requirements, as well as maintaining accurate records at all times is due to be submitted by Ms. Jacobs by the end of the day today, 11/20/2023. 5. Within two (2) weeks after the completion of Item #4, Ms. Jacobs, shall develop a written plan for achieving compliance with ensuring a safe indoor and outdoor environment for children. The written plan shall include, but not be limited to, the following: • Procedures for monitoring safety including safely physically picking up children, the storage and handling of hazardous supplies, storage of ammunition, and identification of safety or sanitation issues within the licensed indoor and outdoor childcare space including removing broken or hazardous items. • A schedule for monitoring the indoor and outdoor environment. • Steps to be taken when indoor and/or outdoor equipment is not sturdy, stable, and free of other hazards and safe environment is compromised. No Action is required until Item # 4 is completed. 6. Within two (2) weeks after the completion of Item #5, Ms. Jacobs, shall develop a written plan for achieving compliance with transportation requirements. The written plan shall include, but not be limited to, the following: • Procedures for monitoring transportation requirements including: maintaining current and complete written permission from parents/guardians to transport children, maintaining current and complete identifying information, including the child’s name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721 (a)(3), ensuring children use an individual seat belt or safety belt appropriate to the child’s age or weight, and maintaining written documentation on file verifying current liability insurance information for all vehicles used to transport children. • A schedule for monitoring all transportation requirements. • Steps to be taken when safety issues are identified or when information is missing or has not been completed within required timeframes. The written plan shall be submitted to Ms. McKeown-Stewart via email, cara.mckeown-stewart@dhhs.nc.gov . Ms. McKeown-Stewart shall notify Ms. Jacobs, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and incorporated into the facility’s operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education, upon request. No Action is required until Item # 5 is completed. The following violations were documented during today’s visit: Violation Number Comment Rule 306 At least one 5 lb 2-A:10-B:C type fire extinguisher was not readily accessible for every 2500 square feet of floor space in the home. A new fire extinguisher was monitored during the Administrative Action Follow-Up visit conducted on 10/11/2023, during which the needle on the gauge for this new extinguisher was observed to point to the line dividing the green and red areas on the gauge. During today’s visit, the needle was observed inside of the red area on the gauge. 10A NCAC 09. 1707(4) 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. The door to the laundry area, located inside the bathroom used by children enrolled, was observed to be unlocked, with the key still inside the lock, and containing items labeled Keep Out of Reach of Children with additional warnings. .1719 (a)(7) 1101 Operator or other transportation provider did not have written permission from each child's parents or guardian to transport the child. A transportation authorization form for one child enrolled was not signed by a parent. .1723(5) 1735 The daily schedule, activity plan, infant feeding plan, allergy posting, SIDS Sleep Chart/visual check were not maintained on file for a minimum of 30 days from the revision or replacement date. A current activity plan was not available for review. .1721((f)(4)(A) 1853 The operator did not conduct a monthly fire drill. A fire drill for October, 2023 was not completed. .1719(a)(15) & .1721( e)(2) 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 Emergency Preparedness and Response was not observed on file for the operator. .1714(b) 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 12/04/2023. 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 You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 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 visits may be made during the year to monitor child care requirements. Unannounced Visits will also be conducted by a representative of the DCDEE until all CAP Items have been completed. The following Technical Assistance was provided/ discussed with Ms. Jacobs during the visit: NCAC 09 .1707 (4) At least one 5 lb 2-A:10-B:C type fire extinguisher was not readily accessible for every 2500 square feet of floor space in the home. A new fire extinguisher was monitored during the Administrative Action Follow-Up visit conducted on 10/11/2023, during which the needle on the gauge for this new extinguisher was observed to point to the line dividing the green and red areas on the gauge. During today’s visit, the needle was observed inside of the red area on the gauge. A needle in the red area toward the left of the green area indicates the fire extinguisher is undercharged and warrants a recharge. Ms. Jacobs stated she had not been able to return to the store to exchange the extinguisher. She also stated she is first going to store the extinguisher in a warmer area of the home to see if this changes the reading on the gauge. I advised Ms. Jacobs to replace the extinguisher. NCAC 09 .1719 (a) (7) 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. The door to the laundry area, located inside the bathroom used by children enrolled, was observed to be unlocked, with the key still inside the lock, and containing items labeled Keep Out of Reach of Children with additional warnings. This door must remain locked because children enrolled access this bathroom during operating hours. Ms. Jacobs stated she had recently accessed the door to get a roll of paper towels after feeding the children lunch. She stated that when I arrived, she left the door unlocked while coming to let me into her home. I advised Ms. Jacobs to re-lock the door immediately after use when she needs to access this space. NCAC 09 .1723 (5) Operator or other transportation provider did not have written permission from each child's parents or guardian to transport the child. A transportation authorization form for one child enrolled was not signed by a parent. This authorization ensures the operator has written permission to transport a child. Ms. Jacobs stated she did not realize the parent had not fully completed the form. I advised Ms. Jacobs to review all forms completed by parents, regardless of their nature, to ensure information is complete and correct. NCAC 09 .1721 (f)(4)(A) The daily schedule, activity plan, infant feeding plan, allergy posting, SIDS Sleep Chart/visual check were not maintained on file for a minimum of 30 days from the revision or replacement date. A current activity plan was not available for review. Activity plans serve as a current guide for learning activities and progress toward mastery of developmental milestones. Ms. Jacobs stated she is currently transitioning from the activity plan she formerly used to the Creative Curriculum. I advised her to continue to use an updated version of her former activity plan format until she is ready to implement the Creative Curriculum. NCAC 09 .1719 (a)(15) & .1721 (e)(2) The operator did not conduct a monthly fire drill. A fire drill for October, 2023 was not completed. Practicing a monthly fire drill ensures the operator and children are prepared to know what to do if a fire evacuation is necessary. Ms. Jacobs stated she would complete a fire drill today. I recommended Ms. Jacobs set an email reminder or monthly notification/alarm on her phone to remind her to complete a drill each month. NCAC 09 .1714(b) 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 Emergency Preparedness and Response was not observed on file for the operator. The DCDEE requires all program records to be on file for review. Ms. Jacobs stated she did not realize this certificate had to be on file. I reminded Ms. Jacobs this was discussed during the Rules Review conducted on 10/16/2023. I shared with Ms. Jacobs she can contact her initial provider to obtain another copy of the certificate or letter of verification she has completed the EPR training to keep on file. I stated if this is not possible, she can retake the EPR course. The following Consultation was provided/ discussed with Ms. Jacobs during the visit: • Please ensure all children’s transportation authorization form have dates completed and 12-month standing authorization dates recorded on them. • Please record the date your Professional Development Plan was most recently updated on the plan. The following Child Care Rules were thoroughly discussed and reviewed with Ms. Jacobs during the visit: 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (1) Update the health questionnaire annually. This was monitored and current during the visit conducted on 10/11/2023, but was not on file for review during the visit today. - Please secure the baby gate to the bottom of the stairs during hours of operation, unless in use. 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 .1707 · Violation

Name of Operation: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 10/11/2023 Number Present: 3 Completed Date: 10/11/2023 Age: From 1 To 3 Total Minutes: 250 Time In: 09:35 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced follow-up visit was to monitor for items in the Corrective Action Plan for an Administrative Action, Written Warning, issued on August 31, 2023. The visit was conducted with Nicole Jacobs, Operator, by Cara McKeown-Stewart, Child Care Consultant. On 8/31/2023, an Administrative Action, Written Warning, was issued by the Division of Child Development and Early Education to Kiddie Luv Child Care Home, ID# 34000504. Ms. McKeown-Stewart reviewed the Administrative Action, inclusive of the Corrective Action Plan (CAP), with Ms. Jacobs via phone on 9/14/2023. To date, the Division has not received notice of an appeal filed by Ms. Jacobs. During today’s visit, Ms. Jacobs stated that the Final Notice of the Administrative Action had been received, and she did not plan to appeal. The Administrative Active was folded up on a side table near the entrance to the FCCH when I arrived at the home. Ms. McKeown-Stewart observed Ms. Jacobs post a copy of the Written Warning on the wall to the left of the main entrance, visible to parents and visitors, during the visit. The Notice of Administrative Action, Cover Letter and the Corrective Action Plan and the license must remain posted for a period of six months, until February 28, 2023. There were three children in care today, and children in care were observed to be playing with toys, participating in general routines, and eating lunch during the visit. The children enrolled were served corndogs and French Fries for lunch. No fruit component, additional vegetable, or milk was served. I mentioned this to Ms. Jacobs, and she stated she had forgotten to bring these items downstairs this morning. A walkthrough of the home was completed which included the primary space designated for child care, the bathroom used by children enrolled, and the outdoor learning environment. The supervision of children was monitored. I went outside to monitor the vehicle used for transporting children and reentered the home to ask Ms. Jacobs a question regarding children being transported. When I reentered the home, Ms. Jacobs was observed to be coming downstairs from the upper set of stairs onto the landing; the three children enrolled were still downstairs. Discipline, capacity/ group size, posting of the license and permit restrictions were monitored. Valid CPR and First Aid training, ITS-SIDS Training and Criminal Background Check Letters were monitored; a CBC qualifying letter was not observed to be on file for the operator. On the playground, three balls were observed to be heavily mildewed, and a plastic ring was observed to be broken and sharp to the touch. Ms. Jacobs removed the balls and ring from the playground during the visit. The following items were monitored during today’s visit: • Supervision • Discipline, Nurture, and Care • License Capacity • Group Size • Permit Restrictions • CPR/FA • ITS SIDS • Criminal Background Checks Additionally, monitoring of the items included in the Corrective Action occurred as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • General Statue 110-90.2 and Child Care Rule .1710(a), and .2703(q) regarding criminal background check • Child Care Rule 10A NCAC 09 .1719 (a), .1724 (b), .1714(c), and .1721 (e)(7) regarding general safety • Child Care Rule 10A NCAC 09 .1707(3) and (4), and NCAC 513.1 regarding fire safety • Child Care Rule 10A NCAC 09 .1723 (3) and (5), and (8), and (13) regarding transportation requirements • Child Care Rule 10A NCAC 09 .1725(a)(9) regarding sanitation • Child Care Rule 10A NCAC 09 .1721 (e)(6) regarding provider records. No medications were observed, nor reported. The door to the laundry area, located inside the bathroom used by children enrolled, was observed to be unlocked and containing items labeled Keep Out of Reach of Children with additional warnings. This door was locked during the visit. An aerosol canister of disinfectant spray and a canister of Clorox wipes were observed in the vehicle used to transport children in unlocked storage; Ms. Jacobs placed these items into approved storage during the visit. The Tobacco Free Policy and Shaken Baby Policy was not on file for two children enrolled. Identifying information in the vehicle about each child being transported, including the child's name, photograph, and emergency contact information, was not on file for five children enrolled who are transported. Two seat belts on the vehicle are not functioning correctly. The seatbelt shoulder harness of the seat furthest left (behind the driver’s seat) on the middle row was observed to be locked and unable to be retracted or extended. The left male portion of the seatbelt second from the left in the back row of the vehicle was observed to be inaccessible during the visit, unable to be removed from in between the seats. 2. Within one (1) week after this Notice is received, Nicole Jacobs, FCCH Operator, shall contact Cara McKeown- Stewart, Child Care Consultant, at telephone number 336-408-4849, 353 Jonestown Road, Unit 146, Winston Salem, NC 27104 or by e-mail at cara.mckeown-stewart@dhhs.nc.gov to conduct a rules review of all applicable child care requirements for family childcare homes. Special emphasis shall be placed on stipulations addressed in Item #1, as well as each the operator’s responsibility for assuring compliance with all applicable childcare requirements. This training must be completed during first shift operating hours, and children may not be present during the training. Documentation of the training shall include a training roster with the name and signature of the trainer and the training participant, as well as, the title of the training and the date and time the training was conducted. The documentation shall be maintained in the facility files for review by Division representatives upon request. Ms. Jacobs confirmed a scheduled Rules Review for Monday, 10/16/2023, with Ms. McKeown-Stewart via email on Monday, 10/02/2023. 3. Within one (1) month after completing Item #2, Ms. Jacobs shall contact Ms. McKeown-Stewart, Child Care Consultant, at telephone number 336-408-4849, 353 Jonestown Road, Unit 146, Winston Salem, NC 27104, or by e-mail at cara.mckeown-stewart@dhhs.nc.gov to arrange a Technical Assistance Visit for the purpose of discussing organization with records and applicable childcare requirements. The operator will be required to present for the scheduled Technical Assistance Visit and may not participate in concurrent duties at the program. No action for this Item is required until Item #2 is completed. 4. Within two (2) weeks after the completion of Item #3, Ms. Jacobs, shall develop a written plan of achieving compliance with staff, program record, and transportation requirements, as well as, maintaining accurate records at all times. This written plan shall include, but not be limited to, the following: • Program Records, including the following: o Implementation of a program file checklist (as found in the Provider Documents and Forms) o Method of tracking when required items are due. o Schedule of records reviews o Steps to be taken when information is missing or has not been completed within required timeframes. o Procedures for the written recording of the individual arrival and departure times of each child. o Method of tracking daily individual arrival and departure times of each child. o Procedures for ensuring that all daily arrival and departure logs include the required information and are updated as changes occur. • Staff Records, including the following: o Implementation of a staff file checklist (as found in the Provider Documents and Forms) o Method of tracking when required items are due. o Schedule of file reviews o Steps to be taken when information is missing or has not been completed within required timeframes. • Transportation Requirements, including the following: o Implementation of a transportation monitoring checklist. o Method of tracking when required items are due. o Schedule of on-going transportation monitoring checklist by operator. o Steps to be taken when information is missing or has not been completed within required timeframes. No action is required until Item #3 is completed. 5. Within two (2) weeks after the completion of Item #4, Ms. Jacobs, shall develop a written plan for achieving compliance with ensuring a safe indoor and outdoor environment for children. The written plan shall include, but not be limited to, the following: • Procedures for monitoring safety including safely physically picking up children, the storage and handling of hazardous supplies, storage of ammunition, and identification of safety or sanitation issues within the licensed indoor and outdoor childcare space including removing broken or hazardous items. • A schedule for monitoring the indoor and outdoor environment. • Steps to be taken when indoor and/or outdoor equipment is not sturdy, stable, and free of other hazards and safe environment is compromised. No Action is required until Item # 4 is completed. 6. Within two (2) weeks after the completion of Item #5, Ms. Jacobs, shall develop a written plan for achieving compliance with transportation requirements. The written plan shall include, but not be limited to, the following: • Procedures for monitoring transportation requirements including: maintaining current and complete written permission from parents/guardians to transport children, maintaining current and complete identifying information, including the child’s name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721 (a)(3), ensuring children use an individual seat belt or safety belt appropriate to the child’s age or weight, and maintaining written documentation on file verifying current liability insurance information for all vehicles used to transport children. • A schedule for monitoring all transportation requirements. • Steps to be taken when safety issues are identified or when information is missing or has not been completed within required timeframes. The written plan shall be submitted to Ms. McKeown-Stewart via email, cara.mckeown-stewart@dhhs.nc.gov . Ms. McKeown-Stewart shall notify Ms. Jacobs, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and incorporated into the facility’s operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education, upon request. No Action is required until Item # 5 is completed. The following violations were documented during today’s visit: Violation Number Comment Rule 601 Nutritious meals and snacks served did not meet Meal Patterns for Children in Child Care Programs. The children enrolled were served corndogs and French Fries for lunch. No fruit component, additional vegetable, or milk was served. 10A NCAC 09. 1706(a) 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. The door to the laundry area, located inside the bathroom used by children enrolled, was observed to be unlocked and containing items labeled Keep Out of Reach of Children with additional warnings. This door was locked during the visit. An aerosol canister of disinfectant spray and a canister of Clorox wipes were observed in the vehicle used to transport children in unlocked storage. .1719 (a)(7) 720 Adequate supervision was not provided for children in the Family Child Care Home. I went outside to monitor the vehicle used for transporting children and reentered the home to ask Ms. Jacobs a question regarding children being transported. When I reentered the home, Ms. Jacobs was observed to be coming downstairs from the upper set of stairs onto the landing; the three children enrolled were still downstairs. .1711(a) 920 Records were not made available for review. The Tobacco Free Policy and Shaken Baby Policy was not on file for two children enrolled. G.S. 110-91(9) 1103 For each child being transported, the operator or other transportation provider did not have identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a )(3) in the vehicle whenever children were transported. Identifying information in the vehicle about each child being transported, including the child's name, photograph, and emergency contact information, was not on file for five children enrolled who are transported. .1723(13) 1105 Adults and children did not use an individual seat belt or safety seat appropriate to the child's age or weight. Two seat belts on the vehicle are not functioning correctly. The seatbelt shoulder harness of the seat furthest left (behind the driver’s seat) on the middle row was observed to be locked and unable to be retracted or extended. The left male portion of the seatbelt second from the left in the back row of the vehicle was observed to be inaccessible during the visit, unable to be removed from in between the seats. .1723(8) 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, three balls were observed to be heavily mildewed, and a plastic ring was observed to be broken and sharp to the touch. 10A NCAC 09 .1719 (a) 1857 The operator did not develop an Emergency Preparedness and Response Plan within four months of completing the Emergency Preparedness and Response in Child Care training and/or the Plan was not completed on the template provided by the Division. The Ready to Go File did not contain blank incident reports and a copy of the EPR plan. .1714(c) 2045 Following the issuance of any administrative action the operator did not post the administrative action, cover letter, and/or corrective action plan, if applicable, in a location visible to parents and visitors near the entrance of the child care facility during the pendency of an appeal and/or throughout the effective time period of the administrative action. (applicable to administrative actions issued after 2/1/19) The Administrative Action was folded up on a side table near the entrance to the FCCH when I arrived at the home. 10A NCAC 09 .2201(i)(1-4) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 10/25/2023. 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 You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 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 visits may be made during the year to monitor child care requirements. An Unannounced Visit will be conducted by a representative of the Division of Child Development and Early Education in the near future to monitor supervision. Unannounced Visits will also be conducted by a representative of the DCDEE until all CAP Items have been completed. The following Technical Assistance was provided/ discussed with Ms. Jacobs during the visit: • Please ensure all children’s applications have dates of enrollment recorded on them. • Please keep all program, operator, and children’s records, as well as back-up or replacement materials and required items, such as meal items, toilet paper and the fire extinguisher on the ground level where children are in care, accessible to you, the operator. • Please ensure all transportation permission authorization forms are filled out completely, inclusive of with a date the form was signed by each parent. The following Child Care Rules were thoroughly discussed and reviewed with Ms. Jacobs during the visit: 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (18) not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities. 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: (B) ensure the child's hands are washed before and after the child is fed. 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 .1719 · Violation

Name of Operation: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 10/11/2023 Number Present: 3 Completed Date: 10/11/2023 Age: From 1 To 3 Total Minutes: 250 Time In: 09:35 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced follow-up visit was to monitor for items in the Corrective Action Plan for an Administrative Action, Written Warning, issued on August 31, 2023. The visit was conducted with Nicole Jacobs, Operator, by Cara McKeown-Stewart, Child Care Consultant. On 8/31/2023, an Administrative Action, Written Warning, was issued by the Division of Child Development and Early Education to Kiddie Luv Child Care Home, ID# 34000504. Ms. McKeown-Stewart reviewed the Administrative Action, inclusive of the Corrective Action Plan (CAP), with Ms. Jacobs via phone on 9/14/2023. To date, the Division has not received notice of an appeal filed by Ms. Jacobs. During today’s visit, Ms. Jacobs stated that the Final Notice of the Administrative Action had been received, and she did not plan to appeal. The Administrative Active was folded up on a side table near the entrance to the FCCH when I arrived at the home. Ms. McKeown-Stewart observed Ms. Jacobs post a copy of the Written Warning on the wall to the left of the main entrance, visible to parents and visitors, during the visit. The Notice of Administrative Action, Cover Letter and the Corrective Action Plan and the license must remain posted for a period of six months, until February 28, 2023. There were three children in care today, and children in care were observed to be playing with toys, participating in general routines, and eating lunch during the visit. The children enrolled were served corndogs and French Fries for lunch. No fruit component, additional vegetable, or milk was served. I mentioned this to Ms. Jacobs, and she stated she had forgotten to bring these items downstairs this morning. A walkthrough of the home was completed which included the primary space designated for child care, the bathroom used by children enrolled, and the outdoor learning environment. The supervision of children was monitored. I went outside to monitor the vehicle used for transporting children and reentered the home to ask Ms. Jacobs a question regarding children being transported. When I reentered the home, Ms. Jacobs was observed to be coming downstairs from the upper set of stairs onto the landing; the three children enrolled were still downstairs. Discipline, capacity/ group size, posting of the license and permit restrictions were monitored. Valid CPR and First Aid training, ITS-SIDS Training and Criminal Background Check Letters were monitored; a CBC qualifying letter was not observed to be on file for the operator. On the playground, three balls were observed to be heavily mildewed, and a plastic ring was observed to be broken and sharp to the touch. Ms. Jacobs removed the balls and ring from the playground during the visit. The following items were monitored during today’s visit: • Supervision • Discipline, Nurture, and Care • License Capacity • Group Size • Permit Restrictions • CPR/FA • ITS SIDS • Criminal Background Checks Additionally, monitoring of the items included in the Corrective Action occurred as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • General Statue 110-90.2 and Child Care Rule .1710(a), and .2703(q) regarding criminal background check • Child Care Rule 10A NCAC 09 .1719 (a), .1724 (b), .1714(c), and .1721 (e)(7) regarding general safety • Child Care Rule 10A NCAC 09 .1707(3) and (4), and NCAC 513.1 regarding fire safety • Child Care Rule 10A NCAC 09 .1723 (3) and (5), and (8), and (13) regarding transportation requirements • Child Care Rule 10A NCAC 09 .1725(a)(9) regarding sanitation • Child Care Rule 10A NCAC 09 .1721 (e)(6) regarding provider records. No medications were observed, nor reported. The door to the laundry area, located inside the bathroom used by children enrolled, was observed to be unlocked and containing items labeled Keep Out of Reach of Children with additional warnings. This door was locked during the visit. An aerosol canister of disinfectant spray and a canister of Clorox wipes were observed in the vehicle used to transport children in unlocked storage; Ms. Jacobs placed these items into approved storage during the visit. The Tobacco Free Policy and Shaken Baby Policy was not on file for two children enrolled. Identifying information in the vehicle about each child being transported, including the child's name, photograph, and emergency contact information, was not on file for five children enrolled who are transported. Two seat belts on the vehicle are not functioning correctly. The seatbelt shoulder harness of the seat furthest left (behind the driver’s seat) on the middle row was observed to be locked and unable to be retracted or extended. The left male portion of the seatbelt second from the left in the back row of the vehicle was observed to be inaccessible during the visit, unable to be removed from in between the seats. 2. Within one (1) week after this Notice is received, Nicole Jacobs, FCCH Operator, shall contact Cara McKeown- Stewart, Child Care Consultant, at telephone number 336-408-4849, 353 Jonestown Road, Unit 146, Winston Salem, NC 27104 or by e-mail at cara.mckeown-stewart@dhhs.nc.gov to conduct a rules review of all applicable child care requirements for family childcare homes. Special emphasis shall be placed on stipulations addressed in Item #1, as well as each the operator’s responsibility for assuring compliance with all applicable childcare requirements. This training must be completed during first shift operating hours, and children may not be present during the training. Documentation of the training shall include a training roster with the name and signature of the trainer and the training participant, as well as, the title of the training and the date and time the training was conducted. The documentation shall be maintained in the facility files for review by Division representatives upon request. Ms. Jacobs confirmed a scheduled Rules Review for Monday, 10/16/2023, with Ms. McKeown-Stewart via email on Monday, 10/02/2023. 3. Within one (1) month after completing Item #2, Ms. Jacobs shall contact Ms. McKeown-Stewart, Child Care Consultant, at telephone number 336-408-4849, 353 Jonestown Road, Unit 146, Winston Salem, NC 27104, or by e-mail at cara.mckeown-stewart@dhhs.nc.gov to arrange a Technical Assistance Visit for the purpose of discussing organization with records and applicable childcare requirements. The operator will be required to present for the scheduled Technical Assistance Visit and may not participate in concurrent duties at the program. No action for this Item is required until Item #2 is completed. 4. Within two (2) weeks after the completion of Item #3, Ms. Jacobs, shall develop a written plan of achieving compliance with staff, program record, and transportation requirements, as well as, maintaining accurate records at all times. This written plan shall include, but not be limited to, the following: • Program Records, including the following: o Implementation of a program file checklist (as found in the Provider Documents and Forms) o Method of tracking when required items are due. o Schedule of records reviews o Steps to be taken when information is missing or has not been completed within required timeframes. o Procedures for the written recording of the individual arrival and departure times of each child. o Method of tracking daily individual arrival and departure times of each child. o Procedures for ensuring that all daily arrival and departure logs include the required information and are updated as changes occur. • Staff Records, including the following: o Implementation of a staff file checklist (as found in the Provider Documents and Forms) o Method of tracking when required items are due. o Schedule of file reviews o Steps to be taken when information is missing or has not been completed within required timeframes. • Transportation Requirements, including the following: o Implementation of a transportation monitoring checklist. o Method of tracking when required items are due. o Schedule of on-going transportation monitoring checklist by operator. o Steps to be taken when information is missing or has not been completed within required timeframes. No action is required until Item #3 is completed. 5. Within two (2) weeks after the completion of Item #4, Ms. Jacobs, shall develop a written plan for achieving compliance with ensuring a safe indoor and outdoor environment for children. The written plan shall include, but not be limited to, the following: • Procedures for monitoring safety including safely physically picking up children, the storage and handling of hazardous supplies, storage of ammunition, and identification of safety or sanitation issues within the licensed indoor and outdoor childcare space including removing broken or hazardous items. • A schedule for monitoring the indoor and outdoor environment. • Steps to be taken when indoor and/or outdoor equipment is not sturdy, stable, and free of other hazards and safe environment is compromised. No Action is required until Item # 4 is completed. 6. Within two (2) weeks after the completion of Item #5, Ms. Jacobs, shall develop a written plan for achieving compliance with transportation requirements. The written plan shall include, but not be limited to, the following: • Procedures for monitoring transportation requirements including: maintaining current and complete written permission from parents/guardians to transport children, maintaining current and complete identifying information, including the child’s name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721 (a)(3), ensuring children use an individual seat belt or safety belt appropriate to the child’s age or weight, and maintaining written documentation on file verifying current liability insurance information for all vehicles used to transport children. • A schedule for monitoring all transportation requirements. • Steps to be taken when safety issues are identified or when information is missing or has not been completed within required timeframes. The written plan shall be submitted to Ms. McKeown-Stewart via email, cara.mckeown-stewart@dhhs.nc.gov . Ms. McKeown-Stewart shall notify Ms. Jacobs, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and incorporated into the facility’s operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education, upon request. No Action is required until Item # 5 is completed. The following violations were documented during today’s visit: Violation Number Comment Rule 601 Nutritious meals and snacks served did not meet Meal Patterns for Children in Child Care Programs. The children enrolled were served corndogs and French Fries for lunch. No fruit component, additional vegetable, or milk was served. 10A NCAC 09. 1706(a) 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. The door to the laundry area, located inside the bathroom used by children enrolled, was observed to be unlocked and containing items labeled Keep Out of Reach of Children with additional warnings. This door was locked during the visit. An aerosol canister of disinfectant spray and a canister of Clorox wipes were observed in the vehicle used to transport children in unlocked storage. .1719 (a)(7) 720 Adequate supervision was not provided for children in the Family Child Care Home. I went outside to monitor the vehicle used for transporting children and reentered the home to ask Ms. Jacobs a question regarding children being transported. When I reentered the home, Ms. Jacobs was observed to be coming downstairs from the upper set of stairs onto the landing; the three children enrolled were still downstairs. .1711(a) 920 Records were not made available for review. The Tobacco Free Policy and Shaken Baby Policy was not on file for two children enrolled. G.S. 110-91(9) 1103 For each child being transported, the operator or other transportation provider did not have identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a )(3) in the vehicle whenever children were transported. Identifying information in the vehicle about each child being transported, including the child's name, photograph, and emergency contact information, was not on file for five children enrolled who are transported. .1723(13) 1105 Adults and children did not use an individual seat belt or safety seat appropriate to the child's age or weight. Two seat belts on the vehicle are not functioning correctly. The seatbelt shoulder harness of the seat furthest left (behind the driver’s seat) on the middle row was observed to be locked and unable to be retracted or extended. The left male portion of the seatbelt second from the left in the back row of the vehicle was observed to be inaccessible during the visit, unable to be removed from in between the seats. .1723(8) 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, three balls were observed to be heavily mildewed, and a plastic ring was observed to be broken and sharp to the touch. 10A NCAC 09 .1719 (a) 1857 The operator did not develop an Emergency Preparedness and Response Plan within four months of completing the Emergency Preparedness and Response in Child Care training and/or the Plan was not completed on the template provided by the Division. The Ready to Go File did not contain blank incident reports and a copy of the EPR plan. .1714(c) 2045 Following the issuance of any administrative action the operator did not post the administrative action, cover letter, and/or corrective action plan, if applicable, in a location visible to parents and visitors near the entrance of the child care facility during the pendency of an appeal and/or throughout the effective time period of the administrative action. (applicable to administrative actions issued after 2/1/19) The Administrative Action was folded up on a side table near the entrance to the FCCH when I arrived at the home. 10A NCAC 09 .2201(i)(1-4) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 10/25/2023. 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 You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 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 visits may be made during the year to monitor child care requirements. An Unannounced Visit will be conducted by a representative of the Division of Child Development and Early Education in the near future to monitor supervision. Unannounced Visits will also be conducted by a representative of the DCDEE until all CAP Items have been completed. The following Technical Assistance was provided/ discussed with Ms. Jacobs during the visit: • Please ensure all children’s applications have dates of enrollment recorded on them. • Please keep all program, operator, and children’s records, as well as back-up or replacement materials and required items, such as meal items, toilet paper and the fire extinguisher on the ground level where children are in care, accessible to you, the operator. • Please ensure all transportation permission authorization forms are filled out completely, inclusive of with a date the form was signed by each parent. The following Child Care Rules were thoroughly discussed and reviewed with Ms. Jacobs during the visit: 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (18) not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities. 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: (B) ensure the child's hands are washed before and after the child is fed. 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: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 10/11/2023 Number Present: 3 Completed Date: 10/11/2023 Age: From 1 To 3 Total Minutes: 250 Time In: 09:35 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced follow-up visit was to monitor for items in the Corrective Action Plan for an Administrative Action, Written Warning, issued on August 31, 2023. The visit was conducted with Nicole Jacobs, Operator, by Cara McKeown-Stewart, Child Care Consultant. On 8/31/2023, an Administrative Action, Written Warning, was issued by the Division of Child Development and Early Education to Kiddie Luv Child Care Home, ID# 34000504. Ms. McKeown-Stewart reviewed the Administrative Action, inclusive of the Corrective Action Plan (CAP), with Ms. Jacobs via phone on 9/14/2023. To date, the Division has not received notice of an appeal filed by Ms. Jacobs. During today’s visit, Ms. Jacobs stated that the Final Notice of the Administrative Action had been received, and she did not plan to appeal. The Administrative Active was folded up on a side table near the entrance to the FCCH when I arrived at the home. Ms. McKeown-Stewart observed Ms. Jacobs post a copy of the Written Warning on the wall to the left of the main entrance, visible to parents and visitors, during the visit. The Notice of Administrative Action, Cover Letter and the Corrective Action Plan and the license must remain posted for a period of six months, until February 28, 2023. There were three children in care today, and children in care were observed to be playing with toys, participating in general routines, and eating lunch during the visit. The children enrolled were served corndogs and French Fries for lunch. No fruit component, additional vegetable, or milk was served. I mentioned this to Ms. Jacobs, and she stated she had forgotten to bring these items downstairs this morning. A walkthrough of the home was completed which included the primary space designated for child care, the bathroom used by children enrolled, and the outdoor learning environment. The supervision of children was monitored. I went outside to monitor the vehicle used for transporting children and reentered the home to ask Ms. Jacobs a question regarding children being transported. When I reentered the home, Ms. Jacobs was observed to be coming downstairs from the upper set of stairs onto the landing; the three children enrolled were still downstairs. Discipline, capacity/ group size, posting of the license and permit restrictions were monitored. Valid CPR and First Aid training, ITS-SIDS Training and Criminal Background Check Letters were monitored; a CBC qualifying letter was not observed to be on file for the operator. On the playground, three balls were observed to be heavily mildewed, and a plastic ring was observed to be broken and sharp to the touch. Ms. Jacobs removed the balls and ring from the playground during the visit. The following items were monitored during today’s visit: • Supervision • Discipline, Nurture, and Care • License Capacity • Group Size • Permit Restrictions • CPR/FA • ITS SIDS • Criminal Background Checks Additionally, monitoring of the items included in the Corrective Action occurred as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • General Statue 110-90.2 and Child Care Rule .1710(a), and .2703(q) regarding criminal background check • Child Care Rule 10A NCAC 09 .1719 (a), .1724 (b), .1714(c), and .1721 (e)(7) regarding general safety • Child Care Rule 10A NCAC 09 .1707(3) and (4), and NCAC 513.1 regarding fire safety • Child Care Rule 10A NCAC 09 .1723 (3) and (5), and (8), and (13) regarding transportation requirements • Child Care Rule 10A NCAC 09 .1725(a)(9) regarding sanitation • Child Care Rule 10A NCAC 09 .1721 (e)(6) regarding provider records. No medications were observed, nor reported. The door to the laundry area, located inside the bathroom used by children enrolled, was observed to be unlocked and containing items labeled Keep Out of Reach of Children with additional warnings. This door was locked during the visit. An aerosol canister of disinfectant spray and a canister of Clorox wipes were observed in the vehicle used to transport children in unlocked storage; Ms. Jacobs placed these items into approved storage during the visit. The Tobacco Free Policy and Shaken Baby Policy was not on file for two children enrolled. Identifying information in the vehicle about each child being transported, including the child's name, photograph, and emergency contact information, was not on file for five children enrolled who are transported. Two seat belts on the vehicle are not functioning correctly. The seatbelt shoulder harness of the seat furthest left (behind the driver’s seat) on the middle row was observed to be locked and unable to be retracted or extended. The left male portion of the seatbelt second from the left in the back row of the vehicle was observed to be inaccessible during the visit, unable to be removed from in between the seats. 2. Within one (1) week after this Notice is received, Nicole Jacobs, FCCH Operator, shall contact Cara McKeown- Stewart, Child Care Consultant, at telephone number 336-408-4849, 353 Jonestown Road, Unit 146, Winston Salem, NC 27104 or by e-mail at cara.mckeown-stewart@dhhs.nc.gov to conduct a rules review of all applicable child care requirements for family childcare homes. Special emphasis shall be placed on stipulations addressed in Item #1, as well as each the operator’s responsibility for assuring compliance with all applicable childcare requirements. This training must be completed during first shift operating hours, and children may not be present during the training. Documentation of the training shall include a training roster with the name and signature of the trainer and the training participant, as well as, the title of the training and the date and time the training was conducted. The documentation shall be maintained in the facility files for review by Division representatives upon request. Ms. Jacobs confirmed a scheduled Rules Review for Monday, 10/16/2023, with Ms. McKeown-Stewart via email on Monday, 10/02/2023. 3. Within one (1) month after completing Item #2, Ms. Jacobs shall contact Ms. McKeown-Stewart, Child Care Consultant, at telephone number 336-408-4849, 353 Jonestown Road, Unit 146, Winston Salem, NC 27104, or by e-mail at cara.mckeown-stewart@dhhs.nc.gov to arrange a Technical Assistance Visit for the purpose of discussing organization with records and applicable childcare requirements. The operator will be required to present for the scheduled Technical Assistance Visit and may not participate in concurrent duties at the program. No action for this Item is required until Item #2 is completed. 4. Within two (2) weeks after the completion of Item #3, Ms. Jacobs, shall develop a written plan of achieving compliance with staff, program record, and transportation requirements, as well as, maintaining accurate records at all times. This written plan shall include, but not be limited to, the following: • Program Records, including the following: o Implementation of a program file checklist (as found in the Provider Documents and Forms) o Method of tracking when required items are due. o Schedule of records reviews o Steps to be taken when information is missing or has not been completed within required timeframes. o Procedures for the written recording of the individual arrival and departure times of each child. o Method of tracking daily individual arrival and departure times of each child. o Procedures for ensuring that all daily arrival and departure logs include the required information and are updated as changes occur. • Staff Records, including the following: o Implementation of a staff file checklist (as found in the Provider Documents and Forms) o Method of tracking when required items are due. o Schedule of file reviews o Steps to be taken when information is missing or has not been completed within required timeframes. • Transportation Requirements, including the following: o Implementation of a transportation monitoring checklist. o Method of tracking when required items are due. o Schedule of on-going transportation monitoring checklist by operator. o Steps to be taken when information is missing or has not been completed within required timeframes. No action is required until Item #3 is completed. 5. Within two (2) weeks after the completion of Item #4, Ms. Jacobs, shall develop a written plan for achieving compliance with ensuring a safe indoor and outdoor environment for children. The written plan shall include, but not be limited to, the following: • Procedures for monitoring safety including safely physically picking up children, the storage and handling of hazardous supplies, storage of ammunition, and identification of safety or sanitation issues within the licensed indoor and outdoor childcare space including removing broken or hazardous items. • A schedule for monitoring the indoor and outdoor environment. • Steps to be taken when indoor and/or outdoor equipment is not sturdy, stable, and free of other hazards and safe environment is compromised. No Action is required until Item # 4 is completed. 6. Within two (2) weeks after the completion of Item #5, Ms. Jacobs, shall develop a written plan for achieving compliance with transportation requirements. The written plan shall include, but not be limited to, the following: • Procedures for monitoring transportation requirements including: maintaining current and complete written permission from parents/guardians to transport children, maintaining current and complete identifying information, including the child’s name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721 (a)(3), ensuring children use an individual seat belt or safety belt appropriate to the child’s age or weight, and maintaining written documentation on file verifying current liability insurance information for all vehicles used to transport children. • A schedule for monitoring all transportation requirements. • Steps to be taken when safety issues are identified or when information is missing or has not been completed within required timeframes. The written plan shall be submitted to Ms. McKeown-Stewart via email, cara.mckeown-stewart@dhhs.nc.gov . Ms. McKeown-Stewart shall notify Ms. Jacobs, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and incorporated into the facility’s operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education, upon request. No Action is required until Item # 5 is completed. The following violations were documented during today’s visit: Violation Number Comment Rule 601 Nutritious meals and snacks served did not meet Meal Patterns for Children in Child Care Programs. The children enrolled were served corndogs and French Fries for lunch. No fruit component, additional vegetable, or milk was served. 10A NCAC 09. 1706(a) 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. The door to the laundry area, located inside the bathroom used by children enrolled, was observed to be unlocked and containing items labeled Keep Out of Reach of Children with additional warnings. This door was locked during the visit. An aerosol canister of disinfectant spray and a canister of Clorox wipes were observed in the vehicle used to transport children in unlocked storage. .1719 (a)(7) 720 Adequate supervision was not provided for children in the Family Child Care Home. I went outside to monitor the vehicle used for transporting children and reentered the home to ask Ms. Jacobs a question regarding children being transported. When I reentered the home, Ms. Jacobs was observed to be coming downstairs from the upper set of stairs onto the landing; the three children enrolled were still downstairs. .1711(a) 920 Records were not made available for review. The Tobacco Free Policy and Shaken Baby Policy was not on file for two children enrolled. G.S. 110-91(9) 1103 For each child being transported, the operator or other transportation provider did not have identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a )(3) in the vehicle whenever children were transported. Identifying information in the vehicle about each child being transported, including the child's name, photograph, and emergency contact information, was not on file for five children enrolled who are transported. .1723(13) 1105 Adults and children did not use an individual seat belt or safety seat appropriate to the child's age or weight. Two seat belts on the vehicle are not functioning correctly. The seatbelt shoulder harness of the seat furthest left (behind the driver’s seat) on the middle row was observed to be locked and unable to be retracted or extended. The left male portion of the seatbelt second from the left in the back row of the vehicle was observed to be inaccessible during the visit, unable to be removed from in between the seats. .1723(8) 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, three balls were observed to be heavily mildewed, and a plastic ring was observed to be broken and sharp to the touch. 10A NCAC 09 .1719 (a) 1857 The operator did not develop an Emergency Preparedness and Response Plan within four months of completing the Emergency Preparedness and Response in Child Care training and/or the Plan was not completed on the template provided by the Division. The Ready to Go File did not contain blank incident reports and a copy of the EPR plan. .1714(c) 2045 Following the issuance of any administrative action the operator did not post the administrative action, cover letter, and/or corrective action plan, if applicable, in a location visible to parents and visitors near the entrance of the child care facility during the pendency of an appeal and/or throughout the effective time period of the administrative action. (applicable to administrative actions issued after 2/1/19) The Administrative Action was folded up on a side table near the entrance to the FCCH when I arrived at the home. 10A NCAC 09 .2201(i)(1-4) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 10/25/2023. 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 You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 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 visits may be made during the year to monitor child care requirements. An Unannounced Visit will be conducted by a representative of the Division of Child Development and Early Education in the near future to monitor supervision. Unannounced Visits will also be conducted by a representative of the DCDEE until all CAP Items have been completed. The following Technical Assistance was provided/ discussed with Ms. Jacobs during the visit: • Please ensure all children’s applications have dates of enrollment recorded on them. • Please keep all program, operator, and children’s records, as well as back-up or replacement materials and required items, such as meal items, toilet paper and the fire extinguisher on the ground level where children are in care, accessible to you, the operator. • Please ensure all transportation permission authorization forms are filled out completely, inclusive of with a date the form was signed by each parent. The following Child Care Rules were thoroughly discussed and reviewed with Ms. Jacobs during the visit: 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (18) not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities. 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: (B) ensure the child's hands are washed before and after the child is fed. 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 .1723 · Violation

Name of Operation: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 10/11/2023 Number Present: 3 Completed Date: 10/11/2023 Age: From 1 To 3 Total Minutes: 250 Time In: 09:35 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced follow-up visit was to monitor for items in the Corrective Action Plan for an Administrative Action, Written Warning, issued on August 31, 2023. The visit was conducted with Nicole Jacobs, Operator, by Cara McKeown-Stewart, Child Care Consultant. On 8/31/2023, an Administrative Action, Written Warning, was issued by the Division of Child Development and Early Education to Kiddie Luv Child Care Home, ID# 34000504. Ms. McKeown-Stewart reviewed the Administrative Action, inclusive of the Corrective Action Plan (CAP), with Ms. Jacobs via phone on 9/14/2023. To date, the Division has not received notice of an appeal filed by Ms. Jacobs. During today’s visit, Ms. Jacobs stated that the Final Notice of the Administrative Action had been received, and she did not plan to appeal. The Administrative Active was folded up on a side table near the entrance to the FCCH when I arrived at the home. Ms. McKeown-Stewart observed Ms. Jacobs post a copy of the Written Warning on the wall to the left of the main entrance, visible to parents and visitors, during the visit. The Notice of Administrative Action, Cover Letter and the Corrective Action Plan and the license must remain posted for a period of six months, until February 28, 2023. There were three children in care today, and children in care were observed to be playing with toys, participating in general routines, and eating lunch during the visit. The children enrolled were served corndogs and French Fries for lunch. No fruit component, additional vegetable, or milk was served. I mentioned this to Ms. Jacobs, and she stated she had forgotten to bring these items downstairs this morning. A walkthrough of the home was completed which included the primary space designated for child care, the bathroom used by children enrolled, and the outdoor learning environment. The supervision of children was monitored. I went outside to monitor the vehicle used for transporting children and reentered the home to ask Ms. Jacobs a question regarding children being transported. When I reentered the home, Ms. Jacobs was observed to be coming downstairs from the upper set of stairs onto the landing; the three children enrolled were still downstairs. Discipline, capacity/ group size, posting of the license and permit restrictions were monitored. Valid CPR and First Aid training, ITS-SIDS Training and Criminal Background Check Letters were monitored; a CBC qualifying letter was not observed to be on file for the operator. On the playground, three balls were observed to be heavily mildewed, and a plastic ring was observed to be broken and sharp to the touch. Ms. Jacobs removed the balls and ring from the playground during the visit. The following items were monitored during today’s visit: • Supervision • Discipline, Nurture, and Care • License Capacity • Group Size • Permit Restrictions • CPR/FA • ITS SIDS • Criminal Background Checks Additionally, monitoring of the items included in the Corrective Action occurred as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • General Statue 110-90.2 and Child Care Rule .1710(a), and .2703(q) regarding criminal background check • Child Care Rule 10A NCAC 09 .1719 (a), .1724 (b), .1714(c), and .1721 (e)(7) regarding general safety • Child Care Rule 10A NCAC 09 .1707(3) and (4), and NCAC 513.1 regarding fire safety • Child Care Rule 10A NCAC 09 .1723 (3) and (5), and (8), and (13) regarding transportation requirements • Child Care Rule 10A NCAC 09 .1725(a)(9) regarding sanitation • Child Care Rule 10A NCAC 09 .1721 (e)(6) regarding provider records. No medications were observed, nor reported. The door to the laundry area, located inside the bathroom used by children enrolled, was observed to be unlocked and containing items labeled Keep Out of Reach of Children with additional warnings. This door was locked during the visit. An aerosol canister of disinfectant spray and a canister of Clorox wipes were observed in the vehicle used to transport children in unlocked storage; Ms. Jacobs placed these items into approved storage during the visit. The Tobacco Free Policy and Shaken Baby Policy was not on file for two children enrolled. Identifying information in the vehicle about each child being transported, including the child's name, photograph, and emergency contact information, was not on file for five children enrolled who are transported. Two seat belts on the vehicle are not functioning correctly. The seatbelt shoulder harness of the seat furthest left (behind the driver’s seat) on the middle row was observed to be locked and unable to be retracted or extended. The left male portion of the seatbelt second from the left in the back row of the vehicle was observed to be inaccessible during the visit, unable to be removed from in between the seats. 2. Within one (1) week after this Notice is received, Nicole Jacobs, FCCH Operator, shall contact Cara McKeown- Stewart, Child Care Consultant, at telephone number 336-408-4849, 353 Jonestown Road, Unit 146, Winston Salem, NC 27104 or by e-mail at cara.mckeown-stewart@dhhs.nc.gov to conduct a rules review of all applicable child care requirements for family childcare homes. Special emphasis shall be placed on stipulations addressed in Item #1, as well as each the operator’s responsibility for assuring compliance with all applicable childcare requirements. This training must be completed during first shift operating hours, and children may not be present during the training. Documentation of the training shall include a training roster with the name and signature of the trainer and the training participant, as well as, the title of the training and the date and time the training was conducted. The documentation shall be maintained in the facility files for review by Division representatives upon request. Ms. Jacobs confirmed a scheduled Rules Review for Monday, 10/16/2023, with Ms. McKeown-Stewart via email on Monday, 10/02/2023. 3. Within one (1) month after completing Item #2, Ms. Jacobs shall contact Ms. McKeown-Stewart, Child Care Consultant, at telephone number 336-408-4849, 353 Jonestown Road, Unit 146, Winston Salem, NC 27104, or by e-mail at cara.mckeown-stewart@dhhs.nc.gov to arrange a Technical Assistance Visit for the purpose of discussing organization with records and applicable childcare requirements. The operator will be required to present for the scheduled Technical Assistance Visit and may not participate in concurrent duties at the program. No action for this Item is required until Item #2 is completed. 4. Within two (2) weeks after the completion of Item #3, Ms. Jacobs, shall develop a written plan of achieving compliance with staff, program record, and transportation requirements, as well as, maintaining accurate records at all times. This written plan shall include, but not be limited to, the following: • Program Records, including the following: o Implementation of a program file checklist (as found in the Provider Documents and Forms) o Method of tracking when required items are due. o Schedule of records reviews o Steps to be taken when information is missing or has not been completed within required timeframes. o Procedures for the written recording of the individual arrival and departure times of each child. o Method of tracking daily individual arrival and departure times of each child. o Procedures for ensuring that all daily arrival and departure logs include the required information and are updated as changes occur. • Staff Records, including the following: o Implementation of a staff file checklist (as found in the Provider Documents and Forms) o Method of tracking when required items are due. o Schedule of file reviews o Steps to be taken when information is missing or has not been completed within required timeframes. • Transportation Requirements, including the following: o Implementation of a transportation monitoring checklist. o Method of tracking when required items are due. o Schedule of on-going transportation monitoring checklist by operator. o Steps to be taken when information is missing or has not been completed within required timeframes. No action is required until Item #3 is completed. 5. Within two (2) weeks after the completion of Item #4, Ms. Jacobs, shall develop a written plan for achieving compliance with ensuring a safe indoor and outdoor environment for children. The written plan shall include, but not be limited to, the following: • Procedures for monitoring safety including safely physically picking up children, the storage and handling of hazardous supplies, storage of ammunition, and identification of safety or sanitation issues within the licensed indoor and outdoor childcare space including removing broken or hazardous items. • A schedule for monitoring the indoor and outdoor environment. • Steps to be taken when indoor and/or outdoor equipment is not sturdy, stable, and free of other hazards and safe environment is compromised. No Action is required until Item # 4 is completed. 6. Within two (2) weeks after the completion of Item #5, Ms. Jacobs, shall develop a written plan for achieving compliance with transportation requirements. The written plan shall include, but not be limited to, the following: • Procedures for monitoring transportation requirements including: maintaining current and complete written permission from parents/guardians to transport children, maintaining current and complete identifying information, including the child’s name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721 (a)(3), ensuring children use an individual seat belt or safety belt appropriate to the child’s age or weight, and maintaining written documentation on file verifying current liability insurance information for all vehicles used to transport children. • A schedule for monitoring all transportation requirements. • Steps to be taken when safety issues are identified or when information is missing or has not been completed within required timeframes. The written plan shall be submitted to Ms. McKeown-Stewart via email, cara.mckeown-stewart@dhhs.nc.gov . Ms. McKeown-Stewart shall notify Ms. Jacobs, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and incorporated into the facility’s operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education, upon request. No Action is required until Item # 5 is completed. The following violations were documented during today’s visit: Violation Number Comment Rule 601 Nutritious meals and snacks served did not meet Meal Patterns for Children in Child Care Programs. The children enrolled were served corndogs and French Fries for lunch. No fruit component, additional vegetable, or milk was served. 10A NCAC 09. 1706(a) 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. The door to the laundry area, located inside the bathroom used by children enrolled, was observed to be unlocked and containing items labeled Keep Out of Reach of Children with additional warnings. This door was locked during the visit. An aerosol canister of disinfectant spray and a canister of Clorox wipes were observed in the vehicle used to transport children in unlocked storage. .1719 (a)(7) 720 Adequate supervision was not provided for children in the Family Child Care Home. I went outside to monitor the vehicle used for transporting children and reentered the home to ask Ms. Jacobs a question regarding children being transported. When I reentered the home, Ms. Jacobs was observed to be coming downstairs from the upper set of stairs onto the landing; the three children enrolled were still downstairs. .1711(a) 920 Records were not made available for review. The Tobacco Free Policy and Shaken Baby Policy was not on file for two children enrolled. G.S. 110-91(9) 1103 For each child being transported, the operator or other transportation provider did not have identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a )(3) in the vehicle whenever children were transported. Identifying information in the vehicle about each child being transported, including the child's name, photograph, and emergency contact information, was not on file for five children enrolled who are transported. .1723(13) 1105 Adults and children did not use an individual seat belt or safety seat appropriate to the child's age or weight. Two seat belts on the vehicle are not functioning correctly. The seatbelt shoulder harness of the seat furthest left (behind the driver’s seat) on the middle row was observed to be locked and unable to be retracted or extended. The left male portion of the seatbelt second from the left in the back row of the vehicle was observed to be inaccessible during the visit, unable to be removed from in between the seats. .1723(8) 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, three balls were observed to be heavily mildewed, and a plastic ring was observed to be broken and sharp to the touch. 10A NCAC 09 .1719 (a) 1857 The operator did not develop an Emergency Preparedness and Response Plan within four months of completing the Emergency Preparedness and Response in Child Care training and/or the Plan was not completed on the template provided by the Division. The Ready to Go File did not contain blank incident reports and a copy of the EPR plan. .1714(c) 2045 Following the issuance of any administrative action the operator did not post the administrative action, cover letter, and/or corrective action plan, if applicable, in a location visible to parents and visitors near the entrance of the child care facility during the pendency of an appeal and/or throughout the effective time period of the administrative action. (applicable to administrative actions issued after 2/1/19) The Administrative Action was folded up on a side table near the entrance to the FCCH when I arrived at the home. 10A NCAC 09 .2201(i)(1-4) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 10/25/2023. 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 You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 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 visits may be made during the year to monitor child care requirements. An Unannounced Visit will be conducted by a representative of the Division of Child Development and Early Education in the near future to monitor supervision. Unannounced Visits will also be conducted by a representative of the DCDEE until all CAP Items have been completed. The following Technical Assistance was provided/ discussed with Ms. Jacobs during the visit: • Please ensure all children’s applications have dates of enrollment recorded on them. • Please keep all program, operator, and children’s records, as well as back-up or replacement materials and required items, such as meal items, toilet paper and the fire extinguisher on the ground level where children are in care, accessible to you, the operator. • Please ensure all transportation permission authorization forms are filled out completely, inclusive of with a date the form was signed by each parent. The following Child Care Rules were thoroughly discussed and reviewed with Ms. Jacobs during the visit: 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (18) not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities. 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: (B) ensure the child's hands are washed before and after the child is fed. 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: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 10/11/2023 Number Present: 3 Completed Date: 10/11/2023 Age: From 1 To 3 Total Minutes: 250 Time In: 09:35 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced follow-up visit was to monitor for items in the Corrective Action Plan for an Administrative Action, Written Warning, issued on August 31, 2023. The visit was conducted with Nicole Jacobs, Operator, by Cara McKeown-Stewart, Child Care Consultant. On 8/31/2023, an Administrative Action, Written Warning, was issued by the Division of Child Development and Early Education to Kiddie Luv Child Care Home, ID# 34000504. Ms. McKeown-Stewart reviewed the Administrative Action, inclusive of the Corrective Action Plan (CAP), with Ms. Jacobs via phone on 9/14/2023. To date, the Division has not received notice of an appeal filed by Ms. Jacobs. During today’s visit, Ms. Jacobs stated that the Final Notice of the Administrative Action had been received, and she did not plan to appeal. The Administrative Active was folded up on a side table near the entrance to the FCCH when I arrived at the home. Ms. McKeown-Stewart observed Ms. Jacobs post a copy of the Written Warning on the wall to the left of the main entrance, visible to parents and visitors, during the visit. The Notice of Administrative Action, Cover Letter and the Corrective Action Plan and the license must remain posted for a period of six months, until February 28, 2023. There were three children in care today, and children in care were observed to be playing with toys, participating in general routines, and eating lunch during the visit. The children enrolled were served corndogs and French Fries for lunch. No fruit component, additional vegetable, or milk was served. I mentioned this to Ms. Jacobs, and she stated she had forgotten to bring these items downstairs this morning. A walkthrough of the home was completed which included the primary space designated for child care, the bathroom used by children enrolled, and the outdoor learning environment. The supervision of children was monitored. I went outside to monitor the vehicle used for transporting children and reentered the home to ask Ms. Jacobs a question regarding children being transported. When I reentered the home, Ms. Jacobs was observed to be coming downstairs from the upper set of stairs onto the landing; the three children enrolled were still downstairs. Discipline, capacity/ group size, posting of the license and permit restrictions were monitored. Valid CPR and First Aid training, ITS-SIDS Training and Criminal Background Check Letters were monitored; a CBC qualifying letter was not observed to be on file for the operator. On the playground, three balls were observed to be heavily mildewed, and a plastic ring was observed to be broken and sharp to the touch. Ms. Jacobs removed the balls and ring from the playground during the visit. The following items were monitored during today’s visit: • Supervision • Discipline, Nurture, and Care • License Capacity • Group Size • Permit Restrictions • CPR/FA • ITS SIDS • Criminal Background Checks Additionally, monitoring of the items included in the Corrective Action occurred as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • General Statue 110-90.2 and Child Care Rule .1710(a), and .2703(q) regarding criminal background check • Child Care Rule 10A NCAC 09 .1719 (a), .1724 (b), .1714(c), and .1721 (e)(7) regarding general safety • Child Care Rule 10A NCAC 09 .1707(3) and (4), and NCAC 513.1 regarding fire safety • Child Care Rule 10A NCAC 09 .1723 (3) and (5), and (8), and (13) regarding transportation requirements • Child Care Rule 10A NCAC 09 .1725(a)(9) regarding sanitation • Child Care Rule 10A NCAC 09 .1721 (e)(6) regarding provider records. No medications were observed, nor reported. The door to the laundry area, located inside the bathroom used by children enrolled, was observed to be unlocked and containing items labeled Keep Out of Reach of Children with additional warnings. This door was locked during the visit. An aerosol canister of disinfectant spray and a canister of Clorox wipes were observed in the vehicle used to transport children in unlocked storage; Ms. Jacobs placed these items into approved storage during the visit. The Tobacco Free Policy and Shaken Baby Policy was not on file for two children enrolled. Identifying information in the vehicle about each child being transported, including the child's name, photograph, and emergency contact information, was not on file for five children enrolled who are transported. Two seat belts on the vehicle are not functioning correctly. The seatbelt shoulder harness of the seat furthest left (behind the driver’s seat) on the middle row was observed to be locked and unable to be retracted or extended. The left male portion of the seatbelt second from the left in the back row of the vehicle was observed to be inaccessible during the visit, unable to be removed from in between the seats. 2. Within one (1) week after this Notice is received, Nicole Jacobs, FCCH Operator, shall contact Cara McKeown- Stewart, Child Care Consultant, at telephone number 336-408-4849, 353 Jonestown Road, Unit 146, Winston Salem, NC 27104 or by e-mail at cara.mckeown-stewart@dhhs.nc.gov to conduct a rules review of all applicable child care requirements for family childcare homes. Special emphasis shall be placed on stipulations addressed in Item #1, as well as each the operator’s responsibility for assuring compliance with all applicable childcare requirements. This training must be completed during first shift operating hours, and children may not be present during the training. Documentation of the training shall include a training roster with the name and signature of the trainer and the training participant, as well as, the title of the training and the date and time the training was conducted. The documentation shall be maintained in the facility files for review by Division representatives upon request. Ms. Jacobs confirmed a scheduled Rules Review for Monday, 10/16/2023, with Ms. McKeown-Stewart via email on Monday, 10/02/2023. 3. Within one (1) month after completing Item #2, Ms. Jacobs shall contact Ms. McKeown-Stewart, Child Care Consultant, at telephone number 336-408-4849, 353 Jonestown Road, Unit 146, Winston Salem, NC 27104, or by e-mail at cara.mckeown-stewart@dhhs.nc.gov to arrange a Technical Assistance Visit for the purpose of discussing organization with records and applicable childcare requirements. The operator will be required to present for the scheduled Technical Assistance Visit and may not participate in concurrent duties at the program. No action for this Item is required until Item #2 is completed. 4. Within two (2) weeks after the completion of Item #3, Ms. Jacobs, shall develop a written plan of achieving compliance with staff, program record, and transportation requirements, as well as, maintaining accurate records at all times. This written plan shall include, but not be limited to, the following: • Program Records, including the following: o Implementation of a program file checklist (as found in the Provider Documents and Forms) o Method of tracking when required items are due. o Schedule of records reviews o Steps to be taken when information is missing or has not been completed within required timeframes. o Procedures for the written recording of the individual arrival and departure times of each child. o Method of tracking daily individual arrival and departure times of each child. o Procedures for ensuring that all daily arrival and departure logs include the required information and are updated as changes occur. • Staff Records, including the following: o Implementation of a staff file checklist (as found in the Provider Documents and Forms) o Method of tracking when required items are due. o Schedule of file reviews o Steps to be taken when information is missing or has not been completed within required timeframes. • Transportation Requirements, including the following: o Implementation of a transportation monitoring checklist. o Method of tracking when required items are due. o Schedule of on-going transportation monitoring checklist by operator. o Steps to be taken when information is missing or has not been completed within required timeframes. No action is required until Item #3 is completed. 5. Within two (2) weeks after the completion of Item #4, Ms. Jacobs, shall develop a written plan for achieving compliance with ensuring a safe indoor and outdoor environment for children. The written plan shall include, but not be limited to, the following: • Procedures for monitoring safety including safely physically picking up children, the storage and handling of hazardous supplies, storage of ammunition, and identification of safety or sanitation issues within the licensed indoor and outdoor childcare space including removing broken or hazardous items. • A schedule for monitoring the indoor and outdoor environment. • Steps to be taken when indoor and/or outdoor equipment is not sturdy, stable, and free of other hazards and safe environment is compromised. No Action is required until Item # 4 is completed. 6. Within two (2) weeks after the completion of Item #5, Ms. Jacobs, shall develop a written plan for achieving compliance with transportation requirements. The written plan shall include, but not be limited to, the following: • Procedures for monitoring transportation requirements including: maintaining current and complete written permission from parents/guardians to transport children, maintaining current and complete identifying information, including the child’s name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721 (a)(3), ensuring children use an individual seat belt or safety belt appropriate to the child’s age or weight, and maintaining written documentation on file verifying current liability insurance information for all vehicles used to transport children. • A schedule for monitoring all transportation requirements. • Steps to be taken when safety issues are identified or when information is missing or has not been completed within required timeframes. The written plan shall be submitted to Ms. McKeown-Stewart via email, cara.mckeown-stewart@dhhs.nc.gov . Ms. McKeown-Stewart shall notify Ms. Jacobs, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and incorporated into the facility’s operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education, upon request. No Action is required until Item # 5 is completed. The following violations were documented during today’s visit: Violation Number Comment Rule 601 Nutritious meals and snacks served did not meet Meal Patterns for Children in Child Care Programs. The children enrolled were served corndogs and French Fries for lunch. No fruit component, additional vegetable, or milk was served. 10A NCAC 09. 1706(a) 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. The door to the laundry area, located inside the bathroom used by children enrolled, was observed to be unlocked and containing items labeled Keep Out of Reach of Children with additional warnings. This door was locked during the visit. An aerosol canister of disinfectant spray and a canister of Clorox wipes were observed in the vehicle used to transport children in unlocked storage. .1719 (a)(7) 720 Adequate supervision was not provided for children in the Family Child Care Home. I went outside to monitor the vehicle used for transporting children and reentered the home to ask Ms. Jacobs a question regarding children being transported. When I reentered the home, Ms. Jacobs was observed to be coming downstairs from the upper set of stairs onto the landing; the three children enrolled were still downstairs. .1711(a) 920 Records were not made available for review. The Tobacco Free Policy and Shaken Baby Policy was not on file for two children enrolled. G.S. 110-91(9) 1103 For each child being transported, the operator or other transportation provider did not have identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a )(3) in the vehicle whenever children were transported. Identifying information in the vehicle about each child being transported, including the child's name, photograph, and emergency contact information, was not on file for five children enrolled who are transported. .1723(13) 1105 Adults and children did not use an individual seat belt or safety seat appropriate to the child's age or weight. Two seat belts on the vehicle are not functioning correctly. The seatbelt shoulder harness of the seat furthest left (behind the driver’s seat) on the middle row was observed to be locked and unable to be retracted or extended. The left male portion of the seatbelt second from the left in the back row of the vehicle was observed to be inaccessible during the visit, unable to be removed from in between the seats. .1723(8) 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, three balls were observed to be heavily mildewed, and a plastic ring was observed to be broken and sharp to the touch. 10A NCAC 09 .1719 (a) 1857 The operator did not develop an Emergency Preparedness and Response Plan within four months of completing the Emergency Preparedness and Response in Child Care training and/or the Plan was not completed on the template provided by the Division. The Ready to Go File did not contain blank incident reports and a copy of the EPR plan. .1714(c) 2045 Following the issuance of any administrative action the operator did not post the administrative action, cover letter, and/or corrective action plan, if applicable, in a location visible to parents and visitors near the entrance of the child care facility during the pendency of an appeal and/or throughout the effective time period of the administrative action. (applicable to administrative actions issued after 2/1/19) The Administrative Action was folded up on a side table near the entrance to the FCCH when I arrived at the home. 10A NCAC 09 .2201(i)(1-4) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 10/25/2023. 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 You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 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 visits may be made during the year to monitor child care requirements. An Unannounced Visit will be conducted by a representative of the Division of Child Development and Early Education in the near future to monitor supervision. Unannounced Visits will also be conducted by a representative of the DCDEE until all CAP Items have been completed. The following Technical Assistance was provided/ discussed with Ms. Jacobs during the visit: • Please ensure all children’s applications have dates of enrollment recorded on them. • Please keep all program, operator, and children’s records, as well as back-up or replacement materials and required items, such as meal items, toilet paper and the fire extinguisher on the ground level where children are in care, accessible to you, the operator. • Please ensure all transportation permission authorization forms are filled out completely, inclusive of with a date the form was signed by each parent. The following Child Care Rules were thoroughly discussed and reviewed with Ms. Jacobs during the visit: 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (18) not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities. 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: (B) ensure the child's hands are washed before and after the child is fed. 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 .2201 · Violation

Name of Operation: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 10/11/2023 Number Present: 3 Completed Date: 10/11/2023 Age: From 1 To 3 Total Minutes: 250 Time In: 09:35 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced follow-up visit was to monitor for items in the Corrective Action Plan for an Administrative Action, Written Warning, issued on August 31, 2023. The visit was conducted with Nicole Jacobs, Operator, by Cara McKeown-Stewart, Child Care Consultant. On 8/31/2023, an Administrative Action, Written Warning, was issued by the Division of Child Development and Early Education to Kiddie Luv Child Care Home, ID# 34000504. Ms. McKeown-Stewart reviewed the Administrative Action, inclusive of the Corrective Action Plan (CAP), with Ms. Jacobs via phone on 9/14/2023. To date, the Division has not received notice of an appeal filed by Ms. Jacobs. During today’s visit, Ms. Jacobs stated that the Final Notice of the Administrative Action had been received, and she did not plan to appeal. The Administrative Active was folded up on a side table near the entrance to the FCCH when I arrived at the home. Ms. McKeown-Stewart observed Ms. Jacobs post a copy of the Written Warning on the wall to the left of the main entrance, visible to parents and visitors, during the visit. The Notice of Administrative Action, Cover Letter and the Corrective Action Plan and the license must remain posted for a period of six months, until February 28, 2023. There were three children in care today, and children in care were observed to be playing with toys, participating in general routines, and eating lunch during the visit. The children enrolled were served corndogs and French Fries for lunch. No fruit component, additional vegetable, or milk was served. I mentioned this to Ms. Jacobs, and she stated she had forgotten to bring these items downstairs this morning. A walkthrough of the home was completed which included the primary space designated for child care, the bathroom used by children enrolled, and the outdoor learning environment. The supervision of children was monitored. I went outside to monitor the vehicle used for transporting children and reentered the home to ask Ms. Jacobs a question regarding children being transported. When I reentered the home, Ms. Jacobs was observed to be coming downstairs from the upper set of stairs onto the landing; the three children enrolled were still downstairs. Discipline, capacity/ group size, posting of the license and permit restrictions were monitored. Valid CPR and First Aid training, ITS-SIDS Training and Criminal Background Check Letters were monitored; a CBC qualifying letter was not observed to be on file for the operator. On the playground, three balls were observed to be heavily mildewed, and a plastic ring was observed to be broken and sharp to the touch. Ms. Jacobs removed the balls and ring from the playground during the visit. The following items were monitored during today’s visit: • Supervision • Discipline, Nurture, and Care • License Capacity • Group Size • Permit Restrictions • CPR/FA • ITS SIDS • Criminal Background Checks Additionally, monitoring of the items included in the Corrective Action occurred as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • General Statue 110-90.2 and Child Care Rule .1710(a), and .2703(q) regarding criminal background check • Child Care Rule 10A NCAC 09 .1719 (a), .1724 (b), .1714(c), and .1721 (e)(7) regarding general safety • Child Care Rule 10A NCAC 09 .1707(3) and (4), and NCAC 513.1 regarding fire safety • Child Care Rule 10A NCAC 09 .1723 (3) and (5), and (8), and (13) regarding transportation requirements • Child Care Rule 10A NCAC 09 .1725(a)(9) regarding sanitation • Child Care Rule 10A NCAC 09 .1721 (e)(6) regarding provider records. No medications were observed, nor reported. The door to the laundry area, located inside the bathroom used by children enrolled, was observed to be unlocked and containing items labeled Keep Out of Reach of Children with additional warnings. This door was locked during the visit. An aerosol canister of disinfectant spray and a canister of Clorox wipes were observed in the vehicle used to transport children in unlocked storage; Ms. Jacobs placed these items into approved storage during the visit. The Tobacco Free Policy and Shaken Baby Policy was not on file for two children enrolled. Identifying information in the vehicle about each child being transported, including the child's name, photograph, and emergency contact information, was not on file for five children enrolled who are transported. Two seat belts on the vehicle are not functioning correctly. The seatbelt shoulder harness of the seat furthest left (behind the driver’s seat) on the middle row was observed to be locked and unable to be retracted or extended. The left male portion of the seatbelt second from the left in the back row of the vehicle was observed to be inaccessible during the visit, unable to be removed from in between the seats. 2. Within one (1) week after this Notice is received, Nicole Jacobs, FCCH Operator, shall contact Cara McKeown- Stewart, Child Care Consultant, at telephone number 336-408-4849, 353 Jonestown Road, Unit 146, Winston Salem, NC 27104 or by e-mail at cara.mckeown-stewart@dhhs.nc.gov to conduct a rules review of all applicable child care requirements for family childcare homes. Special emphasis shall be placed on stipulations addressed in Item #1, as well as each the operator’s responsibility for assuring compliance with all applicable childcare requirements. This training must be completed during first shift operating hours, and children may not be present during the training. Documentation of the training shall include a training roster with the name and signature of the trainer and the training participant, as well as, the title of the training and the date and time the training was conducted. The documentation shall be maintained in the facility files for review by Division representatives upon request. Ms. Jacobs confirmed a scheduled Rules Review for Monday, 10/16/2023, with Ms. McKeown-Stewart via email on Monday, 10/02/2023. 3. Within one (1) month after completing Item #2, Ms. Jacobs shall contact Ms. McKeown-Stewart, Child Care Consultant, at telephone number 336-408-4849, 353 Jonestown Road, Unit 146, Winston Salem, NC 27104, or by e-mail at cara.mckeown-stewart@dhhs.nc.gov to arrange a Technical Assistance Visit for the purpose of discussing organization with records and applicable childcare requirements. The operator will be required to present for the scheduled Technical Assistance Visit and may not participate in concurrent duties at the program. No action for this Item is required until Item #2 is completed. 4. Within two (2) weeks after the completion of Item #3, Ms. Jacobs, shall develop a written plan of achieving compliance with staff, program record, and transportation requirements, as well as, maintaining accurate records at all times. This written plan shall include, but not be limited to, the following: • Program Records, including the following: o Implementation of a program file checklist (as found in the Provider Documents and Forms) o Method of tracking when required items are due. o Schedule of records reviews o Steps to be taken when information is missing or has not been completed within required timeframes. o Procedures for the written recording of the individual arrival and departure times of each child. o Method of tracking daily individual arrival and departure times of each child. o Procedures for ensuring that all daily arrival and departure logs include the required information and are updated as changes occur. • Staff Records, including the following: o Implementation of a staff file checklist (as found in the Provider Documents and Forms) o Method of tracking when required items are due. o Schedule of file reviews o Steps to be taken when information is missing or has not been completed within required timeframes. • Transportation Requirements, including the following: o Implementation of a transportation monitoring checklist. o Method of tracking when required items are due. o Schedule of on-going transportation monitoring checklist by operator. o Steps to be taken when information is missing or has not been completed within required timeframes. No action is required until Item #3 is completed. 5. Within two (2) weeks after the completion of Item #4, Ms. Jacobs, shall develop a written plan for achieving compliance with ensuring a safe indoor and outdoor environment for children. The written plan shall include, but not be limited to, the following: • Procedures for monitoring safety including safely physically picking up children, the storage and handling of hazardous supplies, storage of ammunition, and identification of safety or sanitation issues within the licensed indoor and outdoor childcare space including removing broken or hazardous items. • A schedule for monitoring the indoor and outdoor environment. • Steps to be taken when indoor and/or outdoor equipment is not sturdy, stable, and free of other hazards and safe environment is compromised. No Action is required until Item # 4 is completed. 6. Within two (2) weeks after the completion of Item #5, Ms. Jacobs, shall develop a written plan for achieving compliance with transportation requirements. The written plan shall include, but not be limited to, the following: • Procedures for monitoring transportation requirements including: maintaining current and complete written permission from parents/guardians to transport children, maintaining current and complete identifying information, including the child’s name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721 (a)(3), ensuring children use an individual seat belt or safety belt appropriate to the child’s age or weight, and maintaining written documentation on file verifying current liability insurance information for all vehicles used to transport children. • A schedule for monitoring all transportation requirements. • Steps to be taken when safety issues are identified or when information is missing or has not been completed within required timeframes. The written plan shall be submitted to Ms. McKeown-Stewart via email, cara.mckeown-stewart@dhhs.nc.gov . Ms. McKeown-Stewart shall notify Ms. Jacobs, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and incorporated into the facility’s operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education, upon request. No Action is required until Item # 5 is completed. The following violations were documented during today’s visit: Violation Number Comment Rule 601 Nutritious meals and snacks served did not meet Meal Patterns for Children in Child Care Programs. The children enrolled were served corndogs and French Fries for lunch. No fruit component, additional vegetable, or milk was served. 10A NCAC 09. 1706(a) 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. The door to the laundry area, located inside the bathroom used by children enrolled, was observed to be unlocked and containing items labeled Keep Out of Reach of Children with additional warnings. This door was locked during the visit. An aerosol canister of disinfectant spray and a canister of Clorox wipes were observed in the vehicle used to transport children in unlocked storage. .1719 (a)(7) 720 Adequate supervision was not provided for children in the Family Child Care Home. I went outside to monitor the vehicle used for transporting children and reentered the home to ask Ms. Jacobs a question regarding children being transported. When I reentered the home, Ms. Jacobs was observed to be coming downstairs from the upper set of stairs onto the landing; the three children enrolled were still downstairs. .1711(a) 920 Records were not made available for review. The Tobacco Free Policy and Shaken Baby Policy was not on file for two children enrolled. G.S. 110-91(9) 1103 For each child being transported, the operator or other transportation provider did not have identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a )(3) in the vehicle whenever children were transported. Identifying information in the vehicle about each child being transported, including the child's name, photograph, and emergency contact information, was not on file for five children enrolled who are transported. .1723(13) 1105 Adults and children did not use an individual seat belt or safety seat appropriate to the child's age or weight. Two seat belts on the vehicle are not functioning correctly. The seatbelt shoulder harness of the seat furthest left (behind the driver’s seat) on the middle row was observed to be locked and unable to be retracted or extended. The left male portion of the seatbelt second from the left in the back row of the vehicle was observed to be inaccessible during the visit, unable to be removed from in between the seats. .1723(8) 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, three balls were observed to be heavily mildewed, and a plastic ring was observed to be broken and sharp to the touch. 10A NCAC 09 .1719 (a) 1857 The operator did not develop an Emergency Preparedness and Response Plan within four months of completing the Emergency Preparedness and Response in Child Care training and/or the Plan was not completed on the template provided by the Division. The Ready to Go File did not contain blank incident reports and a copy of the EPR plan. .1714(c) 2045 Following the issuance of any administrative action the operator did not post the administrative action, cover letter, and/or corrective action plan, if applicable, in a location visible to parents and visitors near the entrance of the child care facility during the pendency of an appeal and/or throughout the effective time period of the administrative action. (applicable to administrative actions issued after 2/1/19) The Administrative Action was folded up on a side table near the entrance to the FCCH when I arrived at the home. 10A NCAC 09 .2201(i)(1-4) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 10/25/2023. 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 You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 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 visits may be made during the year to monitor child care requirements. An Unannounced Visit will be conducted by a representative of the Division of Child Development and Early Education in the near future to monitor supervision. Unannounced Visits will also be conducted by a representative of the DCDEE until all CAP Items have been completed. The following Technical Assistance was provided/ discussed with Ms. Jacobs during the visit: • Please ensure all children’s applications have dates of enrollment recorded on them. • Please keep all program, operator, and children’s records, as well as back-up or replacement materials and required items, such as meal items, toilet paper and the fire extinguisher on the ground level where children are in care, accessible to you, the operator. • Please ensure all transportation permission authorization forms are filled out completely, inclusive of with a date the form was signed by each parent. The following Child Care Rules were thoroughly discussed and reviewed with Ms. Jacobs during the visit: 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (18) not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities. 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: (B) ensure the child's hands are washed before and after the child is fed. 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. 1706 · Violation

Name of Operation: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 10/11/2023 Number Present: 3 Completed Date: 10/11/2023 Age: From 1 To 3 Total Minutes: 250 Time In: 09:35 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced follow-up visit was to monitor for items in the Corrective Action Plan for an Administrative Action, Written Warning, issued on August 31, 2023. The visit was conducted with Nicole Jacobs, Operator, by Cara McKeown-Stewart, Child Care Consultant. On 8/31/2023, an Administrative Action, Written Warning, was issued by the Division of Child Development and Early Education to Kiddie Luv Child Care Home, ID# 34000504. Ms. McKeown-Stewart reviewed the Administrative Action, inclusive of the Corrective Action Plan (CAP), with Ms. Jacobs via phone on 9/14/2023. To date, the Division has not received notice of an appeal filed by Ms. Jacobs. During today’s visit, Ms. Jacobs stated that the Final Notice of the Administrative Action had been received, and she did not plan to appeal. The Administrative Active was folded up on a side table near the entrance to the FCCH when I arrived at the home. Ms. McKeown-Stewart observed Ms. Jacobs post a copy of the Written Warning on the wall to the left of the main entrance, visible to parents and visitors, during the visit. The Notice of Administrative Action, Cover Letter and the Corrective Action Plan and the license must remain posted for a period of six months, until February 28, 2023. There were three children in care today, and children in care were observed to be playing with toys, participating in general routines, and eating lunch during the visit. The children enrolled were served corndogs and French Fries for lunch. No fruit component, additional vegetable, or milk was served. I mentioned this to Ms. Jacobs, and she stated she had forgotten to bring these items downstairs this morning. A walkthrough of the home was completed which included the primary space designated for child care, the bathroom used by children enrolled, and the outdoor learning environment. The supervision of children was monitored. I went outside to monitor the vehicle used for transporting children and reentered the home to ask Ms. Jacobs a question regarding children being transported. When I reentered the home, Ms. Jacobs was observed to be coming downstairs from the upper set of stairs onto the landing; the three children enrolled were still downstairs. Discipline, capacity/ group size, posting of the license and permit restrictions were monitored. Valid CPR and First Aid training, ITS-SIDS Training and Criminal Background Check Letters were monitored; a CBC qualifying letter was not observed to be on file for the operator. On the playground, three balls were observed to be heavily mildewed, and a plastic ring was observed to be broken and sharp to the touch. Ms. Jacobs removed the balls and ring from the playground during the visit. The following items were monitored during today’s visit: • Supervision • Discipline, Nurture, and Care • License Capacity • Group Size • Permit Restrictions • CPR/FA • ITS SIDS • Criminal Background Checks Additionally, monitoring of the items included in the Corrective Action occurred as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • General Statue 110-90.2 and Child Care Rule .1710(a), and .2703(q) regarding criminal background check • Child Care Rule 10A NCAC 09 .1719 (a), .1724 (b), .1714(c), and .1721 (e)(7) regarding general safety • Child Care Rule 10A NCAC 09 .1707(3) and (4), and NCAC 513.1 regarding fire safety • Child Care Rule 10A NCAC 09 .1723 (3) and (5), and (8), and (13) regarding transportation requirements • Child Care Rule 10A NCAC 09 .1725(a)(9) regarding sanitation • Child Care Rule 10A NCAC 09 .1721 (e)(6) regarding provider records. No medications were observed, nor reported. The door to the laundry area, located inside the bathroom used by children enrolled, was observed to be unlocked and containing items labeled Keep Out of Reach of Children with additional warnings. This door was locked during the visit. An aerosol canister of disinfectant spray and a canister of Clorox wipes were observed in the vehicle used to transport children in unlocked storage; Ms. Jacobs placed these items into approved storage during the visit. The Tobacco Free Policy and Shaken Baby Policy was not on file for two children enrolled. Identifying information in the vehicle about each child being transported, including the child's name, photograph, and emergency contact information, was not on file for five children enrolled who are transported. Two seat belts on the vehicle are not functioning correctly. The seatbelt shoulder harness of the seat furthest left (behind the driver’s seat) on the middle row was observed to be locked and unable to be retracted or extended. The left male portion of the seatbelt second from the left in the back row of the vehicle was observed to be inaccessible during the visit, unable to be removed from in between the seats. 2. Within one (1) week after this Notice is received, Nicole Jacobs, FCCH Operator, shall contact Cara McKeown- Stewart, Child Care Consultant, at telephone number 336-408-4849, 353 Jonestown Road, Unit 146, Winston Salem, NC 27104 or by e-mail at cara.mckeown-stewart@dhhs.nc.gov to conduct a rules review of all applicable child care requirements for family childcare homes. Special emphasis shall be placed on stipulations addressed in Item #1, as well as each the operator’s responsibility for assuring compliance with all applicable childcare requirements. This training must be completed during first shift operating hours, and children may not be present during the training. Documentation of the training shall include a training roster with the name and signature of the trainer and the training participant, as well as, the title of the training and the date and time the training was conducted. The documentation shall be maintained in the facility files for review by Division representatives upon request. Ms. Jacobs confirmed a scheduled Rules Review for Monday, 10/16/2023, with Ms. McKeown-Stewart via email on Monday, 10/02/2023. 3. Within one (1) month after completing Item #2, Ms. Jacobs shall contact Ms. McKeown-Stewart, Child Care Consultant, at telephone number 336-408-4849, 353 Jonestown Road, Unit 146, Winston Salem, NC 27104, or by e-mail at cara.mckeown-stewart@dhhs.nc.gov to arrange a Technical Assistance Visit for the purpose of discussing organization with records and applicable childcare requirements. The operator will be required to present for the scheduled Technical Assistance Visit and may not participate in concurrent duties at the program. No action for this Item is required until Item #2 is completed. 4. Within two (2) weeks after the completion of Item #3, Ms. Jacobs, shall develop a written plan of achieving compliance with staff, program record, and transportation requirements, as well as, maintaining accurate records at all times. This written plan shall include, but not be limited to, the following: • Program Records, including the following: o Implementation of a program file checklist (as found in the Provider Documents and Forms) o Method of tracking when required items are due. o Schedule of records reviews o Steps to be taken when information is missing or has not been completed within required timeframes. o Procedures for the written recording of the individual arrival and departure times of each child. o Method of tracking daily individual arrival and departure times of each child. o Procedures for ensuring that all daily arrival and departure logs include the required information and are updated as changes occur. • Staff Records, including the following: o Implementation of a staff file checklist (as found in the Provider Documents and Forms) o Method of tracking when required items are due. o Schedule of file reviews o Steps to be taken when information is missing or has not been completed within required timeframes. • Transportation Requirements, including the following: o Implementation of a transportation monitoring checklist. o Method of tracking when required items are due. o Schedule of on-going transportation monitoring checklist by operator. o Steps to be taken when information is missing or has not been completed within required timeframes. No action is required until Item #3 is completed. 5. Within two (2) weeks after the completion of Item #4, Ms. Jacobs, shall develop a written plan for achieving compliance with ensuring a safe indoor and outdoor environment for children. The written plan shall include, but not be limited to, the following: • Procedures for monitoring safety including safely physically picking up children, the storage and handling of hazardous supplies, storage of ammunition, and identification of safety or sanitation issues within the licensed indoor and outdoor childcare space including removing broken or hazardous items. • A schedule for monitoring the indoor and outdoor environment. • Steps to be taken when indoor and/or outdoor equipment is not sturdy, stable, and free of other hazards and safe environment is compromised. No Action is required until Item # 4 is completed. 6. Within two (2) weeks after the completion of Item #5, Ms. Jacobs, shall develop a written plan for achieving compliance with transportation requirements. The written plan shall include, but not be limited to, the following: • Procedures for monitoring transportation requirements including: maintaining current and complete written permission from parents/guardians to transport children, maintaining current and complete identifying information, including the child’s name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721 (a)(3), ensuring children use an individual seat belt or safety belt appropriate to the child’s age or weight, and maintaining written documentation on file verifying current liability insurance information for all vehicles used to transport children. • A schedule for monitoring all transportation requirements. • Steps to be taken when safety issues are identified or when information is missing or has not been completed within required timeframes. The written plan shall be submitted to Ms. McKeown-Stewart via email, cara.mckeown-stewart@dhhs.nc.gov . Ms. McKeown-Stewart shall notify Ms. Jacobs, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and incorporated into the facility’s operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education, upon request. No Action is required until Item # 5 is completed. The following violations were documented during today’s visit: Violation Number Comment Rule 601 Nutritious meals and snacks served did not meet Meal Patterns for Children in Child Care Programs. The children enrolled were served corndogs and French Fries for lunch. No fruit component, additional vegetable, or milk was served. 10A NCAC 09. 1706(a) 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. The door to the laundry area, located inside the bathroom used by children enrolled, was observed to be unlocked and containing items labeled Keep Out of Reach of Children with additional warnings. This door was locked during the visit. An aerosol canister of disinfectant spray and a canister of Clorox wipes were observed in the vehicle used to transport children in unlocked storage. .1719 (a)(7) 720 Adequate supervision was not provided for children in the Family Child Care Home. I went outside to monitor the vehicle used for transporting children and reentered the home to ask Ms. Jacobs a question regarding children being transported. When I reentered the home, Ms. Jacobs was observed to be coming downstairs from the upper set of stairs onto the landing; the three children enrolled were still downstairs. .1711(a) 920 Records were not made available for review. The Tobacco Free Policy and Shaken Baby Policy was not on file for two children enrolled. G.S. 110-91(9) 1103 For each child being transported, the operator or other transportation provider did not have identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a )(3) in the vehicle whenever children were transported. Identifying information in the vehicle about each child being transported, including the child's name, photograph, and emergency contact information, was not on file for five children enrolled who are transported. .1723(13) 1105 Adults and children did not use an individual seat belt or safety seat appropriate to the child's age or weight. Two seat belts on the vehicle are not functioning correctly. The seatbelt shoulder harness of the seat furthest left (behind the driver’s seat) on the middle row was observed to be locked and unable to be retracted or extended. The left male portion of the seatbelt second from the left in the back row of the vehicle was observed to be inaccessible during the visit, unable to be removed from in between the seats. .1723(8) 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, three balls were observed to be heavily mildewed, and a plastic ring was observed to be broken and sharp to the touch. 10A NCAC 09 .1719 (a) 1857 The operator did not develop an Emergency Preparedness and Response Plan within four months of completing the Emergency Preparedness and Response in Child Care training and/or the Plan was not completed on the template provided by the Division. The Ready to Go File did not contain blank incident reports and a copy of the EPR plan. .1714(c) 2045 Following the issuance of any administrative action the operator did not post the administrative action, cover letter, and/or corrective action plan, if applicable, in a location visible to parents and visitors near the entrance of the child care facility during the pendency of an appeal and/or throughout the effective time period of the administrative action. (applicable to administrative actions issued after 2/1/19) The Administrative Action was folded up on a side table near the entrance to the FCCH when I arrived at the home. 10A NCAC 09 .2201(i)(1-4) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 10/25/2023. 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 You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 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 visits may be made during the year to monitor child care requirements. An Unannounced Visit will be conducted by a representative of the Division of Child Development and Early Education in the near future to monitor supervision. Unannounced Visits will also be conducted by a representative of the DCDEE until all CAP Items have been completed. The following Technical Assistance was provided/ discussed with Ms. Jacobs during the visit: • Please ensure all children’s applications have dates of enrollment recorded on them. • Please keep all program, operator, and children’s records, as well as back-up or replacement materials and required items, such as meal items, toilet paper and the fire extinguisher on the ground level where children are in care, accessible to you, the operator. • Please ensure all transportation permission authorization forms are filled out completely, inclusive of with a date the form was signed by each parent. The following Child Care Rules were thoroughly discussed and reviewed with Ms. Jacobs during the visit: 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (18) not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities. 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: (B) ensure the child's hands are washed before and after the child is fed. 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

G.S. 110-91 · Violation

Name of Operation: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 10/11/2023 Number Present: 3 Completed Date: 10/11/2023 Age: From 1 To 3 Total Minutes: 250 Time In: 09:35 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced follow-up visit was to monitor for items in the Corrective Action Plan for an Administrative Action, Written Warning, issued on August 31, 2023. The visit was conducted with Nicole Jacobs, Operator, by Cara McKeown-Stewart, Child Care Consultant. On 8/31/2023, an Administrative Action, Written Warning, was issued by the Division of Child Development and Early Education to Kiddie Luv Child Care Home, ID# 34000504. Ms. McKeown-Stewart reviewed the Administrative Action, inclusive of the Corrective Action Plan (CAP), with Ms. Jacobs via phone on 9/14/2023. To date, the Division has not received notice of an appeal filed by Ms. Jacobs. During today’s visit, Ms. Jacobs stated that the Final Notice of the Administrative Action had been received, and she did not plan to appeal. The Administrative Active was folded up on a side table near the entrance to the FCCH when I arrived at the home. Ms. McKeown-Stewart observed Ms. Jacobs post a copy of the Written Warning on the wall to the left of the main entrance, visible to parents and visitors, during the visit. The Notice of Administrative Action, Cover Letter and the Corrective Action Plan and the license must remain posted for a period of six months, until February 28, 2023. There were three children in care today, and children in care were observed to be playing with toys, participating in general routines, and eating lunch during the visit. The children enrolled were served corndogs and French Fries for lunch. No fruit component, additional vegetable, or milk was served. I mentioned this to Ms. Jacobs, and she stated she had forgotten to bring these items downstairs this morning. A walkthrough of the home was completed which included the primary space designated for child care, the bathroom used by children enrolled, and the outdoor learning environment. The supervision of children was monitored. I went outside to monitor the vehicle used for transporting children and reentered the home to ask Ms. Jacobs a question regarding children being transported. When I reentered the home, Ms. Jacobs was observed to be coming downstairs from the upper set of stairs onto the landing; the three children enrolled were still downstairs. Discipline, capacity/ group size, posting of the license and permit restrictions were monitored. Valid CPR and First Aid training, ITS-SIDS Training and Criminal Background Check Letters were monitored; a CBC qualifying letter was not observed to be on file for the operator. On the playground, three balls were observed to be heavily mildewed, and a plastic ring was observed to be broken and sharp to the touch. Ms. Jacobs removed the balls and ring from the playground during the visit. The following items were monitored during today’s visit: • Supervision • Discipline, Nurture, and Care • License Capacity • Group Size • Permit Restrictions • CPR/FA • ITS SIDS • Criminal Background Checks Additionally, monitoring of the items included in the Corrective Action occurred as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • General Statue 110-90.2 and Child Care Rule .1710(a), and .2703(q) regarding criminal background check • Child Care Rule 10A NCAC 09 .1719 (a), .1724 (b), .1714(c), and .1721 (e)(7) regarding general safety • Child Care Rule 10A NCAC 09 .1707(3) and (4), and NCAC 513.1 regarding fire safety • Child Care Rule 10A NCAC 09 .1723 (3) and (5), and (8), and (13) regarding transportation requirements • Child Care Rule 10A NCAC 09 .1725(a)(9) regarding sanitation • Child Care Rule 10A NCAC 09 .1721 (e)(6) regarding provider records. No medications were observed, nor reported. The door to the laundry area, located inside the bathroom used by children enrolled, was observed to be unlocked and containing items labeled Keep Out of Reach of Children with additional warnings. This door was locked during the visit. An aerosol canister of disinfectant spray and a canister of Clorox wipes were observed in the vehicle used to transport children in unlocked storage; Ms. Jacobs placed these items into approved storage during the visit. The Tobacco Free Policy and Shaken Baby Policy was not on file for two children enrolled. Identifying information in the vehicle about each child being transported, including the child's name, photograph, and emergency contact information, was not on file for five children enrolled who are transported. Two seat belts on the vehicle are not functioning correctly. The seatbelt shoulder harness of the seat furthest left (behind the driver’s seat) on the middle row was observed to be locked and unable to be retracted or extended. The left male portion of the seatbelt second from the left in the back row of the vehicle was observed to be inaccessible during the visit, unable to be removed from in between the seats. 2. Within one (1) week after this Notice is received, Nicole Jacobs, FCCH Operator, shall contact Cara McKeown- Stewart, Child Care Consultant, at telephone number 336-408-4849, 353 Jonestown Road, Unit 146, Winston Salem, NC 27104 or by e-mail at cara.mckeown-stewart@dhhs.nc.gov to conduct a rules review of all applicable child care requirements for family childcare homes. Special emphasis shall be placed on stipulations addressed in Item #1, as well as each the operator’s responsibility for assuring compliance with all applicable childcare requirements. This training must be completed during first shift operating hours, and children may not be present during the training. Documentation of the training shall include a training roster with the name and signature of the trainer and the training participant, as well as, the title of the training and the date and time the training was conducted. The documentation shall be maintained in the facility files for review by Division representatives upon request. Ms. Jacobs confirmed a scheduled Rules Review for Monday, 10/16/2023, with Ms. McKeown-Stewart via email on Monday, 10/02/2023. 3. Within one (1) month after completing Item #2, Ms. Jacobs shall contact Ms. McKeown-Stewart, Child Care Consultant, at telephone number 336-408-4849, 353 Jonestown Road, Unit 146, Winston Salem, NC 27104, or by e-mail at cara.mckeown-stewart@dhhs.nc.gov to arrange a Technical Assistance Visit for the purpose of discussing organization with records and applicable childcare requirements. The operator will be required to present for the scheduled Technical Assistance Visit and may not participate in concurrent duties at the program. No action for this Item is required until Item #2 is completed. 4. Within two (2) weeks after the completion of Item #3, Ms. Jacobs, shall develop a written plan of achieving compliance with staff, program record, and transportation requirements, as well as, maintaining accurate records at all times. This written plan shall include, but not be limited to, the following: • Program Records, including the following: o Implementation of a program file checklist (as found in the Provider Documents and Forms) o Method of tracking when required items are due. o Schedule of records reviews o Steps to be taken when information is missing or has not been completed within required timeframes. o Procedures for the written recording of the individual arrival and departure times of each child. o Method of tracking daily individual arrival and departure times of each child. o Procedures for ensuring that all daily arrival and departure logs include the required information and are updated as changes occur. • Staff Records, including the following: o Implementation of a staff file checklist (as found in the Provider Documents and Forms) o Method of tracking when required items are due. o Schedule of file reviews o Steps to be taken when information is missing or has not been completed within required timeframes. • Transportation Requirements, including the following: o Implementation of a transportation monitoring checklist. o Method of tracking when required items are due. o Schedule of on-going transportation monitoring checklist by operator. o Steps to be taken when information is missing or has not been completed within required timeframes. No action is required until Item #3 is completed. 5. Within two (2) weeks after the completion of Item #4, Ms. Jacobs, shall develop a written plan for achieving compliance with ensuring a safe indoor and outdoor environment for children. The written plan shall include, but not be limited to, the following: • Procedures for monitoring safety including safely physically picking up children, the storage and handling of hazardous supplies, storage of ammunition, and identification of safety or sanitation issues within the licensed indoor and outdoor childcare space including removing broken or hazardous items. • A schedule for monitoring the indoor and outdoor environment. • Steps to be taken when indoor and/or outdoor equipment is not sturdy, stable, and free of other hazards and safe environment is compromised. No Action is required until Item # 4 is completed. 6. Within two (2) weeks after the completion of Item #5, Ms. Jacobs, shall develop a written plan for achieving compliance with transportation requirements. The written plan shall include, but not be limited to, the following: • Procedures for monitoring transportation requirements including: maintaining current and complete written permission from parents/guardians to transport children, maintaining current and complete identifying information, including the child’s name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721 (a)(3), ensuring children use an individual seat belt or safety belt appropriate to the child’s age or weight, and maintaining written documentation on file verifying current liability insurance information for all vehicles used to transport children. • A schedule for monitoring all transportation requirements. • Steps to be taken when safety issues are identified or when information is missing or has not been completed within required timeframes. The written plan shall be submitted to Ms. McKeown-Stewart via email, cara.mckeown-stewart@dhhs.nc.gov . Ms. McKeown-Stewart shall notify Ms. Jacobs, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and incorporated into the facility’s operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education, upon request. No Action is required until Item # 5 is completed. The following violations were documented during today’s visit: Violation Number Comment Rule 601 Nutritious meals and snacks served did not meet Meal Patterns for Children in Child Care Programs. The children enrolled were served corndogs and French Fries for lunch. No fruit component, additional vegetable, or milk was served. 10A NCAC 09. 1706(a) 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. The door to the laundry area, located inside the bathroom used by children enrolled, was observed to be unlocked and containing items labeled Keep Out of Reach of Children with additional warnings. This door was locked during the visit. An aerosol canister of disinfectant spray and a canister of Clorox wipes were observed in the vehicle used to transport children in unlocked storage. .1719 (a)(7) 720 Adequate supervision was not provided for children in the Family Child Care Home. I went outside to monitor the vehicle used for transporting children and reentered the home to ask Ms. Jacobs a question regarding children being transported. When I reentered the home, Ms. Jacobs was observed to be coming downstairs from the upper set of stairs onto the landing; the three children enrolled were still downstairs. .1711(a) 920 Records were not made available for review. The Tobacco Free Policy and Shaken Baby Policy was not on file for two children enrolled. G.S. 110-91(9) 1103 For each child being transported, the operator or other transportation provider did not have identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a )(3) in the vehicle whenever children were transported. Identifying information in the vehicle about each child being transported, including the child's name, photograph, and emergency contact information, was not on file for five children enrolled who are transported. .1723(13) 1105 Adults and children did not use an individual seat belt or safety seat appropriate to the child's age or weight. Two seat belts on the vehicle are not functioning correctly. The seatbelt shoulder harness of the seat furthest left (behind the driver’s seat) on the middle row was observed to be locked and unable to be retracted or extended. The left male portion of the seatbelt second from the left in the back row of the vehicle was observed to be inaccessible during the visit, unable to be removed from in between the seats. .1723(8) 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, three balls were observed to be heavily mildewed, and a plastic ring was observed to be broken and sharp to the touch. 10A NCAC 09 .1719 (a) 1857 The operator did not develop an Emergency Preparedness and Response Plan within four months of completing the Emergency Preparedness and Response in Child Care training and/or the Plan was not completed on the template provided by the Division. The Ready to Go File did not contain blank incident reports and a copy of the EPR plan. .1714(c) 2045 Following the issuance of any administrative action the operator did not post the administrative action, cover letter, and/or corrective action plan, if applicable, in a location visible to parents and visitors near the entrance of the child care facility during the pendency of an appeal and/or throughout the effective time period of the administrative action. (applicable to administrative actions issued after 2/1/19) The Administrative Action was folded up on a side table near the entrance to the FCCH when I arrived at the home. 10A NCAC 09 .2201(i)(1-4) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 10/25/2023. 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 You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 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 visits may be made during the year to monitor child care requirements. An Unannounced Visit will be conducted by a representative of the Division of Child Development and Early Education in the near future to monitor supervision. Unannounced Visits will also be conducted by a representative of the DCDEE until all CAP Items have been completed. The following Technical Assistance was provided/ discussed with Ms. Jacobs during the visit: • Please ensure all children’s applications have dates of enrollment recorded on them. • Please keep all program, operator, and children’s records, as well as back-up or replacement materials and required items, such as meal items, toilet paper and the fire extinguisher on the ground level where children are in care, accessible to you, the operator. • Please ensure all transportation permission authorization forms are filled out completely, inclusive of with a date the form was signed by each parent. The following Child Care Rules were thoroughly discussed and reviewed with Ms. Jacobs during the visit: 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (18) not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities. 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: (B) ensure the child's hands are washed before and after the child is fed. 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: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 10/11/2023 Number Present: 3 Completed Date: 10/11/2023 Age: From 1 To 3 Total Minutes: 250 Time In: 09:35 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced follow-up visit was to monitor for items in the Corrective Action Plan for an Administrative Action, Written Warning, issued on August 31, 2023. The visit was conducted with Nicole Jacobs, Operator, by Cara McKeown-Stewart, Child Care Consultant. On 8/31/2023, an Administrative Action, Written Warning, was issued by the Division of Child Development and Early Education to Kiddie Luv Child Care Home, ID# 34000504. Ms. McKeown-Stewart reviewed the Administrative Action, inclusive of the Corrective Action Plan (CAP), with Ms. Jacobs via phone on 9/14/2023. To date, the Division has not received notice of an appeal filed by Ms. Jacobs. During today’s visit, Ms. Jacobs stated that the Final Notice of the Administrative Action had been received, and she did not plan to appeal. The Administrative Active was folded up on a side table near the entrance to the FCCH when I arrived at the home. Ms. McKeown-Stewart observed Ms. Jacobs post a copy of the Written Warning on the wall to the left of the main entrance, visible to parents and visitors, during the visit. The Notice of Administrative Action, Cover Letter and the Corrective Action Plan and the license must remain posted for a period of six months, until February 28, 2023. There were three children in care today, and children in care were observed to be playing with toys, participating in general routines, and eating lunch during the visit. The children enrolled were served corndogs and French Fries for lunch. No fruit component, additional vegetable, or milk was served. I mentioned this to Ms. Jacobs, and she stated she had forgotten to bring these items downstairs this morning. A walkthrough of the home was completed which included the primary space designated for child care, the bathroom used by children enrolled, and the outdoor learning environment. The supervision of children was monitored. I went outside to monitor the vehicle used for transporting children and reentered the home to ask Ms. Jacobs a question regarding children being transported. When I reentered the home, Ms. Jacobs was observed to be coming downstairs from the upper set of stairs onto the landing; the three children enrolled were still downstairs. Discipline, capacity/ group size, posting of the license and permit restrictions were monitored. Valid CPR and First Aid training, ITS-SIDS Training and Criminal Background Check Letters were monitored; a CBC qualifying letter was not observed to be on file for the operator. On the playground, three balls were observed to be heavily mildewed, and a plastic ring was observed to be broken and sharp to the touch. Ms. Jacobs removed the balls and ring from the playground during the visit. The following items were monitored during today’s visit: • Supervision • Discipline, Nurture, and Care • License Capacity • Group Size • Permit Restrictions • CPR/FA • ITS SIDS • Criminal Background Checks Additionally, monitoring of the items included in the Corrective Action occurred as follows: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • General Statue 110-90.2 and Child Care Rule .1710(a), and .2703(q) regarding criminal background check • Child Care Rule 10A NCAC 09 .1719 (a), .1724 (b), .1714(c), and .1721 (e)(7) regarding general safety • Child Care Rule 10A NCAC 09 .1707(3) and (4), and NCAC 513.1 regarding fire safety • Child Care Rule 10A NCAC 09 .1723 (3) and (5), and (8), and (13) regarding transportation requirements • Child Care Rule 10A NCAC 09 .1725(a)(9) regarding sanitation • Child Care Rule 10A NCAC 09 .1721 (e)(6) regarding provider records. No medications were observed, nor reported. The door to the laundry area, located inside the bathroom used by children enrolled, was observed to be unlocked and containing items labeled Keep Out of Reach of Children with additional warnings. This door was locked during the visit. An aerosol canister of disinfectant spray and a canister of Clorox wipes were observed in the vehicle used to transport children in unlocked storage; Ms. Jacobs placed these items into approved storage during the visit. The Tobacco Free Policy and Shaken Baby Policy was not on file for two children enrolled. Identifying information in the vehicle about each child being transported, including the child's name, photograph, and emergency contact information, was not on file for five children enrolled who are transported. Two seat belts on the vehicle are not functioning correctly. The seatbelt shoulder harness of the seat furthest left (behind the driver’s seat) on the middle row was observed to be locked and unable to be retracted or extended. The left male portion of the seatbelt second from the left in the back row of the vehicle was observed to be inaccessible during the visit, unable to be removed from in between the seats. 2. Within one (1) week after this Notice is received, Nicole Jacobs, FCCH Operator, shall contact Cara McKeown- Stewart, Child Care Consultant, at telephone number 336-408-4849, 353 Jonestown Road, Unit 146, Winston Salem, NC 27104 or by e-mail at cara.mckeown-stewart@dhhs.nc.gov to conduct a rules review of all applicable child care requirements for family childcare homes. Special emphasis shall be placed on stipulations addressed in Item #1, as well as each the operator’s responsibility for assuring compliance with all applicable childcare requirements. This training must be completed during first shift operating hours, and children may not be present during the training. Documentation of the training shall include a training roster with the name and signature of the trainer and the training participant, as well as, the title of the training and the date and time the training was conducted. The documentation shall be maintained in the facility files for review by Division representatives upon request. Ms. Jacobs confirmed a scheduled Rules Review for Monday, 10/16/2023, with Ms. McKeown-Stewart via email on Monday, 10/02/2023. 3. Within one (1) month after completing Item #2, Ms. Jacobs shall contact Ms. McKeown-Stewart, Child Care Consultant, at telephone number 336-408-4849, 353 Jonestown Road, Unit 146, Winston Salem, NC 27104, or by e-mail at cara.mckeown-stewart@dhhs.nc.gov to arrange a Technical Assistance Visit for the purpose of discussing organization with records and applicable childcare requirements. The operator will be required to present for the scheduled Technical Assistance Visit and may not participate in concurrent duties at the program. No action for this Item is required until Item #2 is completed. 4. Within two (2) weeks after the completion of Item #3, Ms. Jacobs, shall develop a written plan of achieving compliance with staff, program record, and transportation requirements, as well as, maintaining accurate records at all times. This written plan shall include, but not be limited to, the following: • Program Records, including the following: o Implementation of a program file checklist (as found in the Provider Documents and Forms) o Method of tracking when required items are due. o Schedule of records reviews o Steps to be taken when information is missing or has not been completed within required timeframes. o Procedures for the written recording of the individual arrival and departure times of each child. o Method of tracking daily individual arrival and departure times of each child. o Procedures for ensuring that all daily arrival and departure logs include the required information and are updated as changes occur. • Staff Records, including the following: o Implementation of a staff file checklist (as found in the Provider Documents and Forms) o Method of tracking when required items are due. o Schedule of file reviews o Steps to be taken when information is missing or has not been completed within required timeframes. • Transportation Requirements, including the following: o Implementation of a transportation monitoring checklist. o Method of tracking when required items are due. o Schedule of on-going transportation monitoring checklist by operator. o Steps to be taken when information is missing or has not been completed within required timeframes. No action is required until Item #3 is completed. 5. Within two (2) weeks after the completion of Item #4, Ms. Jacobs, shall develop a written plan for achieving compliance with ensuring a safe indoor and outdoor environment for children. The written plan shall include, but not be limited to, the following: • Procedures for monitoring safety including safely physically picking up children, the storage and handling of hazardous supplies, storage of ammunition, and identification of safety or sanitation issues within the licensed indoor and outdoor childcare space including removing broken or hazardous items. • A schedule for monitoring the indoor and outdoor environment. • Steps to be taken when indoor and/or outdoor equipment is not sturdy, stable, and free of other hazards and safe environment is compromised. No Action is required until Item # 4 is completed. 6. Within two (2) weeks after the completion of Item #5, Ms. Jacobs, shall develop a written plan for achieving compliance with transportation requirements. The written plan shall include, but not be limited to, the following: • Procedures for monitoring transportation requirements including: maintaining current and complete written permission from parents/guardians to transport children, maintaining current and complete identifying information, including the child’s name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721 (a)(3), ensuring children use an individual seat belt or safety belt appropriate to the child’s age or weight, and maintaining written documentation on file verifying current liability insurance information for all vehicles used to transport children. • A schedule for monitoring all transportation requirements. • Steps to be taken when safety issues are identified or when information is missing or has not been completed within required timeframes. The written plan shall be submitted to Ms. McKeown-Stewart via email, cara.mckeown-stewart@dhhs.nc.gov . Ms. McKeown-Stewart shall notify Ms. Jacobs, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and incorporated into the facility’s operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education, upon request. No Action is required until Item # 5 is completed. The following violations were documented during today’s visit: Violation Number Comment Rule 601 Nutritious meals and snacks served did not meet Meal Patterns for Children in Child Care Programs. The children enrolled were served corndogs and French Fries for lunch. No fruit component, additional vegetable, or milk was served. 10A NCAC 09. 1706(a) 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. The door to the laundry area, located inside the bathroom used by children enrolled, was observed to be unlocked and containing items labeled Keep Out of Reach of Children with additional warnings. This door was locked during the visit. An aerosol canister of disinfectant spray and a canister of Clorox wipes were observed in the vehicle used to transport children in unlocked storage. .1719 (a)(7) 720 Adequate supervision was not provided for children in the Family Child Care Home. I went outside to monitor the vehicle used for transporting children and reentered the home to ask Ms. Jacobs a question regarding children being transported. When I reentered the home, Ms. Jacobs was observed to be coming downstairs from the upper set of stairs onto the landing; the three children enrolled were still downstairs. .1711(a) 920 Records were not made available for review. The Tobacco Free Policy and Shaken Baby Policy was not on file for two children enrolled. G.S. 110-91(9) 1103 For each child being transported, the operator or other transportation provider did not have identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a )(3) in the vehicle whenever children were transported. Identifying information in the vehicle about each child being transported, including the child's name, photograph, and emergency contact information, was not on file for five children enrolled who are transported. .1723(13) 1105 Adults and children did not use an individual seat belt or safety seat appropriate to the child's age or weight. Two seat belts on the vehicle are not functioning correctly. The seatbelt shoulder harness of the seat furthest left (behind the driver’s seat) on the middle row was observed to be locked and unable to be retracted or extended. The left male portion of the seatbelt second from the left in the back row of the vehicle was observed to be inaccessible during the visit, unable to be removed from in between the seats. .1723(8) 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, three balls were observed to be heavily mildewed, and a plastic ring was observed to be broken and sharp to the touch. 10A NCAC 09 .1719 (a) 1857 The operator did not develop an Emergency Preparedness and Response Plan within four months of completing the Emergency Preparedness and Response in Child Care training and/or the Plan was not completed on the template provided by the Division. The Ready to Go File did not contain blank incident reports and a copy of the EPR plan. .1714(c) 2045 Following the issuance of any administrative action the operator did not post the administrative action, cover letter, and/or corrective action plan, if applicable, in a location visible to parents and visitors near the entrance of the child care facility during the pendency of an appeal and/or throughout the effective time period of the administrative action. (applicable to administrative actions issued after 2/1/19) The Administrative Action was folded up on a side table near the entrance to the FCCH when I arrived at the home. 10A NCAC 09 .2201(i)(1-4) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 10/25/2023. 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 You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 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 visits may be made during the year to monitor child care requirements. An Unannounced Visit will be conducted by a representative of the Division of Child Development and Early Education in the near future to monitor supervision. Unannounced Visits will also be conducted by a representative of the DCDEE until all CAP Items have been completed. The following Technical Assistance was provided/ discussed with Ms. Jacobs during the visit: • Please ensure all children’s applications have dates of enrollment recorded on them. • Please keep all program, operator, and children’s records, as well as back-up or replacement materials and required items, such as meal items, toilet paper and the fire extinguisher on the ground level where children are in care, accessible to you, the operator. • Please ensure all transportation permission authorization forms are filled out completely, inclusive of with a date the form was signed by each parent. The following Child Care Rules were thoroughly discussed and reviewed with Ms. Jacobs during the visit: 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (18) not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities. 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: (B) ensure the child's hands are washed before and after the child is fed. 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: KIDDIE LUV CHILD CARE HOME Facility ID: 34000504 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 7/26/2023 Number Present: 3 Completed Date: 7/26/2023 Age: From 1 To 3 Total Minutes: 65 Time In: 09:25 AM Time Out: 10:30 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced An unannounced follow-up visit was conducted at this family childcare home to verify correction of violations documented during my Annual Compliance visit on 4/24/2023. Today’s visit was conducted by Cara McKeown-Stewart, childcare consultant and Pam Hauser, Licensing Supervisor, with Nicole Jacobs, Operator. Today, the following items were monitored: • Supervision • Capacity • Adequate / Approved Space • General License Requirements The license was observed, and the restrictions were found in compliance. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. The following violations documented during the Annual Compliance visit on 4/24/2023 were monitored for compliance during this visit: • Item 1804: Safe sleep policy and poster about safe sleep practices was not posted in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. A Safe Sleep Policy was not posted in the child care space. This policy was not posted today. During my AC follow-up visit on 6/28/2023, I emailed Ms. Jacobs a copy of this policy, and Ms. Jacobs printed the copy during the visit. Today, Ms. Jacobs posted a copy of this policy during the visit. • Item 1994: Vehicle was not insured for liability as required by State laws governing transportation of passengers pursuant to G.S. 20-279.21. The most recent insurance card for the van used to transport children had expired in June, 2022. Ms. Jacobs provided documentation of current insurance expiring in December, 2023. The following violations were documented today and included 1 repeated violation as reflected in the violation customization. Violation Number Comment Rule 1804 Safe sleep policy and poster about safe sleep practices was not posted in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. .1724(b) 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. 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. • Please remember to wash children’s hands after meals. 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