Little Leaders Learning Center

10A NCAC 09 .1705 · Violation

Name of Operation: LITTLE LEADERS LEARNING CENTER Facility ID: 34001019 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/26/2026 Number Present: 4 Completed Date: 3/26/2026 Age: From 0 To 5 Total Minutes: 315 Time In: 08:15 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted with Tashua Harrison, Operator. Jocelyn Penn, Additional Caregiver, was also present during the visit. 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; children in care on ground level only, converted garage off-limits, and trampoline off limits. A trampoline is no longer located on the premises. Mrs. Harrison stated she is currently providing first and second shift care. 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. 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 activities with Mrs. Harrison and Ms. Penn 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 4/01/2025. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator and both additional caregivers 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 3/19/2026. The most recent lockdown and shelter-in-place drills were documented on 3/19/2026. The last outdoor inspection was documented on 3/19/2026. There are no pets currently reported at the facility. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed, nor reported. Ms. Harrison stated she does not transport children enrolled or participate in aquatic activities at this time. Ms. Harrison stated children periodically participate in nature walks in the neighborhood. The following violations were cited during today’s visit: Violation Number Comment Rule 704 Items used for starting fires, such as matches, accelerants, and lighters, were not kept in locked storage. A camping lighter was observed inside an unlocked drawer located on the side of the island with a table used by children enrolled against it; the drawer is located less than five feet from the ground. .1719(a)(3) 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 record of arrival and departure was not available for one child enrolled on 3/18/26 for 3/18/26 – 3/26/26. .1721(e)(6) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. A signed receipt of the Discipline Policy was not observed on file for one child enrolled. G.S.110-91(10); .1727(a)&(b) 1301 Operator did not complete the required number of on-going training hours as specified in rule. The operator (required to receive 8 ongoing training hours) did not complete three ongoing training hours by 4/11/2025. GS 110-91(11); 10A NCAC 09 .1705(b)(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. On the playground used by children enrolled, a toy metal truck was observed to be rusting; this truck was removed from the playground during the visit. Torn fabric weed block was observed emerging from the mulch on the playground, creating a potential choking and/or tripping hazard. 10A NCAC 09 .1719 (a) 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 the Summary of NC Child Care Law was not observed on file for two children enrolled. GS 110-102 1713 The written plan of care did not specify times for completing routine tasks and did not include those times on the written schedule. A Written Plan of Care was signed, but did not specify times for completing routine tasks and did not include those times on the written schedule for one child enrolled on 3/18/26. .1712(e)(1) 1714 The written plan of care did not specify the names of individuals who will be responsible for the care of children when the operator attends to routine tasks. A Written Plan of Care was signed, but id not specify the names of individuals who will be responsible for the care of children when the operator attends to routine tasks for one child enrolled on 3/18/26. .1712(e )(2) 1818 Operator did not implement and follow the written safe sleep policy adopted to maintain a safe sleep environment. A signed receipt of the Safe Sleep Policy was not observed on file for one child enrolled. G.S. 110-91(15);.1724(a)(1-12) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The Criminal Background Check Qualification letter for one additional caregiver had not yet been linked to the facility’s ABCMS facility profile. G.S. 110-90.2 & .2703(r) 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The Emergency Preparedness and Response Plan had not been updated since 4/21/2024. .1714(e ) 1940 Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care. The laundry room closet containing household cleaning supplies labeled Keep Out of Reach of Children with additional warnings was observed to be unlocked. Two drawers and one cabinet located in the bathroom used by children enrolled located less than five feet from the ground contained topical medications, room fresheners, and cleaning supplies labeled Keep Out of Reach of Children with additional warnings were observed to be unlocked. A liquid plug-in was observed plugged into the outlet in the bathroom used by children. .1719(a)(6) 1948 Sleeping infants, ages 12 months and younger were not visually checked every 15 minutes. A safe sleep record was not available for one infant enrolled on 3/18/26 for 3/18/26 – 3/26/26. .1724(a)(7) 2004 For off-premise activities occurring on regular basis, the standing permission for 12 months had expired. The off-premise activity forms for six children enrolled expired on 7/01/19 (one child), 6/07/21 (one child), 4/23/24 (one child), 4/24/24 (two children), and 4/25/24 (one child). .1723(15)(b) 2009 Copies of the required information for an additional caregiver was not on file in the home and/or made available for review. The additional caregiver (required to receive 20 ongoing training hours) did not complete 19 ongoing training hours by 4/11/2025. A training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment was not observed on file for one additional caregiver. A high school diploma was not observed on file for review for either additional caregiver. .1729(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 4/09/2026. 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 Emergency Preparedness and Response Plan had not been updated since 4/21/2024. A record of arrival and departure was not available for one child enrolled on 3/18/26 for 3/18/26 – 3/26/26. A safe sleep record was not available for one infant enrolled on 3/18/26 for 3/18/26 – 3/26/26. The off-premise activity forms for six children enrolled expired on 7/01/19 (one child), 6/07/21 (one child), 4/23/24 (one child), 4/24/24 (two children), and 4/25/24 (one child). A signed receipt of the Discipline Policy, Safe Sleep Policy, and Summary of NC Child Care Law were not on file for one child enrolled on 3/18/26. A signed receipt of the Summary of NC Child Care Law was not observed on file for one additional child enrolled. The operator (required to receive 8 ongoing training hours) did not complete three ongoing training hours by 4/11/2025. The additional caregiver (required to receive 20 ongoing training hours) did not complete 19 ongoing training hours by 4/11/2025. A training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment was not observed on file for one additional caregiver. A high school diploma was not observed on file for review for either additional caregiver. Mrs. Harrison stated she thought she had accessed the Risk Management Portal and updated the EPR plan electronically, but no updated information had been saved. Mrs. Harrison also stated she and Ms. Penn had been scheduled to complete multiple training hours at Smart Start of Forsyth County during the inclement weather which occurring in January/February of this year, but the trainings had been canceled. She also stated she believes she has both high school diplomas, but they may be upstairs. Mrs. Harrison additional stated she is fairly certain Ms. Penn completed the training for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment and that she would try to locate this certificate; if it cannot be located, this training can be completed again. 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. You may consider creating a checklist of all forms and trainings which must be routinely updated or renewed for all children, program, and staff records to ensure all information is on file and complete, as required. The Criminal Background Check Qualification letter for one additional caregiver had not yet been linked to the facility’s ABCMS facility profile. It is necessary for all staff members to be linked to the FCCH’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Mrs. Harrison stated thought Ms. Penn had already been linked to the program’s Facility Profile. If you need additional assistance in linking this qualification letter to your facility profile please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. The laundry room closet containing household cleaning supplies labeled Keep Out of Reach of Children with additional warnings was observed to be unlocked; this door was locked during the visit. Two drawers and one cabinet located in the bathroom used by children enrolled located less than five feet from the ground contained topical medications, room fresheners, and cleaning supplies labeled Keep Out of Reach of Children with additional warnings were observed to be unlocked. A liquid plug-in was observed plugged into the outlet in the bathroom used by children. All of these items were placed into locked storage during the visit. A camping lighter was observed inside an unlocked drawer located on the side of the island with a table used by children enrolled against it; the drawer is located less than five feet from the ground; this lighter was taken out of the space designated for child care during the visit. It is important for the indoor learning environment to be a safe place for children to explore and engage with at all times. You may consider conducting a walkthrough of all areas designated for the care of children enrolled prior to their arrival each morning to ensure any potential safety hazards are prevented/ corrected. On the playground used by children enrolled, a toy metal truck was observed to be rusting; this truck was removed from the playground during the visit. Torn fabric weed block was observed emerging from the mulch on the playground, creating a potential choking and/or tripping hazard. It is important for the outdoor learning environment to be a safe place for children to explore and engage with at all times. You may consider conducting a walkthrough of the outdoor play area daily prior to children accessing the playground. You may also consider adding these items to your monthly outdoor inspection. 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 and discussed with Mrs. Harrison during the visit: 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) (6-9) regarding hand washing. All infants who can support their own heads must have their hands washed with soap and water at required hand washing times. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a)(6) regarding ensuring materials or equipment being available indoors and outdoors to support the activities listed on the written schedule and activity plan 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS (15)(a-c) regarding off-premise activities. • Monitor your fire extinguisher, as the needle is moving close to the red gauge, indicating it is losing its charge and may need to be replaced soon. • Remember to renew the following trainings and/or certifications this year: • CPR/ FA certification before 10/06/2026 (for both additional caregivers); • ITS SIDS certification before 5/11/2026 (for Mrs. Harrison). • Ms. Penn must complete 20 additional ongoing training hours on or before 4/01/2026 (not inclusive of the 19 hours remaining to be completed from last year’s AC visit). • Mrs. Harrison must complete 8 additional ongoing training hours on or before 4/01/2026 (not inclusive of the 3 hours remaining to be completed from last year’s AC 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. 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. Harrison stated she is considering choosing either Pathway 2, the Classroom and Instructional Quality pathway for her FCCH, but she is still not certain which Pathway she will choose. Mrs. Harrison and I reviewed the Application for Assessment for a Rated License for Homes, Child Care Rule Section .3200, and the QRIS Modernization page on the DCDEE website. I also re-forwarded the QRIS Modernization resource email for FCCHs to Mrs. Harrison I emailed in August, 2025, during the visit. Additionally, I shared with Mrs. Harrison 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 pamela.hauser@dhhs.nc.gov (336) 317-5003 For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1718 · Violation

Name of Operation: LITTLE LEADERS LEARNING CENTER Facility ID: 34001019 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/26/2026 Number Present: 4 Completed Date: 3/26/2026 Age: From 0 To 5 Total Minutes: 315 Time In: 08:15 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted with Tashua Harrison, Operator. Jocelyn Penn, Additional Caregiver, was also present during the visit. 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; children in care on ground level only, converted garage off-limits, and trampoline off limits. A trampoline is no longer located on the premises. Mrs. Harrison stated she is currently providing first and second shift care. 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. 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 activities with Mrs. Harrison and Ms. Penn 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 4/01/2025. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator and both additional caregivers 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 3/19/2026. The most recent lockdown and shelter-in-place drills were documented on 3/19/2026. The last outdoor inspection was documented on 3/19/2026. There are no pets currently reported at the facility. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed, nor reported. Ms. Harrison stated she does not transport children enrolled or participate in aquatic activities at this time. Ms. Harrison stated children periodically participate in nature walks in the neighborhood. The following violations were cited during today’s visit: Violation Number Comment Rule 704 Items used for starting fires, such as matches, accelerants, and lighters, were not kept in locked storage. A camping lighter was observed inside an unlocked drawer located on the side of the island with a table used by children enrolled against it; the drawer is located less than five feet from the ground. .1719(a)(3) 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 record of arrival and departure was not available for one child enrolled on 3/18/26 for 3/18/26 – 3/26/26. .1721(e)(6) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. A signed receipt of the Discipline Policy was not observed on file for one child enrolled. G.S.110-91(10); .1727(a)&(b) 1301 Operator did not complete the required number of on-going training hours as specified in rule. The operator (required to receive 8 ongoing training hours) did not complete three ongoing training hours by 4/11/2025. GS 110-91(11); 10A NCAC 09 .1705(b)(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. On the playground used by children enrolled, a toy metal truck was observed to be rusting; this truck was removed from the playground during the visit. Torn fabric weed block was observed emerging from the mulch on the playground, creating a potential choking and/or tripping hazard. 10A NCAC 09 .1719 (a) 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 the Summary of NC Child Care Law was not observed on file for two children enrolled. GS 110-102 1713 The written plan of care did not specify times for completing routine tasks and did not include those times on the written schedule. A Written Plan of Care was signed, but did not specify times for completing routine tasks and did not include those times on the written schedule for one child enrolled on 3/18/26. .1712(e)(1) 1714 The written plan of care did not specify the names of individuals who will be responsible for the care of children when the operator attends to routine tasks. A Written Plan of Care was signed, but id not specify the names of individuals who will be responsible for the care of children when the operator attends to routine tasks for one child enrolled on 3/18/26. .1712(e )(2) 1818 Operator did not implement and follow the written safe sleep policy adopted to maintain a safe sleep environment. A signed receipt of the Safe Sleep Policy was not observed on file for one child enrolled. G.S. 110-91(15);.1724(a)(1-12) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The Criminal Background Check Qualification letter for one additional caregiver had not yet been linked to the facility’s ABCMS facility profile. G.S. 110-90.2 & .2703(r) 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The Emergency Preparedness and Response Plan had not been updated since 4/21/2024. .1714(e ) 1940 Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care. The laundry room closet containing household cleaning supplies labeled Keep Out of Reach of Children with additional warnings was observed to be unlocked. Two drawers and one cabinet located in the bathroom used by children enrolled located less than five feet from the ground contained topical medications, room fresheners, and cleaning supplies labeled Keep Out of Reach of Children with additional warnings were observed to be unlocked. A liquid plug-in was observed plugged into the outlet in the bathroom used by children. .1719(a)(6) 1948 Sleeping infants, ages 12 months and younger were not visually checked every 15 minutes. A safe sleep record was not available for one infant enrolled on 3/18/26 for 3/18/26 – 3/26/26. .1724(a)(7) 2004 For off-premise activities occurring on regular basis, the standing permission for 12 months had expired. The off-premise activity forms for six children enrolled expired on 7/01/19 (one child), 6/07/21 (one child), 4/23/24 (one child), 4/24/24 (two children), and 4/25/24 (one child). .1723(15)(b) 2009 Copies of the required information for an additional caregiver was not on file in the home and/or made available for review. The additional caregiver (required to receive 20 ongoing training hours) did not complete 19 ongoing training hours by 4/11/2025. A training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment was not observed on file for one additional caregiver. A high school diploma was not observed on file for review for either additional caregiver. .1729(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 4/09/2026. 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 Emergency Preparedness and Response Plan had not been updated since 4/21/2024. A record of arrival and departure was not available for one child enrolled on 3/18/26 for 3/18/26 – 3/26/26. A safe sleep record was not available for one infant enrolled on 3/18/26 for 3/18/26 – 3/26/26. The off-premise activity forms for six children enrolled expired on 7/01/19 (one child), 6/07/21 (one child), 4/23/24 (one child), 4/24/24 (two children), and 4/25/24 (one child). A signed receipt of the Discipline Policy, Safe Sleep Policy, and Summary of NC Child Care Law were not on file for one child enrolled on 3/18/26. A signed receipt of the Summary of NC Child Care Law was not observed on file for one additional child enrolled. The operator (required to receive 8 ongoing training hours) did not complete three ongoing training hours by 4/11/2025. The additional caregiver (required to receive 20 ongoing training hours) did not complete 19 ongoing training hours by 4/11/2025. A training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment was not observed on file for one additional caregiver. A high school diploma was not observed on file for review for either additional caregiver. Mrs. Harrison stated she thought she had accessed the Risk Management Portal and updated the EPR plan electronically, but no updated information had been saved. Mrs. Harrison also stated she and Ms. Penn had been scheduled to complete multiple training hours at Smart Start of Forsyth County during the inclement weather which occurring in January/February of this year, but the trainings had been canceled. She also stated she believes she has both high school diplomas, but they may be upstairs. Mrs. Harrison additional stated she is fairly certain Ms. Penn completed the training for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment and that she would try to locate this certificate; if it cannot be located, this training can be completed again. 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. You may consider creating a checklist of all forms and trainings which must be routinely updated or renewed for all children, program, and staff records to ensure all information is on file and complete, as required. The Criminal Background Check Qualification letter for one additional caregiver had not yet been linked to the facility’s ABCMS facility profile. It is necessary for all staff members to be linked to the FCCH’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Mrs. Harrison stated thought Ms. Penn had already been linked to the program’s Facility Profile. If you need additional assistance in linking this qualification letter to your facility profile please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. The laundry room closet containing household cleaning supplies labeled Keep Out of Reach of Children with additional warnings was observed to be unlocked; this door was locked during the visit. Two drawers and one cabinet located in the bathroom used by children enrolled located less than five feet from the ground contained topical medications, room fresheners, and cleaning supplies labeled Keep Out of Reach of Children with additional warnings were observed to be unlocked. A liquid plug-in was observed plugged into the outlet in the bathroom used by children. All of these items were placed into locked storage during the visit. A camping lighter was observed inside an unlocked drawer located on the side of the island with a table used by children enrolled against it; the drawer is located less than five feet from the ground; this lighter was taken out of the space designated for child care during the visit. It is important for the indoor learning environment to be a safe place for children to explore and engage with at all times. You may consider conducting a walkthrough of all areas designated for the care of children enrolled prior to their arrival each morning to ensure any potential safety hazards are prevented/ corrected. On the playground used by children enrolled, a toy metal truck was observed to be rusting; this truck was removed from the playground during the visit. Torn fabric weed block was observed emerging from the mulch on the playground, creating a potential choking and/or tripping hazard. It is important for the outdoor learning environment to be a safe place for children to explore and engage with at all times. You may consider conducting a walkthrough of the outdoor play area daily prior to children accessing the playground. You may also consider adding these items to your monthly outdoor inspection. 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 and discussed with Mrs. Harrison during the visit: 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) (6-9) regarding hand washing. All infants who can support their own heads must have their hands washed with soap and water at required hand washing times. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a)(6) regarding ensuring materials or equipment being available indoors and outdoors to support the activities listed on the written schedule and activity plan 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS (15)(a-c) regarding off-premise activities. • Monitor your fire extinguisher, as the needle is moving close to the red gauge, indicating it is losing its charge and may need to be replaced soon. • Remember to renew the following trainings and/or certifications this year: • CPR/ FA certification before 10/06/2026 (for both additional caregivers); • ITS SIDS certification before 5/11/2026 (for Mrs. Harrison). • Ms. Penn must complete 20 additional ongoing training hours on or before 4/01/2026 (not inclusive of the 19 hours remaining to be completed from last year’s AC visit). • Mrs. Harrison must complete 8 additional ongoing training hours on or before 4/01/2026 (not inclusive of the 3 hours remaining to be completed from last year’s AC 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. 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. Harrison stated she is considering choosing either Pathway 2, the Classroom and Instructional Quality pathway for her FCCH, but she is still not certain which Pathway she will choose. Mrs. Harrison and I reviewed the Application for Assessment for a Rated License for Homes, Child Care Rule Section .3200, and the QRIS Modernization page on the DCDEE website. I also re-forwarded the QRIS Modernization resource email for FCCHs to Mrs. Harrison I emailed in August, 2025, during the visit. Additionally, I shared with Mrs. Harrison 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 pamela.hauser@dhhs.nc.gov (336) 317-5003 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: LITTLE LEADERS LEARNING CENTER Facility ID: 34001019 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/26/2026 Number Present: 4 Completed Date: 3/26/2026 Age: From 0 To 5 Total Minutes: 315 Time In: 08:15 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted with Tashua Harrison, Operator. Jocelyn Penn, Additional Caregiver, was also present during the visit. 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; children in care on ground level only, converted garage off-limits, and trampoline off limits. A trampoline is no longer located on the premises. Mrs. Harrison stated she is currently providing first and second shift care. 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. 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 activities with Mrs. Harrison and Ms. Penn 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 4/01/2025. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator and both additional caregivers 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 3/19/2026. The most recent lockdown and shelter-in-place drills were documented on 3/19/2026. The last outdoor inspection was documented on 3/19/2026. There are no pets currently reported at the facility. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed, nor reported. Ms. Harrison stated she does not transport children enrolled or participate in aquatic activities at this time. Ms. Harrison stated children periodically participate in nature walks in the neighborhood. The following violations were cited during today’s visit: Violation Number Comment Rule 704 Items used for starting fires, such as matches, accelerants, and lighters, were not kept in locked storage. A camping lighter was observed inside an unlocked drawer located on the side of the island with a table used by children enrolled against it; the drawer is located less than five feet from the ground. .1719(a)(3) 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 record of arrival and departure was not available for one child enrolled on 3/18/26 for 3/18/26 – 3/26/26. .1721(e)(6) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. A signed receipt of the Discipline Policy was not observed on file for one child enrolled. G.S.110-91(10); .1727(a)&(b) 1301 Operator did not complete the required number of on-going training hours as specified in rule. The operator (required to receive 8 ongoing training hours) did not complete three ongoing training hours by 4/11/2025. GS 110-91(11); 10A NCAC 09 .1705(b)(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. On the playground used by children enrolled, a toy metal truck was observed to be rusting; this truck was removed from the playground during the visit. Torn fabric weed block was observed emerging from the mulch on the playground, creating a potential choking and/or tripping hazard. 10A NCAC 09 .1719 (a) 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 the Summary of NC Child Care Law was not observed on file for two children enrolled. GS 110-102 1713 The written plan of care did not specify times for completing routine tasks and did not include those times on the written schedule. A Written Plan of Care was signed, but did not specify times for completing routine tasks and did not include those times on the written schedule for one child enrolled on 3/18/26. .1712(e)(1) 1714 The written plan of care did not specify the names of individuals who will be responsible for the care of children when the operator attends to routine tasks. A Written Plan of Care was signed, but id not specify the names of individuals who will be responsible for the care of children when the operator attends to routine tasks for one child enrolled on 3/18/26. .1712(e )(2) 1818 Operator did not implement and follow the written safe sleep policy adopted to maintain a safe sleep environment. A signed receipt of the Safe Sleep Policy was not observed on file for one child enrolled. G.S. 110-91(15);.1724(a)(1-12) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The Criminal Background Check Qualification letter for one additional caregiver had not yet been linked to the facility’s ABCMS facility profile. G.S. 110-90.2 & .2703(r) 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The Emergency Preparedness and Response Plan had not been updated since 4/21/2024. .1714(e ) 1940 Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care. The laundry room closet containing household cleaning supplies labeled Keep Out of Reach of Children with additional warnings was observed to be unlocked. Two drawers and one cabinet located in the bathroom used by children enrolled located less than five feet from the ground contained topical medications, room fresheners, and cleaning supplies labeled Keep Out of Reach of Children with additional warnings were observed to be unlocked. A liquid plug-in was observed plugged into the outlet in the bathroom used by children. .1719(a)(6) 1948 Sleeping infants, ages 12 months and younger were not visually checked every 15 minutes. A safe sleep record was not available for one infant enrolled on 3/18/26 for 3/18/26 – 3/26/26. .1724(a)(7) 2004 For off-premise activities occurring on regular basis, the standing permission for 12 months had expired. The off-premise activity forms for six children enrolled expired on 7/01/19 (one child), 6/07/21 (one child), 4/23/24 (one child), 4/24/24 (two children), and 4/25/24 (one child). .1723(15)(b) 2009 Copies of the required information for an additional caregiver was not on file in the home and/or made available for review. The additional caregiver (required to receive 20 ongoing training hours) did not complete 19 ongoing training hours by 4/11/2025. A training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment was not observed on file for one additional caregiver. A high school diploma was not observed on file for review for either additional caregiver. .1729(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 4/09/2026. 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 Emergency Preparedness and Response Plan had not been updated since 4/21/2024. A record of arrival and departure was not available for one child enrolled on 3/18/26 for 3/18/26 – 3/26/26. A safe sleep record was not available for one infant enrolled on 3/18/26 for 3/18/26 – 3/26/26. The off-premise activity forms for six children enrolled expired on 7/01/19 (one child), 6/07/21 (one child), 4/23/24 (one child), 4/24/24 (two children), and 4/25/24 (one child). A signed receipt of the Discipline Policy, Safe Sleep Policy, and Summary of NC Child Care Law were not on file for one child enrolled on 3/18/26. A signed receipt of the Summary of NC Child Care Law was not observed on file for one additional child enrolled. The operator (required to receive 8 ongoing training hours) did not complete three ongoing training hours by 4/11/2025. The additional caregiver (required to receive 20 ongoing training hours) did not complete 19 ongoing training hours by 4/11/2025. A training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment was not observed on file for one additional caregiver. A high school diploma was not observed on file for review for either additional caregiver. Mrs. Harrison stated she thought she had accessed the Risk Management Portal and updated the EPR plan electronically, but no updated information had been saved. Mrs. Harrison also stated she and Ms. Penn had been scheduled to complete multiple training hours at Smart Start of Forsyth County during the inclement weather which occurring in January/February of this year, but the trainings had been canceled. She also stated she believes she has both high school diplomas, but they may be upstairs. Mrs. Harrison additional stated she is fairly certain Ms. Penn completed the training for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment and that she would try to locate this certificate; if it cannot be located, this training can be completed again. 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. You may consider creating a checklist of all forms and trainings which must be routinely updated or renewed for all children, program, and staff records to ensure all information is on file and complete, as required. The Criminal Background Check Qualification letter for one additional caregiver had not yet been linked to the facility’s ABCMS facility profile. It is necessary for all staff members to be linked to the FCCH’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Mrs. Harrison stated thought Ms. Penn had already been linked to the program’s Facility Profile. If you need additional assistance in linking this qualification letter to your facility profile please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. The laundry room closet containing household cleaning supplies labeled Keep Out of Reach of Children with additional warnings was observed to be unlocked; this door was locked during the visit. Two drawers and one cabinet located in the bathroom used by children enrolled located less than five feet from the ground contained topical medications, room fresheners, and cleaning supplies labeled Keep Out of Reach of Children with additional warnings were observed to be unlocked. A liquid plug-in was observed plugged into the outlet in the bathroom used by children. All of these items were placed into locked storage during the visit. A camping lighter was observed inside an unlocked drawer located on the side of the island with a table used by children enrolled against it; the drawer is located less than five feet from the ground; this lighter was taken out of the space designated for child care during the visit. It is important for the indoor learning environment to be a safe place for children to explore and engage with at all times. You may consider conducting a walkthrough of all areas designated for the care of children enrolled prior to their arrival each morning to ensure any potential safety hazards are prevented/ corrected. On the playground used by children enrolled, a toy metal truck was observed to be rusting; this truck was removed from the playground during the visit. Torn fabric weed block was observed emerging from the mulch on the playground, creating a potential choking and/or tripping hazard. It is important for the outdoor learning environment to be a safe place for children to explore and engage with at all times. You may consider conducting a walkthrough of the outdoor play area daily prior to children accessing the playground. You may also consider adding these items to your monthly outdoor inspection. 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 and discussed with Mrs. Harrison during the visit: 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) (6-9) regarding hand washing. All infants who can support their own heads must have their hands washed with soap and water at required hand washing times. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a)(6) regarding ensuring materials or equipment being available indoors and outdoors to support the activities listed on the written schedule and activity plan 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS (15)(a-c) regarding off-premise activities. • Monitor your fire extinguisher, as the needle is moving close to the red gauge, indicating it is losing its charge and may need to be replaced soon. • Remember to renew the following trainings and/or certifications this year: • CPR/ FA certification before 10/06/2026 (for both additional caregivers); • ITS SIDS certification before 5/11/2026 (for Mrs. Harrison). • Ms. Penn must complete 20 additional ongoing training hours on or before 4/01/2026 (not inclusive of the 19 hours remaining to be completed from last year’s AC visit). • Mrs. Harrison must complete 8 additional ongoing training hours on or before 4/01/2026 (not inclusive of the 3 hours remaining to be completed from last year’s AC 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. 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. Harrison stated she is considering choosing either Pathway 2, the Classroom and Instructional Quality pathway for her FCCH, but she is still not certain which Pathway she will choose. Mrs. Harrison and I reviewed the Application for Assessment for a Rated License for Homes, Child Care Rule Section .3200, and the QRIS Modernization page on the DCDEE website. I also re-forwarded the QRIS Modernization resource email for FCCHs to Mrs. Harrison I emailed in August, 2025, during the visit. Additionally, I shared with Mrs. Harrison 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 pamela.hauser@dhhs.nc.gov (336) 317-5003 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 .1723 · Violation

Name of Operation: LITTLE LEADERS LEARNING CENTER Facility ID: 34001019 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/26/2026 Number Present: 4 Completed Date: 3/26/2026 Age: From 0 To 5 Total Minutes: 315 Time In: 08:15 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted with Tashua Harrison, Operator. Jocelyn Penn, Additional Caregiver, was also present during the visit. 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; children in care on ground level only, converted garage off-limits, and trampoline off limits. A trampoline is no longer located on the premises. Mrs. Harrison stated she is currently providing first and second shift care. 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. 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 activities with Mrs. Harrison and Ms. Penn 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 4/01/2025. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator and both additional caregivers 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 3/19/2026. The most recent lockdown and shelter-in-place drills were documented on 3/19/2026. The last outdoor inspection was documented on 3/19/2026. There are no pets currently reported at the facility. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed, nor reported. Ms. Harrison stated she does not transport children enrolled or participate in aquatic activities at this time. Ms. Harrison stated children periodically participate in nature walks in the neighborhood. The following violations were cited during today’s visit: Violation Number Comment Rule 704 Items used for starting fires, such as matches, accelerants, and lighters, were not kept in locked storage. A camping lighter was observed inside an unlocked drawer located on the side of the island with a table used by children enrolled against it; the drawer is located less than five feet from the ground. .1719(a)(3) 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 record of arrival and departure was not available for one child enrolled on 3/18/26 for 3/18/26 – 3/26/26. .1721(e)(6) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. A signed receipt of the Discipline Policy was not observed on file for one child enrolled. G.S.110-91(10); .1727(a)&(b) 1301 Operator did not complete the required number of on-going training hours as specified in rule. The operator (required to receive 8 ongoing training hours) did not complete three ongoing training hours by 4/11/2025. GS 110-91(11); 10A NCAC 09 .1705(b)(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. On the playground used by children enrolled, a toy metal truck was observed to be rusting; this truck was removed from the playground during the visit. Torn fabric weed block was observed emerging from the mulch on the playground, creating a potential choking and/or tripping hazard. 10A NCAC 09 .1719 (a) 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 the Summary of NC Child Care Law was not observed on file for two children enrolled. GS 110-102 1713 The written plan of care did not specify times for completing routine tasks and did not include those times on the written schedule. A Written Plan of Care was signed, but did not specify times for completing routine tasks and did not include those times on the written schedule for one child enrolled on 3/18/26. .1712(e)(1) 1714 The written plan of care did not specify the names of individuals who will be responsible for the care of children when the operator attends to routine tasks. A Written Plan of Care was signed, but id not specify the names of individuals who will be responsible for the care of children when the operator attends to routine tasks for one child enrolled on 3/18/26. .1712(e )(2) 1818 Operator did not implement and follow the written safe sleep policy adopted to maintain a safe sleep environment. A signed receipt of the Safe Sleep Policy was not observed on file for one child enrolled. G.S. 110-91(15);.1724(a)(1-12) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The Criminal Background Check Qualification letter for one additional caregiver had not yet been linked to the facility’s ABCMS facility profile. G.S. 110-90.2 & .2703(r) 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The Emergency Preparedness and Response Plan had not been updated since 4/21/2024. .1714(e ) 1940 Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care. The laundry room closet containing household cleaning supplies labeled Keep Out of Reach of Children with additional warnings was observed to be unlocked. Two drawers and one cabinet located in the bathroom used by children enrolled located less than five feet from the ground contained topical medications, room fresheners, and cleaning supplies labeled Keep Out of Reach of Children with additional warnings were observed to be unlocked. A liquid plug-in was observed plugged into the outlet in the bathroom used by children. .1719(a)(6) 1948 Sleeping infants, ages 12 months and younger were not visually checked every 15 minutes. A safe sleep record was not available for one infant enrolled on 3/18/26 for 3/18/26 – 3/26/26. .1724(a)(7) 2004 For off-premise activities occurring on regular basis, the standing permission for 12 months had expired. The off-premise activity forms for six children enrolled expired on 7/01/19 (one child), 6/07/21 (one child), 4/23/24 (one child), 4/24/24 (two children), and 4/25/24 (one child). .1723(15)(b) 2009 Copies of the required information for an additional caregiver was not on file in the home and/or made available for review. The additional caregiver (required to receive 20 ongoing training hours) did not complete 19 ongoing training hours by 4/11/2025. A training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment was not observed on file for one additional caregiver. A high school diploma was not observed on file for review for either additional caregiver. .1729(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 4/09/2026. 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 Emergency Preparedness and Response Plan had not been updated since 4/21/2024. A record of arrival and departure was not available for one child enrolled on 3/18/26 for 3/18/26 – 3/26/26. A safe sleep record was not available for one infant enrolled on 3/18/26 for 3/18/26 – 3/26/26. The off-premise activity forms for six children enrolled expired on 7/01/19 (one child), 6/07/21 (one child), 4/23/24 (one child), 4/24/24 (two children), and 4/25/24 (one child). A signed receipt of the Discipline Policy, Safe Sleep Policy, and Summary of NC Child Care Law were not on file for one child enrolled on 3/18/26. A signed receipt of the Summary of NC Child Care Law was not observed on file for one additional child enrolled. The operator (required to receive 8 ongoing training hours) did not complete three ongoing training hours by 4/11/2025. The additional caregiver (required to receive 20 ongoing training hours) did not complete 19 ongoing training hours by 4/11/2025. A training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment was not observed on file for one additional caregiver. A high school diploma was not observed on file for review for either additional caregiver. Mrs. Harrison stated she thought she had accessed the Risk Management Portal and updated the EPR plan electronically, but no updated information had been saved. Mrs. Harrison also stated she and Ms. Penn had been scheduled to complete multiple training hours at Smart Start of Forsyth County during the inclement weather which occurring in January/February of this year, but the trainings had been canceled. She also stated she believes she has both high school diplomas, but they may be upstairs. Mrs. Harrison additional stated she is fairly certain Ms. Penn completed the training for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment and that she would try to locate this certificate; if it cannot be located, this training can be completed again. 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. You may consider creating a checklist of all forms and trainings which must be routinely updated or renewed for all children, program, and staff records to ensure all information is on file and complete, as required. The Criminal Background Check Qualification letter for one additional caregiver had not yet been linked to the facility’s ABCMS facility profile. It is necessary for all staff members to be linked to the FCCH’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Mrs. Harrison stated thought Ms. Penn had already been linked to the program’s Facility Profile. If you need additional assistance in linking this qualification letter to your facility profile please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. The laundry room closet containing household cleaning supplies labeled Keep Out of Reach of Children with additional warnings was observed to be unlocked; this door was locked during the visit. Two drawers and one cabinet located in the bathroom used by children enrolled located less than five feet from the ground contained topical medications, room fresheners, and cleaning supplies labeled Keep Out of Reach of Children with additional warnings were observed to be unlocked. A liquid plug-in was observed plugged into the outlet in the bathroom used by children. All of these items were placed into locked storage during the visit. A camping lighter was observed inside an unlocked drawer located on the side of the island with a table used by children enrolled against it; the drawer is located less than five feet from the ground; this lighter was taken out of the space designated for child care during the visit. It is important for the indoor learning environment to be a safe place for children to explore and engage with at all times. You may consider conducting a walkthrough of all areas designated for the care of children enrolled prior to their arrival each morning to ensure any potential safety hazards are prevented/ corrected. On the playground used by children enrolled, a toy metal truck was observed to be rusting; this truck was removed from the playground during the visit. Torn fabric weed block was observed emerging from the mulch on the playground, creating a potential choking and/or tripping hazard. It is important for the outdoor learning environment to be a safe place for children to explore and engage with at all times. You may consider conducting a walkthrough of the outdoor play area daily prior to children accessing the playground. You may also consider adding these items to your monthly outdoor inspection. 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 and discussed with Mrs. Harrison during the visit: 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) (6-9) regarding hand washing. All infants who can support their own heads must have their hands washed with soap and water at required hand washing times. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a)(6) regarding ensuring materials or equipment being available indoors and outdoors to support the activities listed on the written schedule and activity plan 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS (15)(a-c) regarding off-premise activities. • Monitor your fire extinguisher, as the needle is moving close to the red gauge, indicating it is losing its charge and may need to be replaced soon. • Remember to renew the following trainings and/or certifications this year: • CPR/ FA certification before 10/06/2026 (for both additional caregivers); • ITS SIDS certification before 5/11/2026 (for Mrs. Harrison). • Ms. Penn must complete 20 additional ongoing training hours on or before 4/01/2026 (not inclusive of the 19 hours remaining to be completed from last year’s AC visit). • Mrs. Harrison must complete 8 additional ongoing training hours on or before 4/01/2026 (not inclusive of the 3 hours remaining to be completed from last year’s AC 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. 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. Harrison stated she is considering choosing either Pathway 2, the Classroom and Instructional Quality pathway for her FCCH, but she is still not certain which Pathway she will choose. Mrs. Harrison and I reviewed the Application for Assessment for a Rated License for Homes, Child Care Rule Section .3200, and the QRIS Modernization page on the DCDEE website. I also re-forwarded the QRIS Modernization resource email for FCCHs to Mrs. Harrison I emailed in August, 2025, during the visit. Additionally, I shared with Mrs. Harrison 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 pamela.hauser@dhhs.nc.gov (336) 317-5003 For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1725 · Violation

Name of Operation: LITTLE LEADERS LEARNING CENTER Facility ID: 34001019 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/26/2026 Number Present: 4 Completed Date: 3/26/2026 Age: From 0 To 5 Total Minutes: 315 Time In: 08:15 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted with Tashua Harrison, Operator. Jocelyn Penn, Additional Caregiver, was also present during the visit. 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; children in care on ground level only, converted garage off-limits, and trampoline off limits. A trampoline is no longer located on the premises. Mrs. Harrison stated she is currently providing first and second shift care. 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. 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 activities with Mrs. Harrison and Ms. Penn 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 4/01/2025. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator and both additional caregivers 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 3/19/2026. The most recent lockdown and shelter-in-place drills were documented on 3/19/2026. The last outdoor inspection was documented on 3/19/2026. There are no pets currently reported at the facility. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed, nor reported. Ms. Harrison stated she does not transport children enrolled or participate in aquatic activities at this time. Ms. Harrison stated children periodically participate in nature walks in the neighborhood. The following violations were cited during today’s visit: Violation Number Comment Rule 704 Items used for starting fires, such as matches, accelerants, and lighters, were not kept in locked storage. A camping lighter was observed inside an unlocked drawer located on the side of the island with a table used by children enrolled against it; the drawer is located less than five feet from the ground. .1719(a)(3) 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 record of arrival and departure was not available for one child enrolled on 3/18/26 for 3/18/26 – 3/26/26. .1721(e)(6) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. A signed receipt of the Discipline Policy was not observed on file for one child enrolled. G.S.110-91(10); .1727(a)&(b) 1301 Operator did not complete the required number of on-going training hours as specified in rule. The operator (required to receive 8 ongoing training hours) did not complete three ongoing training hours by 4/11/2025. GS 110-91(11); 10A NCAC 09 .1705(b)(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. On the playground used by children enrolled, a toy metal truck was observed to be rusting; this truck was removed from the playground during the visit. Torn fabric weed block was observed emerging from the mulch on the playground, creating a potential choking and/or tripping hazard. 10A NCAC 09 .1719 (a) 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 the Summary of NC Child Care Law was not observed on file for two children enrolled. GS 110-102 1713 The written plan of care did not specify times for completing routine tasks and did not include those times on the written schedule. A Written Plan of Care was signed, but did not specify times for completing routine tasks and did not include those times on the written schedule for one child enrolled on 3/18/26. .1712(e)(1) 1714 The written plan of care did not specify the names of individuals who will be responsible for the care of children when the operator attends to routine tasks. A Written Plan of Care was signed, but id not specify the names of individuals who will be responsible for the care of children when the operator attends to routine tasks for one child enrolled on 3/18/26. .1712(e )(2) 1818 Operator did not implement and follow the written safe sleep policy adopted to maintain a safe sleep environment. A signed receipt of the Safe Sleep Policy was not observed on file for one child enrolled. G.S. 110-91(15);.1724(a)(1-12) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The Criminal Background Check Qualification letter for one additional caregiver had not yet been linked to the facility’s ABCMS facility profile. G.S. 110-90.2 & .2703(r) 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The Emergency Preparedness and Response Plan had not been updated since 4/21/2024. .1714(e ) 1940 Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care. The laundry room closet containing household cleaning supplies labeled Keep Out of Reach of Children with additional warnings was observed to be unlocked. Two drawers and one cabinet located in the bathroom used by children enrolled located less than five feet from the ground contained topical medications, room fresheners, and cleaning supplies labeled Keep Out of Reach of Children with additional warnings were observed to be unlocked. A liquid plug-in was observed plugged into the outlet in the bathroom used by children. .1719(a)(6) 1948 Sleeping infants, ages 12 months and younger were not visually checked every 15 minutes. A safe sleep record was not available for one infant enrolled on 3/18/26 for 3/18/26 – 3/26/26. .1724(a)(7) 2004 For off-premise activities occurring on regular basis, the standing permission for 12 months had expired. The off-premise activity forms for six children enrolled expired on 7/01/19 (one child), 6/07/21 (one child), 4/23/24 (one child), 4/24/24 (two children), and 4/25/24 (one child). .1723(15)(b) 2009 Copies of the required information for an additional caregiver was not on file in the home and/or made available for review. The additional caregiver (required to receive 20 ongoing training hours) did not complete 19 ongoing training hours by 4/11/2025. A training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment was not observed on file for one additional caregiver. A high school diploma was not observed on file for review for either additional caregiver. .1729(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 4/09/2026. 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 Emergency Preparedness and Response Plan had not been updated since 4/21/2024. A record of arrival and departure was not available for one child enrolled on 3/18/26 for 3/18/26 – 3/26/26. A safe sleep record was not available for one infant enrolled on 3/18/26 for 3/18/26 – 3/26/26. The off-premise activity forms for six children enrolled expired on 7/01/19 (one child), 6/07/21 (one child), 4/23/24 (one child), 4/24/24 (two children), and 4/25/24 (one child). A signed receipt of the Discipline Policy, Safe Sleep Policy, and Summary of NC Child Care Law were not on file for one child enrolled on 3/18/26. A signed receipt of the Summary of NC Child Care Law was not observed on file for one additional child enrolled. The operator (required to receive 8 ongoing training hours) did not complete three ongoing training hours by 4/11/2025. The additional caregiver (required to receive 20 ongoing training hours) did not complete 19 ongoing training hours by 4/11/2025. A training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment was not observed on file for one additional caregiver. A high school diploma was not observed on file for review for either additional caregiver. Mrs. Harrison stated she thought she had accessed the Risk Management Portal and updated the EPR plan electronically, but no updated information had been saved. Mrs. Harrison also stated she and Ms. Penn had been scheduled to complete multiple training hours at Smart Start of Forsyth County during the inclement weather which occurring in January/February of this year, but the trainings had been canceled. She also stated she believes she has both high school diplomas, but they may be upstairs. Mrs. Harrison additional stated she is fairly certain Ms. Penn completed the training for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment and that she would try to locate this certificate; if it cannot be located, this training can be completed again. 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. You may consider creating a checklist of all forms and trainings which must be routinely updated or renewed for all children, program, and staff records to ensure all information is on file and complete, as required. The Criminal Background Check Qualification letter for one additional caregiver had not yet been linked to the facility’s ABCMS facility profile. It is necessary for all staff members to be linked to the FCCH’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Mrs. Harrison stated thought Ms. Penn had already been linked to the program’s Facility Profile. If you need additional assistance in linking this qualification letter to your facility profile please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. The laundry room closet containing household cleaning supplies labeled Keep Out of Reach of Children with additional warnings was observed to be unlocked; this door was locked during the visit. Two drawers and one cabinet located in the bathroom used by children enrolled located less than five feet from the ground contained topical medications, room fresheners, and cleaning supplies labeled Keep Out of Reach of Children with additional warnings were observed to be unlocked. A liquid plug-in was observed plugged into the outlet in the bathroom used by children. All of these items were placed into locked storage during the visit. A camping lighter was observed inside an unlocked drawer located on the side of the island with a table used by children enrolled against it; the drawer is located less than five feet from the ground; this lighter was taken out of the space designated for child care during the visit. It is important for the indoor learning environment to be a safe place for children to explore and engage with at all times. You may consider conducting a walkthrough of all areas designated for the care of children enrolled prior to their arrival each morning to ensure any potential safety hazards are prevented/ corrected. On the playground used by children enrolled, a toy metal truck was observed to be rusting; this truck was removed from the playground during the visit. Torn fabric weed block was observed emerging from the mulch on the playground, creating a potential choking and/or tripping hazard. It is important for the outdoor learning environment to be a safe place for children to explore and engage with at all times. You may consider conducting a walkthrough of the outdoor play area daily prior to children accessing the playground. You may also consider adding these items to your monthly outdoor inspection. 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 and discussed with Mrs. Harrison during the visit: 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) (6-9) regarding hand washing. All infants who can support their own heads must have their hands washed with soap and water at required hand washing times. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a)(6) regarding ensuring materials or equipment being available indoors and outdoors to support the activities listed on the written schedule and activity plan 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS (15)(a-c) regarding off-premise activities. • Monitor your fire extinguisher, as the needle is moving close to the red gauge, indicating it is losing its charge and may need to be replaced soon. • Remember to renew the following trainings and/or certifications this year: • CPR/ FA certification before 10/06/2026 (for both additional caregivers); • ITS SIDS certification before 5/11/2026 (for Mrs. Harrison). • Ms. Penn must complete 20 additional ongoing training hours on or before 4/01/2026 (not inclusive of the 19 hours remaining to be completed from last year’s AC visit). • Mrs. Harrison must complete 8 additional ongoing training hours on or before 4/01/2026 (not inclusive of the 3 hours remaining to be completed from last year’s AC 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. 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. Harrison stated she is considering choosing either Pathway 2, the Classroom and Instructional Quality pathway for her FCCH, but she is still not certain which Pathway she will choose. Mrs. Harrison and I reviewed the Application for Assessment for a Rated License for Homes, Child Care Rule Section .3200, and the QRIS Modernization page on the DCDEE website. I also re-forwarded the QRIS Modernization resource email for FCCHs to Mrs. Harrison I emailed in August, 2025, during the visit. Additionally, I shared with Mrs. Harrison 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 pamela.hauser@dhhs.nc.gov (336) 317-5003 For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: LITTLE LEADERS LEARNING CENTER Facility ID: 34001019 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/26/2026 Number Present: 4 Completed Date: 3/26/2026 Age: From 0 To 5 Total Minutes: 315 Time In: 08:15 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted with Tashua Harrison, Operator. Jocelyn Penn, Additional Caregiver, was also present during the visit. 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; children in care on ground level only, converted garage off-limits, and trampoline off limits. A trampoline is no longer located on the premises. Mrs. Harrison stated she is currently providing first and second shift care. 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. 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 activities with Mrs. Harrison and Ms. Penn 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 4/01/2025. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator and both additional caregivers 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 3/19/2026. The most recent lockdown and shelter-in-place drills were documented on 3/19/2026. The last outdoor inspection was documented on 3/19/2026. There are no pets currently reported at the facility. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed, nor reported. Ms. Harrison stated she does not transport children enrolled or participate in aquatic activities at this time. Ms. Harrison stated children periodically participate in nature walks in the neighborhood. The following violations were cited during today’s visit: Violation Number Comment Rule 704 Items used for starting fires, such as matches, accelerants, and lighters, were not kept in locked storage. A camping lighter was observed inside an unlocked drawer located on the side of the island with a table used by children enrolled against it; the drawer is located less than five feet from the ground. .1719(a)(3) 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 record of arrival and departure was not available for one child enrolled on 3/18/26 for 3/18/26 – 3/26/26. .1721(e)(6) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. A signed receipt of the Discipline Policy was not observed on file for one child enrolled. G.S.110-91(10); .1727(a)&(b) 1301 Operator did not complete the required number of on-going training hours as specified in rule. The operator (required to receive 8 ongoing training hours) did not complete three ongoing training hours by 4/11/2025. GS 110-91(11); 10A NCAC 09 .1705(b)(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. On the playground used by children enrolled, a toy metal truck was observed to be rusting; this truck was removed from the playground during the visit. Torn fabric weed block was observed emerging from the mulch on the playground, creating a potential choking and/or tripping hazard. 10A NCAC 09 .1719 (a) 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 the Summary of NC Child Care Law was not observed on file for two children enrolled. GS 110-102 1713 The written plan of care did not specify times for completing routine tasks and did not include those times on the written schedule. A Written Plan of Care was signed, but did not specify times for completing routine tasks and did not include those times on the written schedule for one child enrolled on 3/18/26. .1712(e)(1) 1714 The written plan of care did not specify the names of individuals who will be responsible for the care of children when the operator attends to routine tasks. A Written Plan of Care was signed, but id not specify the names of individuals who will be responsible for the care of children when the operator attends to routine tasks for one child enrolled on 3/18/26. .1712(e )(2) 1818 Operator did not implement and follow the written safe sleep policy adopted to maintain a safe sleep environment. A signed receipt of the Safe Sleep Policy was not observed on file for one child enrolled. G.S. 110-91(15);.1724(a)(1-12) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The Criminal Background Check Qualification letter for one additional caregiver had not yet been linked to the facility’s ABCMS facility profile. G.S. 110-90.2 & .2703(r) 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The Emergency Preparedness and Response Plan had not been updated since 4/21/2024. .1714(e ) 1940 Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care. The laundry room closet containing household cleaning supplies labeled Keep Out of Reach of Children with additional warnings was observed to be unlocked. Two drawers and one cabinet located in the bathroom used by children enrolled located less than five feet from the ground contained topical medications, room fresheners, and cleaning supplies labeled Keep Out of Reach of Children with additional warnings were observed to be unlocked. A liquid plug-in was observed plugged into the outlet in the bathroom used by children. .1719(a)(6) 1948 Sleeping infants, ages 12 months and younger were not visually checked every 15 minutes. A safe sleep record was not available for one infant enrolled on 3/18/26 for 3/18/26 – 3/26/26. .1724(a)(7) 2004 For off-premise activities occurring on regular basis, the standing permission for 12 months had expired. The off-premise activity forms for six children enrolled expired on 7/01/19 (one child), 6/07/21 (one child), 4/23/24 (one child), 4/24/24 (two children), and 4/25/24 (one child). .1723(15)(b) 2009 Copies of the required information for an additional caregiver was not on file in the home and/or made available for review. The additional caregiver (required to receive 20 ongoing training hours) did not complete 19 ongoing training hours by 4/11/2025. A training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment was not observed on file for one additional caregiver. A high school diploma was not observed on file for review for either additional caregiver. .1729(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 4/09/2026. 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 Emergency Preparedness and Response Plan had not been updated since 4/21/2024. A record of arrival and departure was not available for one child enrolled on 3/18/26 for 3/18/26 – 3/26/26. A safe sleep record was not available for one infant enrolled on 3/18/26 for 3/18/26 – 3/26/26. The off-premise activity forms for six children enrolled expired on 7/01/19 (one child), 6/07/21 (one child), 4/23/24 (one child), 4/24/24 (two children), and 4/25/24 (one child). A signed receipt of the Discipline Policy, Safe Sleep Policy, and Summary of NC Child Care Law were not on file for one child enrolled on 3/18/26. A signed receipt of the Summary of NC Child Care Law was not observed on file for one additional child enrolled. The operator (required to receive 8 ongoing training hours) did not complete three ongoing training hours by 4/11/2025. The additional caregiver (required to receive 20 ongoing training hours) did not complete 19 ongoing training hours by 4/11/2025. A training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment was not observed on file for one additional caregiver. A high school diploma was not observed on file for review for either additional caregiver. Mrs. Harrison stated she thought she had accessed the Risk Management Portal and updated the EPR plan electronically, but no updated information had been saved. Mrs. Harrison also stated she and Ms. Penn had been scheduled to complete multiple training hours at Smart Start of Forsyth County during the inclement weather which occurring in January/February of this year, but the trainings had been canceled. She also stated she believes she has both high school diplomas, but they may be upstairs. Mrs. Harrison additional stated she is fairly certain Ms. Penn completed the training for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment and that she would try to locate this certificate; if it cannot be located, this training can be completed again. 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. You may consider creating a checklist of all forms and trainings which must be routinely updated or renewed for all children, program, and staff records to ensure all information is on file and complete, as required. The Criminal Background Check Qualification letter for one additional caregiver had not yet been linked to the facility’s ABCMS facility profile. It is necessary for all staff members to be linked to the FCCH’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Mrs. Harrison stated thought Ms. Penn had already been linked to the program’s Facility Profile. If you need additional assistance in linking this qualification letter to your facility profile please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. The laundry room closet containing household cleaning supplies labeled Keep Out of Reach of Children with additional warnings was observed to be unlocked; this door was locked during the visit. Two drawers and one cabinet located in the bathroom used by children enrolled located less than five feet from the ground contained topical medications, room fresheners, and cleaning supplies labeled Keep Out of Reach of Children with additional warnings were observed to be unlocked. A liquid plug-in was observed plugged into the outlet in the bathroom used by children. All of these items were placed into locked storage during the visit. A camping lighter was observed inside an unlocked drawer located on the side of the island with a table used by children enrolled against it; the drawer is located less than five feet from the ground; this lighter was taken out of the space designated for child care during the visit. It is important for the indoor learning environment to be a safe place for children to explore and engage with at all times. You may consider conducting a walkthrough of all areas designated for the care of children enrolled prior to their arrival each morning to ensure any potential safety hazards are prevented/ corrected. On the playground used by children enrolled, a toy metal truck was observed to be rusting; this truck was removed from the playground during the visit. Torn fabric weed block was observed emerging from the mulch on the playground, creating a potential choking and/or tripping hazard. It is important for the outdoor learning environment to be a safe place for children to explore and engage with at all times. You may consider conducting a walkthrough of the outdoor play area daily prior to children accessing the playground. You may also consider adding these items to your monthly outdoor inspection. 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 and discussed with Mrs. Harrison during the visit: 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) (6-9) regarding hand washing. All infants who can support their own heads must have their hands washed with soap and water at required hand washing times. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a)(6) regarding ensuring materials or equipment being available indoors and outdoors to support the activities listed on the written schedule and activity plan 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS (15)(a-c) regarding off-premise activities. • Monitor your fire extinguisher, as the needle is moving close to the red gauge, indicating it is losing its charge and may need to be replaced soon. • Remember to renew the following trainings and/or certifications this year: • CPR/ FA certification before 10/06/2026 (for both additional caregivers); • ITS SIDS certification before 5/11/2026 (for Mrs. Harrison). • Ms. Penn must complete 20 additional ongoing training hours on or before 4/01/2026 (not inclusive of the 19 hours remaining to be completed from last year’s AC visit). • Mrs. Harrison must complete 8 additional ongoing training hours on or before 4/01/2026 (not inclusive of the 3 hours remaining to be completed from last year’s AC 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. 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. Harrison stated she is considering choosing either Pathway 2, the Classroom and Instructional Quality pathway for her FCCH, but she is still not certain which Pathway she will choose. Mrs. Harrison and I reviewed the Application for Assessment for a Rated License for Homes, Child Care Rule Section .3200, and the QRIS Modernization page on the DCDEE website. I also re-forwarded the QRIS Modernization resource email for FCCHs to Mrs. Harrison I emailed in August, 2025, during the visit. Additionally, I shared with Mrs. Harrison 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 pamela.hauser@dhhs.nc.gov (336) 317-5003 For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: LITTLE LEADERS LEARNING CENTER Facility ID: 34001019 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/26/2026 Number Present: 4 Completed Date: 3/26/2026 Age: From 0 To 5 Total Minutes: 315 Time In: 08:15 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted with Tashua Harrison, Operator. Jocelyn Penn, Additional Caregiver, was also present during the visit. 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; children in care on ground level only, converted garage off-limits, and trampoline off limits. A trampoline is no longer located on the premises. Mrs. Harrison stated she is currently providing first and second shift care. 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. 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 activities with Mrs. Harrison and Ms. Penn 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 4/01/2025. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator and both additional caregivers 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 3/19/2026. The most recent lockdown and shelter-in-place drills were documented on 3/19/2026. The last outdoor inspection was documented on 3/19/2026. There are no pets currently reported at the facility. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed, nor reported. Ms. Harrison stated she does not transport children enrolled or participate in aquatic activities at this time. Ms. Harrison stated children periodically participate in nature walks in the neighborhood. The following violations were cited during today’s visit: Violation Number Comment Rule 704 Items used for starting fires, such as matches, accelerants, and lighters, were not kept in locked storage. A camping lighter was observed inside an unlocked drawer located on the side of the island with a table used by children enrolled against it; the drawer is located less than five feet from the ground. .1719(a)(3) 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 record of arrival and departure was not available for one child enrolled on 3/18/26 for 3/18/26 – 3/26/26. .1721(e)(6) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. A signed receipt of the Discipline Policy was not observed on file for one child enrolled. G.S.110-91(10); .1727(a)&(b) 1301 Operator did not complete the required number of on-going training hours as specified in rule. The operator (required to receive 8 ongoing training hours) did not complete three ongoing training hours by 4/11/2025. GS 110-91(11); 10A NCAC 09 .1705(b)(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. On the playground used by children enrolled, a toy metal truck was observed to be rusting; this truck was removed from the playground during the visit. Torn fabric weed block was observed emerging from the mulch on the playground, creating a potential choking and/or tripping hazard. 10A NCAC 09 .1719 (a) 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 the Summary of NC Child Care Law was not observed on file for two children enrolled. GS 110-102 1713 The written plan of care did not specify times for completing routine tasks and did not include those times on the written schedule. A Written Plan of Care was signed, but did not specify times for completing routine tasks and did not include those times on the written schedule for one child enrolled on 3/18/26. .1712(e)(1) 1714 The written plan of care did not specify the names of individuals who will be responsible for the care of children when the operator attends to routine tasks. A Written Plan of Care was signed, but id not specify the names of individuals who will be responsible for the care of children when the operator attends to routine tasks for one child enrolled on 3/18/26. .1712(e )(2) 1818 Operator did not implement and follow the written safe sleep policy adopted to maintain a safe sleep environment. A signed receipt of the Safe Sleep Policy was not observed on file for one child enrolled. G.S. 110-91(15);.1724(a)(1-12) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The Criminal Background Check Qualification letter for one additional caregiver had not yet been linked to the facility’s ABCMS facility profile. G.S. 110-90.2 & .2703(r) 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The Emergency Preparedness and Response Plan had not been updated since 4/21/2024. .1714(e ) 1940 Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care. The laundry room closet containing household cleaning supplies labeled Keep Out of Reach of Children with additional warnings was observed to be unlocked. Two drawers and one cabinet located in the bathroom used by children enrolled located less than five feet from the ground contained topical medications, room fresheners, and cleaning supplies labeled Keep Out of Reach of Children with additional warnings were observed to be unlocked. A liquid plug-in was observed plugged into the outlet in the bathroom used by children. .1719(a)(6) 1948 Sleeping infants, ages 12 months and younger were not visually checked every 15 minutes. A safe sleep record was not available for one infant enrolled on 3/18/26 for 3/18/26 – 3/26/26. .1724(a)(7) 2004 For off-premise activities occurring on regular basis, the standing permission for 12 months had expired. The off-premise activity forms for six children enrolled expired on 7/01/19 (one child), 6/07/21 (one child), 4/23/24 (one child), 4/24/24 (two children), and 4/25/24 (one child). .1723(15)(b) 2009 Copies of the required information for an additional caregiver was not on file in the home and/or made available for review. The additional caregiver (required to receive 20 ongoing training hours) did not complete 19 ongoing training hours by 4/11/2025. A training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment was not observed on file for one additional caregiver. A high school diploma was not observed on file for review for either additional caregiver. .1729(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 4/09/2026. 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 Emergency Preparedness and Response Plan had not been updated since 4/21/2024. A record of arrival and departure was not available for one child enrolled on 3/18/26 for 3/18/26 – 3/26/26. A safe sleep record was not available for one infant enrolled on 3/18/26 for 3/18/26 – 3/26/26. The off-premise activity forms for six children enrolled expired on 7/01/19 (one child), 6/07/21 (one child), 4/23/24 (one child), 4/24/24 (two children), and 4/25/24 (one child). A signed receipt of the Discipline Policy, Safe Sleep Policy, and Summary of NC Child Care Law were not on file for one child enrolled on 3/18/26. A signed receipt of the Summary of NC Child Care Law was not observed on file for one additional child enrolled. The operator (required to receive 8 ongoing training hours) did not complete three ongoing training hours by 4/11/2025. The additional caregiver (required to receive 20 ongoing training hours) did not complete 19 ongoing training hours by 4/11/2025. A training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment was not observed on file for one additional caregiver. A high school diploma was not observed on file for review for either additional caregiver. Mrs. Harrison stated she thought she had accessed the Risk Management Portal and updated the EPR plan electronically, but no updated information had been saved. Mrs. Harrison also stated she and Ms. Penn had been scheduled to complete multiple training hours at Smart Start of Forsyth County during the inclement weather which occurring in January/February of this year, but the trainings had been canceled. She also stated she believes she has both high school diplomas, but they may be upstairs. Mrs. Harrison additional stated she is fairly certain Ms. Penn completed the training for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment and that she would try to locate this certificate; if it cannot be located, this training can be completed again. 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. You may consider creating a checklist of all forms and trainings which must be routinely updated or renewed for all children, program, and staff records to ensure all information is on file and complete, as required. The Criminal Background Check Qualification letter for one additional caregiver had not yet been linked to the facility’s ABCMS facility profile. It is necessary for all staff members to be linked to the FCCH’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Mrs. Harrison stated thought Ms. Penn had already been linked to the program’s Facility Profile. If you need additional assistance in linking this qualification letter to your facility profile please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. The laundry room closet containing household cleaning supplies labeled Keep Out of Reach of Children with additional warnings was observed to be unlocked; this door was locked during the visit. Two drawers and one cabinet located in the bathroom used by children enrolled located less than five feet from the ground contained topical medications, room fresheners, and cleaning supplies labeled Keep Out of Reach of Children with additional warnings were observed to be unlocked. A liquid plug-in was observed plugged into the outlet in the bathroom used by children. All of these items were placed into locked storage during the visit. A camping lighter was observed inside an unlocked drawer located on the side of the island with a table used by children enrolled against it; the drawer is located less than five feet from the ground; this lighter was taken out of the space designated for child care during the visit. It is important for the indoor learning environment to be a safe place for children to explore and engage with at all times. You may consider conducting a walkthrough of all areas designated for the care of children enrolled prior to their arrival each morning to ensure any potential safety hazards are prevented/ corrected. On the playground used by children enrolled, a toy metal truck was observed to be rusting; this truck was removed from the playground during the visit. Torn fabric weed block was observed emerging from the mulch on the playground, creating a potential choking and/or tripping hazard. It is important for the outdoor learning environment to be a safe place for children to explore and engage with at all times. You may consider conducting a walkthrough of the outdoor play area daily prior to children accessing the playground. You may also consider adding these items to your monthly outdoor inspection. 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 and discussed with Mrs. Harrison during the visit: 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) (6-9) regarding hand washing. All infants who can support their own heads must have their hands washed with soap and water at required hand washing times. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a)(6) regarding ensuring materials or equipment being available indoors and outdoors to support the activities listed on the written schedule and activity plan 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS (15)(a-c) regarding off-premise activities. • Monitor your fire extinguisher, as the needle is moving close to the red gauge, indicating it is losing its charge and may need to be replaced soon. • Remember to renew the following trainings and/or certifications this year: • CPR/ FA certification before 10/06/2026 (for both additional caregivers); • ITS SIDS certification before 5/11/2026 (for Mrs. Harrison). • Ms. Penn must complete 20 additional ongoing training hours on or before 4/01/2026 (not inclusive of the 19 hours remaining to be completed from last year’s AC visit). • Mrs. Harrison must complete 8 additional ongoing training hours on or before 4/01/2026 (not inclusive of the 3 hours remaining to be completed from last year’s AC 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. 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. Harrison stated she is considering choosing either Pathway 2, the Classroom and Instructional Quality pathway for her FCCH, but she is still not certain which Pathway she will choose. Mrs. Harrison and I reviewed the Application for Assessment for a Rated License for Homes, Child Care Rule Section .3200, and the QRIS Modernization page on the DCDEE website. I also re-forwarded the QRIS Modernization resource email for FCCHs to Mrs. Harrison I emailed in August, 2025, during the visit. Additionally, I shared with Mrs. Harrison 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 pamela.hauser@dhhs.nc.gov (336) 317-5003 For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S.110-91 · Violation

Name of Operation: LITTLE LEADERS LEARNING CENTER Facility ID: 34001019 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/26/2026 Number Present: 4 Completed Date: 3/26/2026 Age: From 0 To 5 Total Minutes: 315 Time In: 08:15 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted with Tashua Harrison, Operator. Jocelyn Penn, Additional Caregiver, was also present during the visit. 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; children in care on ground level only, converted garage off-limits, and trampoline off limits. A trampoline is no longer located on the premises. Mrs. Harrison stated she is currently providing first and second shift care. 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. 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 activities with Mrs. Harrison and Ms. Penn 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 4/01/2025. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator and both additional caregivers 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 3/19/2026. The most recent lockdown and shelter-in-place drills were documented on 3/19/2026. The last outdoor inspection was documented on 3/19/2026. There are no pets currently reported at the facility. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed, nor reported. Ms. Harrison stated she does not transport children enrolled or participate in aquatic activities at this time. Ms. Harrison stated children periodically participate in nature walks in the neighborhood. The following violations were cited during today’s visit: Violation Number Comment Rule 704 Items used for starting fires, such as matches, accelerants, and lighters, were not kept in locked storage. A camping lighter was observed inside an unlocked drawer located on the side of the island with a table used by children enrolled against it; the drawer is located less than five feet from the ground. .1719(a)(3) 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 record of arrival and departure was not available for one child enrolled on 3/18/26 for 3/18/26 – 3/26/26. .1721(e)(6) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. A signed receipt of the Discipline Policy was not observed on file for one child enrolled. G.S.110-91(10); .1727(a)&(b) 1301 Operator did not complete the required number of on-going training hours as specified in rule. The operator (required to receive 8 ongoing training hours) did not complete three ongoing training hours by 4/11/2025. GS 110-91(11); 10A NCAC 09 .1705(b)(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. On the playground used by children enrolled, a toy metal truck was observed to be rusting; this truck was removed from the playground during the visit. Torn fabric weed block was observed emerging from the mulch on the playground, creating a potential choking and/or tripping hazard. 10A NCAC 09 .1719 (a) 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 the Summary of NC Child Care Law was not observed on file for two children enrolled. GS 110-102 1713 The written plan of care did not specify times for completing routine tasks and did not include those times on the written schedule. A Written Plan of Care was signed, but did not specify times for completing routine tasks and did not include those times on the written schedule for one child enrolled on 3/18/26. .1712(e)(1) 1714 The written plan of care did not specify the names of individuals who will be responsible for the care of children when the operator attends to routine tasks. A Written Plan of Care was signed, but id not specify the names of individuals who will be responsible for the care of children when the operator attends to routine tasks for one child enrolled on 3/18/26. .1712(e )(2) 1818 Operator did not implement and follow the written safe sleep policy adopted to maintain a safe sleep environment. A signed receipt of the Safe Sleep Policy was not observed on file for one child enrolled. G.S. 110-91(15);.1724(a)(1-12) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The Criminal Background Check Qualification letter for one additional caregiver had not yet been linked to the facility’s ABCMS facility profile. G.S. 110-90.2 & .2703(r) 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The Emergency Preparedness and Response Plan had not been updated since 4/21/2024. .1714(e ) 1940 Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care. The laundry room closet containing household cleaning supplies labeled Keep Out of Reach of Children with additional warnings was observed to be unlocked. Two drawers and one cabinet located in the bathroom used by children enrolled located less than five feet from the ground contained topical medications, room fresheners, and cleaning supplies labeled Keep Out of Reach of Children with additional warnings were observed to be unlocked. A liquid plug-in was observed plugged into the outlet in the bathroom used by children. .1719(a)(6) 1948 Sleeping infants, ages 12 months and younger were not visually checked every 15 minutes. A safe sleep record was not available for one infant enrolled on 3/18/26 for 3/18/26 – 3/26/26. .1724(a)(7) 2004 For off-premise activities occurring on regular basis, the standing permission for 12 months had expired. The off-premise activity forms for six children enrolled expired on 7/01/19 (one child), 6/07/21 (one child), 4/23/24 (one child), 4/24/24 (two children), and 4/25/24 (one child). .1723(15)(b) 2009 Copies of the required information for an additional caregiver was not on file in the home and/or made available for review. The additional caregiver (required to receive 20 ongoing training hours) did not complete 19 ongoing training hours by 4/11/2025. A training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment was not observed on file for one additional caregiver. A high school diploma was not observed on file for review for either additional caregiver. .1729(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 4/09/2026. 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 Emergency Preparedness and Response Plan had not been updated since 4/21/2024. A record of arrival and departure was not available for one child enrolled on 3/18/26 for 3/18/26 – 3/26/26. A safe sleep record was not available for one infant enrolled on 3/18/26 for 3/18/26 – 3/26/26. The off-premise activity forms for six children enrolled expired on 7/01/19 (one child), 6/07/21 (one child), 4/23/24 (one child), 4/24/24 (two children), and 4/25/24 (one child). A signed receipt of the Discipline Policy, Safe Sleep Policy, and Summary of NC Child Care Law were not on file for one child enrolled on 3/18/26. A signed receipt of the Summary of NC Child Care Law was not observed on file for one additional child enrolled. The operator (required to receive 8 ongoing training hours) did not complete three ongoing training hours by 4/11/2025. The additional caregiver (required to receive 20 ongoing training hours) did not complete 19 ongoing training hours by 4/11/2025. A training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment was not observed on file for one additional caregiver. A high school diploma was not observed on file for review for either additional caregiver. Mrs. Harrison stated she thought she had accessed the Risk Management Portal and updated the EPR plan electronically, but no updated information had been saved. Mrs. Harrison also stated she and Ms. Penn had been scheduled to complete multiple training hours at Smart Start of Forsyth County during the inclement weather which occurring in January/February of this year, but the trainings had been canceled. She also stated she believes she has both high school diplomas, but they may be upstairs. Mrs. Harrison additional stated she is fairly certain Ms. Penn completed the training for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment and that she would try to locate this certificate; if it cannot be located, this training can be completed again. 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. You may consider creating a checklist of all forms and trainings which must be routinely updated or renewed for all children, program, and staff records to ensure all information is on file and complete, as required. The Criminal Background Check Qualification letter for one additional caregiver had not yet been linked to the facility’s ABCMS facility profile. It is necessary for all staff members to be linked to the FCCH’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Mrs. Harrison stated thought Ms. Penn had already been linked to the program’s Facility Profile. If you need additional assistance in linking this qualification letter to your facility profile please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. The laundry room closet containing household cleaning supplies labeled Keep Out of Reach of Children with additional warnings was observed to be unlocked; this door was locked during the visit. Two drawers and one cabinet located in the bathroom used by children enrolled located less than five feet from the ground contained topical medications, room fresheners, and cleaning supplies labeled Keep Out of Reach of Children with additional warnings were observed to be unlocked. A liquid plug-in was observed plugged into the outlet in the bathroom used by children. All of these items were placed into locked storage during the visit. A camping lighter was observed inside an unlocked drawer located on the side of the island with a table used by children enrolled against it; the drawer is located less than five feet from the ground; this lighter was taken out of the space designated for child care during the visit. It is important for the indoor learning environment to be a safe place for children to explore and engage with at all times. You may consider conducting a walkthrough of all areas designated for the care of children enrolled prior to their arrival each morning to ensure any potential safety hazards are prevented/ corrected. On the playground used by children enrolled, a toy metal truck was observed to be rusting; this truck was removed from the playground during the visit. Torn fabric weed block was observed emerging from the mulch on the playground, creating a potential choking and/or tripping hazard. It is important for the outdoor learning environment to be a safe place for children to explore and engage with at all times. You may consider conducting a walkthrough of the outdoor play area daily prior to children accessing the playground. You may also consider adding these items to your monthly outdoor inspection. 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 and discussed with Mrs. Harrison during the visit: 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) (6-9) regarding hand washing. All infants who can support their own heads must have their hands washed with soap and water at required hand washing times. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a)(6) regarding ensuring materials or equipment being available indoors and outdoors to support the activities listed on the written schedule and activity plan 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS (15)(a-c) regarding off-premise activities. • Monitor your fire extinguisher, as the needle is moving close to the red gauge, indicating it is losing its charge and may need to be replaced soon. • Remember to renew the following trainings and/or certifications this year: • CPR/ FA certification before 10/06/2026 (for both additional caregivers); • ITS SIDS certification before 5/11/2026 (for Mrs. Harrison). • Ms. Penn must complete 20 additional ongoing training hours on or before 4/01/2026 (not inclusive of the 19 hours remaining to be completed from last year’s AC visit). • Mrs. Harrison must complete 8 additional ongoing training hours on or before 4/01/2026 (not inclusive of the 3 hours remaining to be completed from last year’s AC 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. 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. Harrison stated she is considering choosing either Pathway 2, the Classroom and Instructional Quality pathway for her FCCH, but she is still not certain which Pathway she will choose. Mrs. Harrison and I reviewed the Application for Assessment for a Rated License for Homes, Child Care Rule Section .3200, and the QRIS Modernization page on the DCDEE website. I also re-forwarded the QRIS Modernization resource email for FCCHs to Mrs. Harrison I emailed in August, 2025, during the visit. Additionally, I shared with Mrs. Harrison 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 pamela.hauser@dhhs.nc.gov (336) 317-5003 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: LITTLE LEADERS LEARNING CENTER Facility ID: 34001019 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/26/2026 Number Present: 4 Completed Date: 3/26/2026 Age: From 0 To 5 Total Minutes: 315 Time In: 08:15 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted with Tashua Harrison, Operator. Jocelyn Penn, Additional Caregiver, was also present during the visit. 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; children in care on ground level only, converted garage off-limits, and trampoline off limits. A trampoline is no longer located on the premises. Mrs. Harrison stated she is currently providing first and second shift care. 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. 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 activities with Mrs. Harrison and Ms. Penn 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 4/01/2025. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator and both additional caregivers 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 3/19/2026. The most recent lockdown and shelter-in-place drills were documented on 3/19/2026. The last outdoor inspection was documented on 3/19/2026. There are no pets currently reported at the facility. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed, nor reported. Ms. Harrison stated she does not transport children enrolled or participate in aquatic activities at this time. Ms. Harrison stated children periodically participate in nature walks in the neighborhood. The following violations were cited during today’s visit: Violation Number Comment Rule 704 Items used for starting fires, such as matches, accelerants, and lighters, were not kept in locked storage. A camping lighter was observed inside an unlocked drawer located on the side of the island with a table used by children enrolled against it; the drawer is located less than five feet from the ground. .1719(a)(3) 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 record of arrival and departure was not available for one child enrolled on 3/18/26 for 3/18/26 – 3/26/26. .1721(e)(6) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. A signed receipt of the Discipline Policy was not observed on file for one child enrolled. G.S.110-91(10); .1727(a)&(b) 1301 Operator did not complete the required number of on-going training hours as specified in rule. The operator (required to receive 8 ongoing training hours) did not complete three ongoing training hours by 4/11/2025. GS 110-91(11); 10A NCAC 09 .1705(b)(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. On the playground used by children enrolled, a toy metal truck was observed to be rusting; this truck was removed from the playground during the visit. Torn fabric weed block was observed emerging from the mulch on the playground, creating a potential choking and/or tripping hazard. 10A NCAC 09 .1719 (a) 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 the Summary of NC Child Care Law was not observed on file for two children enrolled. GS 110-102 1713 The written plan of care did not specify times for completing routine tasks and did not include those times on the written schedule. A Written Plan of Care was signed, but did not specify times for completing routine tasks and did not include those times on the written schedule for one child enrolled on 3/18/26. .1712(e)(1) 1714 The written plan of care did not specify the names of individuals who will be responsible for the care of children when the operator attends to routine tasks. A Written Plan of Care was signed, but id not specify the names of individuals who will be responsible for the care of children when the operator attends to routine tasks for one child enrolled on 3/18/26. .1712(e )(2) 1818 Operator did not implement and follow the written safe sleep policy adopted to maintain a safe sleep environment. A signed receipt of the Safe Sleep Policy was not observed on file for one child enrolled. G.S. 110-91(15);.1724(a)(1-12) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The Criminal Background Check Qualification letter for one additional caregiver had not yet been linked to the facility’s ABCMS facility profile. G.S. 110-90.2 & .2703(r) 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The Emergency Preparedness and Response Plan had not been updated since 4/21/2024. .1714(e ) 1940 Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care. The laundry room closet containing household cleaning supplies labeled Keep Out of Reach of Children with additional warnings was observed to be unlocked. Two drawers and one cabinet located in the bathroom used by children enrolled located less than five feet from the ground contained topical medications, room fresheners, and cleaning supplies labeled Keep Out of Reach of Children with additional warnings were observed to be unlocked. A liquid plug-in was observed plugged into the outlet in the bathroom used by children. .1719(a)(6) 1948 Sleeping infants, ages 12 months and younger were not visually checked every 15 minutes. A safe sleep record was not available for one infant enrolled on 3/18/26 for 3/18/26 – 3/26/26. .1724(a)(7) 2004 For off-premise activities occurring on regular basis, the standing permission for 12 months had expired. The off-premise activity forms for six children enrolled expired on 7/01/19 (one child), 6/07/21 (one child), 4/23/24 (one child), 4/24/24 (two children), and 4/25/24 (one child). .1723(15)(b) 2009 Copies of the required information for an additional caregiver was not on file in the home and/or made available for review. The additional caregiver (required to receive 20 ongoing training hours) did not complete 19 ongoing training hours by 4/11/2025. A training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment was not observed on file for one additional caregiver. A high school diploma was not observed on file for review for either additional caregiver. .1729(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 4/09/2026. 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 Emergency Preparedness and Response Plan had not been updated since 4/21/2024. A record of arrival and departure was not available for one child enrolled on 3/18/26 for 3/18/26 – 3/26/26. A safe sleep record was not available for one infant enrolled on 3/18/26 for 3/18/26 – 3/26/26. The off-premise activity forms for six children enrolled expired on 7/01/19 (one child), 6/07/21 (one child), 4/23/24 (one child), 4/24/24 (two children), and 4/25/24 (one child). A signed receipt of the Discipline Policy, Safe Sleep Policy, and Summary of NC Child Care Law were not on file for one child enrolled on 3/18/26. A signed receipt of the Summary of NC Child Care Law was not observed on file for one additional child enrolled. The operator (required to receive 8 ongoing training hours) did not complete three ongoing training hours by 4/11/2025. The additional caregiver (required to receive 20 ongoing training hours) did not complete 19 ongoing training hours by 4/11/2025. A training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment was not observed on file for one additional caregiver. A high school diploma was not observed on file for review for either additional caregiver. Mrs. Harrison stated she thought she had accessed the Risk Management Portal and updated the EPR plan electronically, but no updated information had been saved. Mrs. Harrison also stated she and Ms. Penn had been scheduled to complete multiple training hours at Smart Start of Forsyth County during the inclement weather which occurring in January/February of this year, but the trainings had been canceled. She also stated she believes she has both high school diplomas, but they may be upstairs. Mrs. Harrison additional stated she is fairly certain Ms. Penn completed the training for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment and that she would try to locate this certificate; if it cannot be located, this training can be completed again. 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. You may consider creating a checklist of all forms and trainings which must be routinely updated or renewed for all children, program, and staff records to ensure all information is on file and complete, as required. The Criminal Background Check Qualification letter for one additional caregiver had not yet been linked to the facility’s ABCMS facility profile. It is necessary for all staff members to be linked to the FCCH’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Mrs. Harrison stated thought Ms. Penn had already been linked to the program’s Facility Profile. If you need additional assistance in linking this qualification letter to your facility profile please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. The laundry room closet containing household cleaning supplies labeled Keep Out of Reach of Children with additional warnings was observed to be unlocked; this door was locked during the visit. Two drawers and one cabinet located in the bathroom used by children enrolled located less than five feet from the ground contained topical medications, room fresheners, and cleaning supplies labeled Keep Out of Reach of Children with additional warnings were observed to be unlocked. A liquid plug-in was observed plugged into the outlet in the bathroom used by children. All of these items were placed into locked storage during the visit. A camping lighter was observed inside an unlocked drawer located on the side of the island with a table used by children enrolled against it; the drawer is located less than five feet from the ground; this lighter was taken out of the space designated for child care during the visit. It is important for the indoor learning environment to be a safe place for children to explore and engage with at all times. You may consider conducting a walkthrough of all areas designated for the care of children enrolled prior to their arrival each morning to ensure any potential safety hazards are prevented/ corrected. On the playground used by children enrolled, a toy metal truck was observed to be rusting; this truck was removed from the playground during the visit. Torn fabric weed block was observed emerging from the mulch on the playground, creating a potential choking and/or tripping hazard. It is important for the outdoor learning environment to be a safe place for children to explore and engage with at all times. You may consider conducting a walkthrough of the outdoor play area daily prior to children accessing the playground. You may also consider adding these items to your monthly outdoor inspection. 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 and discussed with Mrs. Harrison during the visit: 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) (6-9) regarding hand washing. All infants who can support their own heads must have their hands washed with soap and water at required hand washing times. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a)(6) regarding ensuring materials or equipment being available indoors and outdoors to support the activities listed on the written schedule and activity plan 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS (15)(a-c) regarding off-premise activities. • Monitor your fire extinguisher, as the needle is moving close to the red gauge, indicating it is losing its charge and may need to be replaced soon. • Remember to renew the following trainings and/or certifications this year: • CPR/ FA certification before 10/06/2026 (for both additional caregivers); • ITS SIDS certification before 5/11/2026 (for Mrs. Harrison). • Ms. Penn must complete 20 additional ongoing training hours on or before 4/01/2026 (not inclusive of the 19 hours remaining to be completed from last year’s AC visit). • Mrs. Harrison must complete 8 additional ongoing training hours on or before 4/01/2026 (not inclusive of the 3 hours remaining to be completed from last year’s AC 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. 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. Harrison stated she is considering choosing either Pathway 2, the Classroom and Instructional Quality pathway for her FCCH, but she is still not certain which Pathway she will choose. Mrs. Harrison and I reviewed the Application for Assessment for a Rated License for Homes, Child Care Rule Section .3200, and the QRIS Modernization page on the DCDEE website. I also re-forwarded the QRIS Modernization resource email for FCCHs to Mrs. Harrison I emailed in August, 2025, during the visit. Additionally, I shared with Mrs. Harrison 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 pamela.hauser@dhhs.nc.gov (336) 317-5003 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: LITTLE LEADERS LEARNING CENTER Facility ID: 34001019 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/26/2026 Number Present: 4 Completed Date: 3/26/2026 Age: From 0 To 5 Total Minutes: 315 Time In: 08:15 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted with Tashua Harrison, Operator. Jocelyn Penn, Additional Caregiver, was also present during the visit. 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; children in care on ground level only, converted garage off-limits, and trampoline off limits. A trampoline is no longer located on the premises. Mrs. Harrison stated she is currently providing first and second shift care. 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. 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 activities with Mrs. Harrison and Ms. Penn 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 4/01/2025. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator and both additional caregivers 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 3/19/2026. The most recent lockdown and shelter-in-place drills were documented on 3/19/2026. The last outdoor inspection was documented on 3/19/2026. There are no pets currently reported at the facility. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed, nor reported. Ms. Harrison stated she does not transport children enrolled or participate in aquatic activities at this time. Ms. Harrison stated children periodically participate in nature walks in the neighborhood. The following violations were cited during today’s visit: Violation Number Comment Rule 704 Items used for starting fires, such as matches, accelerants, and lighters, were not kept in locked storage. A camping lighter was observed inside an unlocked drawer located on the side of the island with a table used by children enrolled against it; the drawer is located less than five feet from the ground. .1719(a)(3) 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 record of arrival and departure was not available for one child enrolled on 3/18/26 for 3/18/26 – 3/26/26. .1721(e)(6) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. A signed receipt of the Discipline Policy was not observed on file for one child enrolled. G.S.110-91(10); .1727(a)&(b) 1301 Operator did not complete the required number of on-going training hours as specified in rule. The operator (required to receive 8 ongoing training hours) did not complete three ongoing training hours by 4/11/2025. GS 110-91(11); 10A NCAC 09 .1705(b)(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. On the playground used by children enrolled, a toy metal truck was observed to be rusting; this truck was removed from the playground during the visit. Torn fabric weed block was observed emerging from the mulch on the playground, creating a potential choking and/or tripping hazard. 10A NCAC 09 .1719 (a) 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 the Summary of NC Child Care Law was not observed on file for two children enrolled. GS 110-102 1713 The written plan of care did not specify times for completing routine tasks and did not include those times on the written schedule. A Written Plan of Care was signed, but did not specify times for completing routine tasks and did not include those times on the written schedule for one child enrolled on 3/18/26. .1712(e)(1) 1714 The written plan of care did not specify the names of individuals who will be responsible for the care of children when the operator attends to routine tasks. A Written Plan of Care was signed, but id not specify the names of individuals who will be responsible for the care of children when the operator attends to routine tasks for one child enrolled on 3/18/26. .1712(e )(2) 1818 Operator did not implement and follow the written safe sleep policy adopted to maintain a safe sleep environment. A signed receipt of the Safe Sleep Policy was not observed on file for one child enrolled. G.S. 110-91(15);.1724(a)(1-12) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The Criminal Background Check Qualification letter for one additional caregiver had not yet been linked to the facility’s ABCMS facility profile. G.S. 110-90.2 & .2703(r) 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The Emergency Preparedness and Response Plan had not been updated since 4/21/2024. .1714(e ) 1940 Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care. The laundry room closet containing household cleaning supplies labeled Keep Out of Reach of Children with additional warnings was observed to be unlocked. Two drawers and one cabinet located in the bathroom used by children enrolled located less than five feet from the ground contained topical medications, room fresheners, and cleaning supplies labeled Keep Out of Reach of Children with additional warnings were observed to be unlocked. A liquid plug-in was observed plugged into the outlet in the bathroom used by children. .1719(a)(6) 1948 Sleeping infants, ages 12 months and younger were not visually checked every 15 minutes. A safe sleep record was not available for one infant enrolled on 3/18/26 for 3/18/26 – 3/26/26. .1724(a)(7) 2004 For off-premise activities occurring on regular basis, the standing permission for 12 months had expired. The off-premise activity forms for six children enrolled expired on 7/01/19 (one child), 6/07/21 (one child), 4/23/24 (one child), 4/24/24 (two children), and 4/25/24 (one child). .1723(15)(b) 2009 Copies of the required information for an additional caregiver was not on file in the home and/or made available for review. The additional caregiver (required to receive 20 ongoing training hours) did not complete 19 ongoing training hours by 4/11/2025. A training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment was not observed on file for one additional caregiver. A high school diploma was not observed on file for review for either additional caregiver. .1729(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 4/09/2026. 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 Emergency Preparedness and Response Plan had not been updated since 4/21/2024. A record of arrival and departure was not available for one child enrolled on 3/18/26 for 3/18/26 – 3/26/26. A safe sleep record was not available for one infant enrolled on 3/18/26 for 3/18/26 – 3/26/26. The off-premise activity forms for six children enrolled expired on 7/01/19 (one child), 6/07/21 (one child), 4/23/24 (one child), 4/24/24 (two children), and 4/25/24 (one child). A signed receipt of the Discipline Policy, Safe Sleep Policy, and Summary of NC Child Care Law were not on file for one child enrolled on 3/18/26. A signed receipt of the Summary of NC Child Care Law was not observed on file for one additional child enrolled. The operator (required to receive 8 ongoing training hours) did not complete three ongoing training hours by 4/11/2025. The additional caregiver (required to receive 20 ongoing training hours) did not complete 19 ongoing training hours by 4/11/2025. A training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment was not observed on file for one additional caregiver. A high school diploma was not observed on file for review for either additional caregiver. Mrs. Harrison stated she thought she had accessed the Risk Management Portal and updated the EPR plan electronically, but no updated information had been saved. Mrs. Harrison also stated she and Ms. Penn had been scheduled to complete multiple training hours at Smart Start of Forsyth County during the inclement weather which occurring in January/February of this year, but the trainings had been canceled. She also stated she believes she has both high school diplomas, but they may be upstairs. Mrs. Harrison additional stated she is fairly certain Ms. Penn completed the training for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment and that she would try to locate this certificate; if it cannot be located, this training can be completed again. 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. You may consider creating a checklist of all forms and trainings which must be routinely updated or renewed for all children, program, and staff records to ensure all information is on file and complete, as required. The Criminal Background Check Qualification letter for one additional caregiver had not yet been linked to the facility’s ABCMS facility profile. It is necessary for all staff members to be linked to the FCCH’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Mrs. Harrison stated thought Ms. Penn had already been linked to the program’s Facility Profile. If you need additional assistance in linking this qualification letter to your facility profile please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. The laundry room closet containing household cleaning supplies labeled Keep Out of Reach of Children with additional warnings was observed to be unlocked; this door was locked during the visit. Two drawers and one cabinet located in the bathroom used by children enrolled located less than five feet from the ground contained topical medications, room fresheners, and cleaning supplies labeled Keep Out of Reach of Children with additional warnings were observed to be unlocked. A liquid plug-in was observed plugged into the outlet in the bathroom used by children. All of these items were placed into locked storage during the visit. A camping lighter was observed inside an unlocked drawer located on the side of the island with a table used by children enrolled against it; the drawer is located less than five feet from the ground; this lighter was taken out of the space designated for child care during the visit. It is important for the indoor learning environment to be a safe place for children to explore and engage with at all times. You may consider conducting a walkthrough of all areas designated for the care of children enrolled prior to their arrival each morning to ensure any potential safety hazards are prevented/ corrected. On the playground used by children enrolled, a toy metal truck was observed to be rusting; this truck was removed from the playground during the visit. Torn fabric weed block was observed emerging from the mulch on the playground, creating a potential choking and/or tripping hazard. It is important for the outdoor learning environment to be a safe place for children to explore and engage with at all times. You may consider conducting a walkthrough of the outdoor play area daily prior to children accessing the playground. You may also consider adding these items to your monthly outdoor inspection. 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 and discussed with Mrs. Harrison during the visit: 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) (6-9) regarding hand washing. All infants who can support their own heads must have their hands washed with soap and water at required hand washing times. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a)(6) regarding ensuring materials or equipment being available indoors and outdoors to support the activities listed on the written schedule and activity plan 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS (15)(a-c) regarding off-premise activities. • Monitor your fire extinguisher, as the needle is moving close to the red gauge, indicating it is losing its charge and may need to be replaced soon. • Remember to renew the following trainings and/or certifications this year: • CPR/ FA certification before 10/06/2026 (for both additional caregivers); • ITS SIDS certification before 5/11/2026 (for Mrs. Harrison). • Ms. Penn must complete 20 additional ongoing training hours on or before 4/01/2026 (not inclusive of the 19 hours remaining to be completed from last year’s AC visit). • Mrs. Harrison must complete 8 additional ongoing training hours on or before 4/01/2026 (not inclusive of the 3 hours remaining to be completed from last year’s AC 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. 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. Harrison stated she is considering choosing either Pathway 2, the Classroom and Instructional Quality pathway for her FCCH, but she is still not certain which Pathway she will choose. Mrs. Harrison and I reviewed the Application for Assessment for a Rated License for Homes, Child Care Rule Section .3200, and the QRIS Modernization page on the DCDEE website. I also re-forwarded the QRIS Modernization resource email for FCCHs to Mrs. Harrison I emailed in August, 2025, during the visit. Additionally, I shared with Mrs. Harrison 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 pamela.hauser@dhhs.nc.gov (336) 317-5003 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: LITTLE LEADERS LEARNING CENTER Facility ID: 34001019 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/26/2026 Number Present: 4 Completed Date: 3/26/2026 Age: From 0 To 5 Total Minutes: 315 Time In: 08:15 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted with Tashua Harrison, Operator. Jocelyn Penn, Additional Caregiver, was also present during the visit. 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; children in care on ground level only, converted garage off-limits, and trampoline off limits. A trampoline is no longer located on the premises. Mrs. Harrison stated she is currently providing first and second shift care. 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. 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 activities with Mrs. Harrison and Ms. Penn 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 4/01/2025. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator and both additional caregivers 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 3/19/2026. The most recent lockdown and shelter-in-place drills were documented on 3/19/2026. The last outdoor inspection was documented on 3/19/2026. There are no pets currently reported at the facility. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed, nor reported. Ms. Harrison stated she does not transport children enrolled or participate in aquatic activities at this time. Ms. Harrison stated children periodically participate in nature walks in the neighborhood. The following violations were cited during today’s visit: Violation Number Comment Rule 704 Items used for starting fires, such as matches, accelerants, and lighters, were not kept in locked storage. A camping lighter was observed inside an unlocked drawer located on the side of the island with a table used by children enrolled against it; the drawer is located less than five feet from the ground. .1719(a)(3) 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 record of arrival and departure was not available for one child enrolled on 3/18/26 for 3/18/26 – 3/26/26. .1721(e)(6) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. A signed receipt of the Discipline Policy was not observed on file for one child enrolled. G.S.110-91(10); .1727(a)&(b) 1301 Operator did not complete the required number of on-going training hours as specified in rule. The operator (required to receive 8 ongoing training hours) did not complete three ongoing training hours by 4/11/2025. GS 110-91(11); 10A NCAC 09 .1705(b)(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. On the playground used by children enrolled, a toy metal truck was observed to be rusting; this truck was removed from the playground during the visit. Torn fabric weed block was observed emerging from the mulch on the playground, creating a potential choking and/or tripping hazard. 10A NCAC 09 .1719 (a) 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 the Summary of NC Child Care Law was not observed on file for two children enrolled. GS 110-102 1713 The written plan of care did not specify times for completing routine tasks and did not include those times on the written schedule. A Written Plan of Care was signed, but did not specify times for completing routine tasks and did not include those times on the written schedule for one child enrolled on 3/18/26. .1712(e)(1) 1714 The written plan of care did not specify the names of individuals who will be responsible for the care of children when the operator attends to routine tasks. A Written Plan of Care was signed, but id not specify the names of individuals who will be responsible for the care of children when the operator attends to routine tasks for one child enrolled on 3/18/26. .1712(e )(2) 1818 Operator did not implement and follow the written safe sleep policy adopted to maintain a safe sleep environment. A signed receipt of the Safe Sleep Policy was not observed on file for one child enrolled. G.S. 110-91(15);.1724(a)(1-12) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The Criminal Background Check Qualification letter for one additional caregiver had not yet been linked to the facility’s ABCMS facility profile. G.S. 110-90.2 & .2703(r) 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The Emergency Preparedness and Response Plan had not been updated since 4/21/2024. .1714(e ) 1940 Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care. The laundry room closet containing household cleaning supplies labeled Keep Out of Reach of Children with additional warnings was observed to be unlocked. Two drawers and one cabinet located in the bathroom used by children enrolled located less than five feet from the ground contained topical medications, room fresheners, and cleaning supplies labeled Keep Out of Reach of Children with additional warnings were observed to be unlocked. A liquid plug-in was observed plugged into the outlet in the bathroom used by children. .1719(a)(6) 1948 Sleeping infants, ages 12 months and younger were not visually checked every 15 minutes. A safe sleep record was not available for one infant enrolled on 3/18/26 for 3/18/26 – 3/26/26. .1724(a)(7) 2004 For off-premise activities occurring on regular basis, the standing permission for 12 months had expired. The off-premise activity forms for six children enrolled expired on 7/01/19 (one child), 6/07/21 (one child), 4/23/24 (one child), 4/24/24 (two children), and 4/25/24 (one child). .1723(15)(b) 2009 Copies of the required information for an additional caregiver was not on file in the home and/or made available for review. The additional caregiver (required to receive 20 ongoing training hours) did not complete 19 ongoing training hours by 4/11/2025. A training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment was not observed on file for one additional caregiver. A high school diploma was not observed on file for review for either additional caregiver. .1729(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 4/09/2026. 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 Emergency Preparedness and Response Plan had not been updated since 4/21/2024. A record of arrival and departure was not available for one child enrolled on 3/18/26 for 3/18/26 – 3/26/26. A safe sleep record was not available for one infant enrolled on 3/18/26 for 3/18/26 – 3/26/26. The off-premise activity forms for six children enrolled expired on 7/01/19 (one child), 6/07/21 (one child), 4/23/24 (one child), 4/24/24 (two children), and 4/25/24 (one child). A signed receipt of the Discipline Policy, Safe Sleep Policy, and Summary of NC Child Care Law were not on file for one child enrolled on 3/18/26. A signed receipt of the Summary of NC Child Care Law was not observed on file for one additional child enrolled. The operator (required to receive 8 ongoing training hours) did not complete three ongoing training hours by 4/11/2025. The additional caregiver (required to receive 20 ongoing training hours) did not complete 19 ongoing training hours by 4/11/2025. A training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment was not observed on file for one additional caregiver. A high school diploma was not observed on file for review for either additional caregiver. Mrs. Harrison stated she thought she had accessed the Risk Management Portal and updated the EPR plan electronically, but no updated information had been saved. Mrs. Harrison also stated she and Ms. Penn had been scheduled to complete multiple training hours at Smart Start of Forsyth County during the inclement weather which occurring in January/February of this year, but the trainings had been canceled. She also stated she believes she has both high school diplomas, but they may be upstairs. Mrs. Harrison additional stated she is fairly certain Ms. Penn completed the training for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment and that she would try to locate this certificate; if it cannot be located, this training can be completed again. 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. You may consider creating a checklist of all forms and trainings which must be routinely updated or renewed for all children, program, and staff records to ensure all information is on file and complete, as required. The Criminal Background Check Qualification letter for one additional caregiver had not yet been linked to the facility’s ABCMS facility profile. It is necessary for all staff members to be linked to the FCCH’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Mrs. Harrison stated thought Ms. Penn had already been linked to the program’s Facility Profile. If you need additional assistance in linking this qualification letter to your facility profile please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. The laundry room closet containing household cleaning supplies labeled Keep Out of Reach of Children with additional warnings was observed to be unlocked; this door was locked during the visit. Two drawers and one cabinet located in the bathroom used by children enrolled located less than five feet from the ground contained topical medications, room fresheners, and cleaning supplies labeled Keep Out of Reach of Children with additional warnings were observed to be unlocked. A liquid plug-in was observed plugged into the outlet in the bathroom used by children. All of these items were placed into locked storage during the visit. A camping lighter was observed inside an unlocked drawer located on the side of the island with a table used by children enrolled against it; the drawer is located less than five feet from the ground; this lighter was taken out of the space designated for child care during the visit. It is important for the indoor learning environment to be a safe place for children to explore and engage with at all times. You may consider conducting a walkthrough of all areas designated for the care of children enrolled prior to their arrival each morning to ensure any potential safety hazards are prevented/ corrected. On the playground used by children enrolled, a toy metal truck was observed to be rusting; this truck was removed from the playground during the visit. Torn fabric weed block was observed emerging from the mulch on the playground, creating a potential choking and/or tripping hazard. It is important for the outdoor learning environment to be a safe place for children to explore and engage with at all times. You may consider conducting a walkthrough of the outdoor play area daily prior to children accessing the playground. You may also consider adding these items to your monthly outdoor inspection. 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 and discussed with Mrs. Harrison during the visit: 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) (6-9) regarding hand washing. All infants who can support their own heads must have their hands washed with soap and water at required hand washing times. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a)(6) regarding ensuring materials or equipment being available indoors and outdoors to support the activities listed on the written schedule and activity plan 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS (15)(a-c) regarding off-premise activities. • Monitor your fire extinguisher, as the needle is moving close to the red gauge, indicating it is losing its charge and may need to be replaced soon. • Remember to renew the following trainings and/or certifications this year: • CPR/ FA certification before 10/06/2026 (for both additional caregivers); • ITS SIDS certification before 5/11/2026 (for Mrs. Harrison). • Ms. Penn must complete 20 additional ongoing training hours on or before 4/01/2026 (not inclusive of the 19 hours remaining to be completed from last year’s AC visit). • Mrs. Harrison must complete 8 additional ongoing training hours on or before 4/01/2026 (not inclusive of the 3 hours remaining to be completed from last year’s AC 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. 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. Harrison stated she is considering choosing either Pathway 2, the Classroom and Instructional Quality pathway for her FCCH, but she is still not certain which Pathway she will choose. Mrs. Harrison and I reviewed the Application for Assessment for a Rated License for Homes, Child Care Rule Section .3200, and the QRIS Modernization page on the DCDEE website. I also re-forwarded the QRIS Modernization resource email for FCCHs to Mrs. Harrison I emailed in August, 2025, during the visit. Additionally, I shared with Mrs. Harrison 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 pamela.hauser@dhhs.nc.gov (336) 317-5003 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: LITTLE LEADERS LEARNING CENTER Facility ID: 34001019 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 9/22/2025 Number Present: 3 Completed Date: 9/22/2025 Age: From 0 To 4 Total Minutes: 175 Time In: 10:25 AM Time Out: 01:20 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 with Tashua Harrison, Operator. Additional caregiver, Jocelyn Penn, was present during the visit as well. Your program currently operates with a 4-Star license effective 7/23/2018. Restrictions include 1st, 2nd, and 3rd shift care, children in care on ground level only, a maximum of five preschool children at any time, converted garage off-limits, and trampoline off limits. A trampoline was not observed on the premises. Ms. Harrison stated she is only operating 1st shift and 2nd shift care at this time. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. The last FCCH and CLIAR Verification of Required Information for Operator and Additional Caregivers form for the facility stated Ms. Harrison and her husband are the only individuals living in the home. Ms. Harrison stated no changes have occurred since the last visit regarding individuals living in the home. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed the child in care playing with toys, engaging in conversations and activities with Ms. Harrison and Ms. Penn, 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. The most recent playground inspection was recorded 3/20/2025. The most recent fire drill was recorded on 5/05/2025. A shelter-in-place drill and lockdown for the facility were last recorded on 4/03/2025. There are no pets reported at the facility, The program does not participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification. The First Aid certification for the operator expired on 5/25/25. .1703(a)(2) 511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. The CPR certification for the operator expired on 5/25/25. .1703(a)(3) 704 Items used for starting fires, such as matches, accelerants, and lighters, were not kept in locked storage. Two multipurpose lighters were observed inside an unlocked drawer installed in an island located in the space designated for child care. .1719(a)(3) 714 Monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division. The most recent playground inspection was recorded 3/20/2025. 10A NCAC .1721(e)(5)(A-F) 905 Record of monthly fire drills, giving the date, time of day and length of time to evacuate, and operator's signature, were not available. The most recent fire drill was recorded on 5/05/2025. .1721 (e )(2) 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. One child enrolled did not have a recorded time of arrival. .1721(e)(6) 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, a plastic sand toy was observed to be broken and sharp to the touch. 10A NCAC 09 .1719 (a) 1802 Operator has not developed, adopted and complied with a written safe sleep policy. The safe sleep record for one infant enrolled in care was not observed to be current or complete. G.S.110-91(15) & .1724(a)(1-12) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. A shelter-in-place drill and lockdown for the facility were last recorded on 4/03/2025. .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 did not include copies of blank incident reports. .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 4/21/2024. .1714(e ) 2011 Individual who provides care for 5 hours or more a week, did not complete ITS-SIDS training prior to caring for infants. The ITS-SIDS training certificates for both additional caregivers expired on 6/25/25. .1729(a)(8) 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. Wax melts, cough drops and other items labeled Keep Out of Reach of Children with additional warnings were observed in both an unlocked bathroom drawer in the bathroom used by children, and in an unlocked drawer installed in an island located in the space designated for child care. A canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed on top of a TV cabinet greater than five feet from the ground, but in unlocked storage. Antiseptic wipes, sunscreen packets, and other items labeled Keep Out of Reach of Children with additional warnings were observed in a First Aid kit inside the unlocked TV cabinet. One liquid plug-in was observed plugged in less than five feet from the ground in the bathroom used by children enrolled. The laundry room containing household cleaning supplies, which is located along the hallway used by children to access the bathroom, was observed to be unlocked. One bottle of aerosol food coloring was observed inside an unlocked pantry door located in the space designated for child care. 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 10/06/2025. 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: The Emergency Preparedness and Response Plan was last updated on 4/21/2024. The most recent playground inspection was recorded 3/20/2025. The most recent fire drill was recorded on 5/05/2025. A shelter-in-place drill and lockdown for the facility were last recorded on 4/03/2025. The ITS SIDS certifications for both caregivers were observed to expire on 6/25/2025. The CPR/ First Aid certification for the operator was observed to expire on 5/25/2025. A current safe sleep record was not available for review during the visit. It is imperative for all required emergency information, records, and trainings to be accurate, updated, and on file at all times so they are accessible in the event of an emergency situation and each provider has all current information needed to navigate an emergency situation. Ms. Harrison shared she did not realize these items had expired. You may consider creating a system of reminders for alerting you as to when trainings, inspections, and emergency drills are due to ensure these are completed/ conducted on time. On the playground used by children, the coating on the fencing was observed to be peeling; this peeling coating was accessible to children. It is important for the outdoor learning environment to be safe for children to engage with and explore at all times. Ms. Harrison stated the peeling coating would be removed from the fencing as soon as possible. You may consider adding monitoring the fencing for peeling to your monthly playground inspection. You may also consider conducting a daily playground inspection prior to children using the outdoor environment. Consultation provided during today’s visit: The following Child Care Rules were discussed and reviewed with Ms. Harrison during today’s visit: 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a)(27) regarding outlet safety covers Per confirmation from a representative of the CBC Unit via phone today, Ms. Harrison has completed all steps for creating the facility profile in the ABCMS system, with the exception of hiring herself and two additional caregivers. During the visit, I walked Ms. Harrison through the process for connecting herself and her husband (and additional caregiver) to the facility profile. The remaining additional caregiver was not yet visible in ABCMS to Hire. Ms. Harrison stated she would complete the process of linking her additional caregiver within the next two weeks. The facility’s Emergency Preparedness and Response Plan can be accessed and updated at the following link: https://rmp.nc.gov/portal/portal.aspx# . This plan must be updated annually; if no changes are needed, just print out the first page of the plan with the new date on it (be sure this page does not say “Draft” across the front). If changes are needed, just print out the front page of the plan and only those pages where changes were made. It is best practice to conduct emergency drills during each shift of care. Please contact Smart Start of Forsyth County to request a copy of your completed training certificate for Emergency Preparedness and Response completed on 5/02/2023. The Winston-Salem/ Forsyth County Unified Development Ordinances (UDO) are the compilation of regulations that govern land use, which include the Zoning Ordinance, the Environmental Ordinance, and the Subdivision Ordinance/Regulations. Chapter 5 Use Standards Section 5.2 Use-Specific Standards (WINSTON-SALEM/FORSYTH COUNTY UDO 5-27 LAST UPDATED: 7.27.23) states the following: 5.2.21 CHILD DAY CARE (SMALL HOME) C. OUTDOOR SPACE 1. Outdoor play area of one hundred (100) square feet for each child enrolled, with an eight hundred (800) square feet minimum, shall be provided. 2. Such outdoor play area shall be enclosed by a minimum four (4) foot tall security fence. 3. Outdoor activities shall be limited to the fenced area between 8:00 a.m. and 8:00 p.m. A copy of the NC FELD was provided to Ms. Harrison 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

G.S.110-91 · Violation

Name of Operation: LITTLE LEADERS LEARNING CENTER Facility ID: 34001019 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 9/22/2025 Number Present: 3 Completed Date: 9/22/2025 Age: From 0 To 4 Total Minutes: 175 Time In: 10:25 AM Time Out: 01:20 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 with Tashua Harrison, Operator. Additional caregiver, Jocelyn Penn, was present during the visit as well. Your program currently operates with a 4-Star license effective 7/23/2018. Restrictions include 1st, 2nd, and 3rd shift care, children in care on ground level only, a maximum of five preschool children at any time, converted garage off-limits, and trampoline off limits. A trampoline was not observed on the premises. Ms. Harrison stated she is only operating 1st shift and 2nd shift care at this time. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. The last FCCH and CLIAR Verification of Required Information for Operator and Additional Caregivers form for the facility stated Ms. Harrison and her husband are the only individuals living in the home. Ms. Harrison stated no changes have occurred since the last visit regarding individuals living in the home. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed the child in care playing with toys, engaging in conversations and activities with Ms. Harrison and Ms. Penn, 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. The most recent playground inspection was recorded 3/20/2025. The most recent fire drill was recorded on 5/05/2025. A shelter-in-place drill and lockdown for the facility were last recorded on 4/03/2025. There are no pets reported at the facility, The program does not participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification. The First Aid certification for the operator expired on 5/25/25. .1703(a)(2) 511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. The CPR certification for the operator expired on 5/25/25. .1703(a)(3) 704 Items used for starting fires, such as matches, accelerants, and lighters, were not kept in locked storage. Two multipurpose lighters were observed inside an unlocked drawer installed in an island located in the space designated for child care. .1719(a)(3) 714 Monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division. The most recent playground inspection was recorded 3/20/2025. 10A NCAC .1721(e)(5)(A-F) 905 Record of monthly fire drills, giving the date, time of day and length of time to evacuate, and operator's signature, were not available. The most recent fire drill was recorded on 5/05/2025. .1721 (e )(2) 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. One child enrolled did not have a recorded time of arrival. .1721(e)(6) 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, a plastic sand toy was observed to be broken and sharp to the touch. 10A NCAC 09 .1719 (a) 1802 Operator has not developed, adopted and complied with a written safe sleep policy. The safe sleep record for one infant enrolled in care was not observed to be current or complete. G.S.110-91(15) & .1724(a)(1-12) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. A shelter-in-place drill and lockdown for the facility were last recorded on 4/03/2025. .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 did not include copies of blank incident reports. .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 4/21/2024. .1714(e ) 2011 Individual who provides care for 5 hours or more a week, did not complete ITS-SIDS training prior to caring for infants. The ITS-SIDS training certificates for both additional caregivers expired on 6/25/25. .1729(a)(8) 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. Wax melts, cough drops and other items labeled Keep Out of Reach of Children with additional warnings were observed in both an unlocked bathroom drawer in the bathroom used by children, and in an unlocked drawer installed in an island located in the space designated for child care. A canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed on top of a TV cabinet greater than five feet from the ground, but in unlocked storage. Antiseptic wipes, sunscreen packets, and other items labeled Keep Out of Reach of Children with additional warnings were observed in a First Aid kit inside the unlocked TV cabinet. One liquid plug-in was observed plugged in less than five feet from the ground in the bathroom used by children enrolled. The laundry room containing household cleaning supplies, which is located along the hallway used by children to access the bathroom, was observed to be unlocked. One bottle of aerosol food coloring was observed inside an unlocked pantry door located in the space designated for child care. 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 10/06/2025. 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: The Emergency Preparedness and Response Plan was last updated on 4/21/2024. The most recent playground inspection was recorded 3/20/2025. The most recent fire drill was recorded on 5/05/2025. A shelter-in-place drill and lockdown for the facility were last recorded on 4/03/2025. The ITS SIDS certifications for both caregivers were observed to expire on 6/25/2025. The CPR/ First Aid certification for the operator was observed to expire on 5/25/2025. A current safe sleep record was not available for review during the visit. It is imperative for all required emergency information, records, and trainings to be accurate, updated, and on file at all times so they are accessible in the event of an emergency situation and each provider has all current information needed to navigate an emergency situation. Ms. Harrison shared she did not realize these items had expired. You may consider creating a system of reminders for alerting you as to when trainings, inspections, and emergency drills are due to ensure these are completed/ conducted on time. On the playground used by children, the coating on the fencing was observed to be peeling; this peeling coating was accessible to children. It is important for the outdoor learning environment to be safe for children to engage with and explore at all times. Ms. Harrison stated the peeling coating would be removed from the fencing as soon as possible. You may consider adding monitoring the fencing for peeling to your monthly playground inspection. You may also consider conducting a daily playground inspection prior to children using the outdoor environment. Consultation provided during today’s visit: The following Child Care Rules were discussed and reviewed with Ms. Harrison during today’s visit: 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a)(27) regarding outlet safety covers Per confirmation from a representative of the CBC Unit via phone today, Ms. Harrison has completed all steps for creating the facility profile in the ABCMS system, with the exception of hiring herself and two additional caregivers. During the visit, I walked Ms. Harrison through the process for connecting herself and her husband (and additional caregiver) to the facility profile. The remaining additional caregiver was not yet visible in ABCMS to Hire. Ms. Harrison stated she would complete the process of linking her additional caregiver within the next two weeks. The facility’s Emergency Preparedness and Response Plan can be accessed and updated at the following link: https://rmp.nc.gov/portal/portal.aspx# . This plan must be updated annually; if no changes are needed, just print out the first page of the plan with the new date on it (be sure this page does not say “Draft” across the front). If changes are needed, just print out the front page of the plan and only those pages where changes were made. It is best practice to conduct emergency drills during each shift of care. Please contact Smart Start of Forsyth County to request a copy of your completed training certificate for Emergency Preparedness and Response completed on 5/02/2023. The Winston-Salem/ Forsyth County Unified Development Ordinances (UDO) are the compilation of regulations that govern land use, which include the Zoning Ordinance, the Environmental Ordinance, and the Subdivision Ordinance/Regulations. Chapter 5 Use Standards Section 5.2 Use-Specific Standards (WINSTON-SALEM/FORSYTH COUNTY UDO 5-27 LAST UPDATED: 7.27.23) states the following: 5.2.21 CHILD DAY CARE (SMALL HOME) C. OUTDOOR SPACE 1. Outdoor play area of one hundred (100) square feet for each child enrolled, with an eight hundred (800) square feet minimum, shall be provided. 2. Such outdoor play area shall be enclosed by a minimum four (4) foot tall security fence. 3. Outdoor activities shall be limited to the fenced area between 8:00 a.m. and 8:00 p.m. A copy of the NC FELD was provided to Ms. Harrison 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: LITTLE LEADERS LEARNING CENTER Facility ID: 34001019 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 9/22/2025 Number Present: 3 Completed Date: 9/22/2025 Age: From 0 To 4 Total Minutes: 175 Time In: 10:25 AM Time Out: 01:20 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 with Tashua Harrison, Operator. Additional caregiver, Jocelyn Penn, was present during the visit as well. Your program currently operates with a 4-Star license effective 7/23/2018. Restrictions include 1st, 2nd, and 3rd shift care, children in care on ground level only, a maximum of five preschool children at any time, converted garage off-limits, and trampoline off limits. A trampoline was not observed on the premises. Ms. Harrison stated she is only operating 1st shift and 2nd shift care at this time. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. The last FCCH and CLIAR Verification of Required Information for Operator and Additional Caregivers form for the facility stated Ms. Harrison and her husband are the only individuals living in the home. Ms. Harrison stated no changes have occurred since the last visit regarding individuals living in the home. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed the child in care playing with toys, engaging in conversations and activities with Ms. Harrison and Ms. Penn, 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. The most recent playground inspection was recorded 3/20/2025. The most recent fire drill was recorded on 5/05/2025. A shelter-in-place drill and lockdown for the facility were last recorded on 4/03/2025. There are no pets reported at the facility, The program does not participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification. The First Aid certification for the operator expired on 5/25/25. .1703(a)(2) 511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. The CPR certification for the operator expired on 5/25/25. .1703(a)(3) 704 Items used for starting fires, such as matches, accelerants, and lighters, were not kept in locked storage. Two multipurpose lighters were observed inside an unlocked drawer installed in an island located in the space designated for child care. .1719(a)(3) 714 Monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division. The most recent playground inspection was recorded 3/20/2025. 10A NCAC .1721(e)(5)(A-F) 905 Record of monthly fire drills, giving the date, time of day and length of time to evacuate, and operator's signature, were not available. The most recent fire drill was recorded on 5/05/2025. .1721 (e )(2) 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. One child enrolled did not have a recorded time of arrival. .1721(e)(6) 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, a plastic sand toy was observed to be broken and sharp to the touch. 10A NCAC 09 .1719 (a) 1802 Operator has not developed, adopted and complied with a written safe sleep policy. The safe sleep record for one infant enrolled in care was not observed to be current or complete. G.S.110-91(15) & .1724(a)(1-12) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. A shelter-in-place drill and lockdown for the facility were last recorded on 4/03/2025. .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 did not include copies of blank incident reports. .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 4/21/2024. .1714(e ) 2011 Individual who provides care for 5 hours or more a week, did not complete ITS-SIDS training prior to caring for infants. The ITS-SIDS training certificates for both additional caregivers expired on 6/25/25. .1729(a)(8) 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. Wax melts, cough drops and other items labeled Keep Out of Reach of Children with additional warnings were observed in both an unlocked bathroom drawer in the bathroom used by children, and in an unlocked drawer installed in an island located in the space designated for child care. A canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed on top of a TV cabinet greater than five feet from the ground, but in unlocked storage. Antiseptic wipes, sunscreen packets, and other items labeled Keep Out of Reach of Children with additional warnings were observed in a First Aid kit inside the unlocked TV cabinet. One liquid plug-in was observed plugged in less than five feet from the ground in the bathroom used by children enrolled. The laundry room containing household cleaning supplies, which is located along the hallway used by children to access the bathroom, was observed to be unlocked. One bottle of aerosol food coloring was observed inside an unlocked pantry door located in the space designated for child care. 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 10/06/2025. 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: The Emergency Preparedness and Response Plan was last updated on 4/21/2024. The most recent playground inspection was recorded 3/20/2025. The most recent fire drill was recorded on 5/05/2025. A shelter-in-place drill and lockdown for the facility were last recorded on 4/03/2025. The ITS SIDS certifications for both caregivers were observed to expire on 6/25/2025. The CPR/ First Aid certification for the operator was observed to expire on 5/25/2025. A current safe sleep record was not available for review during the visit. It is imperative for all required emergency information, records, and trainings to be accurate, updated, and on file at all times so they are accessible in the event of an emergency situation and each provider has all current information needed to navigate an emergency situation. Ms. Harrison shared she did not realize these items had expired. You may consider creating a system of reminders for alerting you as to when trainings, inspections, and emergency drills are due to ensure these are completed/ conducted on time. On the playground used by children, the coating on the fencing was observed to be peeling; this peeling coating was accessible to children. It is important for the outdoor learning environment to be safe for children to engage with and explore at all times. Ms. Harrison stated the peeling coating would be removed from the fencing as soon as possible. You may consider adding monitoring the fencing for peeling to your monthly playground inspection. You may also consider conducting a daily playground inspection prior to children using the outdoor environment. Consultation provided during today’s visit: The following Child Care Rules were discussed and reviewed with Ms. Harrison during today’s visit: 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a)(27) regarding outlet safety covers Per confirmation from a representative of the CBC Unit via phone today, Ms. Harrison has completed all steps for creating the facility profile in the ABCMS system, with the exception of hiring herself and two additional caregivers. During the visit, I walked Ms. Harrison through the process for connecting herself and her husband (and additional caregiver) to the facility profile. The remaining additional caregiver was not yet visible in ABCMS to Hire. Ms. Harrison stated she would complete the process of linking her additional caregiver within the next two weeks. The facility’s Emergency Preparedness and Response Plan can be accessed and updated at the following link: https://rmp.nc.gov/portal/portal.aspx# . This plan must be updated annually; if no changes are needed, just print out the first page of the plan with the new date on it (be sure this page does not say “Draft” across the front). If changes are needed, just print out the front page of the plan and only those pages where changes were made. It is best practice to conduct emergency drills during each shift of care. Please contact Smart Start of Forsyth County to request a copy of your completed training certificate for Emergency Preparedness and Response completed on 5/02/2023. The Winston-Salem/ Forsyth County Unified Development Ordinances (UDO) are the compilation of regulations that govern land use, which include the Zoning Ordinance, the Environmental Ordinance, and the Subdivision Ordinance/Regulations. Chapter 5 Use Standards Section 5.2 Use-Specific Standards (WINSTON-SALEM/FORSYTH COUNTY UDO 5-27 LAST UPDATED: 7.27.23) states the following: 5.2.21 CHILD DAY CARE (SMALL HOME) C. OUTDOOR SPACE 1. Outdoor play area of one hundred (100) square feet for each child enrolled, with an eight hundred (800) square feet minimum, shall be provided. 2. Such outdoor play area shall be enclosed by a minimum four (4) foot tall security fence. 3. Outdoor activities shall be limited to the fenced area between 8:00 a.m. and 8:00 p.m. A copy of the NC FELD was provided to Ms. Harrison 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 09.1721 · Violation

Name of Operation: LITTLE LEADERS LEARNING CENTER Facility ID: 34001019 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 4/1/2025 Number Present: 2 Completed Date: 4/1/2025 Age: From 1 To 3 Total Minutes: 190 Time In: 09:50 AM Time Out: 01:00 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 Tashua Harrison, 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; children in care on ground level only; converted garage off-limits; and trampoline off-limits. A trampoline is no longer located on the premises. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 89% 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, engaging in conversations and activities with Ms. Harrison, eating lunch, and napping during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 4/11/2024. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator and both additional caregivers 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 3/20/25. The most recent shelter-in-place and lockdown drill were documented on 1/09/2025. The last outdoor inspection was documented on 3/20/2025. There are currently no pets at the facility. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and found to be in compliance. No medications were observed nor reported. The program does not transport children or participate in aquatic activities at this time. 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 was not observed on file for review. GS 110-91(1); 10A NCAC 09.1721(a)(1) 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 record of attendance and arrival and departure was not available for review. .1721(e)(6) 1720 Operator did not give written notice of the written plan of care amendment to parents of all children enrolled, at least 30 days before the change was implemented. Each parent did not sign a statement acknowledging the receipt and explanation of the amendment. The operator did not retain the acknowledgment in the child's record for as long as the child was enrolled in the home and a copy was not maintained on file for review by Division representatives. The Written Plan of Care for two children enrolled had not been updated since 2021. .1712(f) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The Ready to Go File did not include copies of blank incident reports. .1714(d)(10) 1940 Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care. The laundry room closet containing household cleaning supplies labeled Keep Out of Reach of Children with additional warnings was observed to be unlocked. .1719(a)(6) 2004 For off-premise activities occurring on regular basis, the standing permission for 12 months had expired. The off-premise activity forms for two children enrolled had not been updated within the past 12 months. .1723(15)(b) 2005 The operator and/or staff member did not take the required identifying information for each child participating in the off-premise activity as outlined in rule .1721(a )(3). The off-premise authorization forms on file for ten children enrolled did not include a current photograph of the child. .1723(15)(c ) 2015 Operator did not review the abusive head trauma and shaken baby syndrome policy with staff and/or the acknowledgement of the review did not contain required items or was not available for review. A signed Shaken Baby Syndrome and Abusive Head Trauma Policy was not observed on file for review for one additional caregiver. .1726(d)(1-4) 2027 The professional development plan was not maintained in the personnel file. An updated Professional Development Plan was not observed on file for review for one additional caregiver. .1703(i)(5) 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 4/15/2025. 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 Written Plan of Care for two children enrolled had not been updated since 2021. The off-premise activity forms for two children enrolled had not been updated within the past 12 months. The off-premise authorization forms on file for ten children enrolled did not include a current photograph of the child. A medical report for one child enrolled was not observed on file for review. Ms. Harrison stated she did not realized the above documentation was not on file or current. 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. Please review all off-premise authorization forms to ensure they have been fully completed. Please place a record of high school diploma on file for Ms. Penn and Mr. Harrison. Ms. Harrison must complete 3 additional ongoing training hours by 4/11/2025, and Ms. Penn must complete 19 additional training hours by 4/11/2025. These hours will be monitored during the next annual compliance visit. Be reminded the Criminal Background Check renewals for Mrs. Harrison and Mr. Harrison are due prior to 8/28/25 and 8/21/25, respectively. Also, remember the SIDS certifications for Ms. Penn and Mr. Harrison expire on 6/25/2025. 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. At the completion of the visit, this visit summary was reviewed with and provided to you, and you were provided the opportunity to ask questions during and at the conclusion of the visit. Thank you for your time and assistance with this 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: LITTLE LEADERS LEARNING CENTER Facility ID: 34001019 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 4/1/2025 Number Present: 2 Completed Date: 4/1/2025 Age: From 1 To 3 Total Minutes: 190 Time In: 09:50 AM Time Out: 01:00 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 Tashua Harrison, 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; children in care on ground level only; converted garage off-limits; and trampoline off-limits. A trampoline is no longer located on the premises. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 89% 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, engaging in conversations and activities with Ms. Harrison, eating lunch, and napping during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 4/11/2024. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator and both additional caregivers 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 3/20/25. The most recent shelter-in-place and lockdown drill were documented on 1/09/2025. The last outdoor inspection was documented on 3/20/2025. There are currently no pets at the facility. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and found to be in compliance. No medications were observed nor reported. The program does not transport children or participate in aquatic activities at this time. 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 was not observed on file for review. GS 110-91(1); 10A NCAC 09.1721(a)(1) 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 record of attendance and arrival and departure was not available for review. .1721(e)(6) 1720 Operator did not give written notice of the written plan of care amendment to parents of all children enrolled, at least 30 days before the change was implemented. Each parent did not sign a statement acknowledging the receipt and explanation of the amendment. The operator did not retain the acknowledgment in the child's record for as long as the child was enrolled in the home and a copy was not maintained on file for review by Division representatives. The Written Plan of Care for two children enrolled had not been updated since 2021. .1712(f) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The Ready to Go File did not include copies of blank incident reports. .1714(d)(10) 1940 Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care. The laundry room closet containing household cleaning supplies labeled Keep Out of Reach of Children with additional warnings was observed to be unlocked. .1719(a)(6) 2004 For off-premise activities occurring on regular basis, the standing permission for 12 months had expired. The off-premise activity forms for two children enrolled had not been updated within the past 12 months. .1723(15)(b) 2005 The operator and/or staff member did not take the required identifying information for each child participating in the off-premise activity as outlined in rule .1721(a )(3). The off-premise authorization forms on file for ten children enrolled did not include a current photograph of the child. .1723(15)(c ) 2015 Operator did not review the abusive head trauma and shaken baby syndrome policy with staff and/or the acknowledgement of the review did not contain required items or was not available for review. A signed Shaken Baby Syndrome and Abusive Head Trauma Policy was not observed on file for review for one additional caregiver. .1726(d)(1-4) 2027 The professional development plan was not maintained in the personnel file. An updated Professional Development Plan was not observed on file for review for one additional caregiver. .1703(i)(5) 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 4/15/2025. 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 Written Plan of Care for two children enrolled had not been updated since 2021. The off-premise activity forms for two children enrolled had not been updated within the past 12 months. The off-premise authorization forms on file for ten children enrolled did not include a current photograph of the child. A medical report for one child enrolled was not observed on file for review. Ms. Harrison stated she did not realized the above documentation was not on file or current. 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. Please review all off-premise authorization forms to ensure they have been fully completed. Please place a record of high school diploma on file for Ms. Penn and Mr. Harrison. Ms. Harrison must complete 3 additional ongoing training hours by 4/11/2025, and Ms. Penn must complete 19 additional training hours by 4/11/2025. These hours will be monitored during the next annual compliance visit. Be reminded the Criminal Background Check renewals for Mrs. Harrison and Mr. Harrison are due prior to 8/28/25 and 8/21/25, respectively. Also, remember the SIDS certifications for Ms. Penn and Mr. Harrison expire on 6/25/2025. 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. At the completion of the visit, this visit summary was reviewed with and provided to you, and you were provided the opportunity to ask questions during and at the conclusion of the visit. Thank you for your time and assistance with this 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: LITTLE LEADERS LEARNING CENTER Facility ID: 34001019 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 4/1/2025 Number Present: 2 Completed Date: 4/1/2025 Age: From 1 To 3 Total Minutes: 190 Time In: 09:50 AM Time Out: 01:00 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 Tashua Harrison, 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; children in care on ground level only; converted garage off-limits; and trampoline off-limits. A trampoline is no longer located on the premises. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 89% 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, engaging in conversations and activities with Ms. Harrison, eating lunch, and napping during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 4/11/2024. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator and both additional caregivers 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 3/20/25. The most recent shelter-in-place and lockdown drill were documented on 1/09/2025. The last outdoor inspection was documented on 3/20/2025. There are currently no pets at the facility. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and found to be in compliance. No medications were observed nor reported. The program does not transport children or participate in aquatic activities at this time. 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 was not observed on file for review. GS 110-91(1); 10A NCAC 09.1721(a)(1) 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 record of attendance and arrival and departure was not available for review. .1721(e)(6) 1720 Operator did not give written notice of the written plan of care amendment to parents of all children enrolled, at least 30 days before the change was implemented. Each parent did not sign a statement acknowledging the receipt and explanation of the amendment. The operator did not retain the acknowledgment in the child's record for as long as the child was enrolled in the home and a copy was not maintained on file for review by Division representatives. The Written Plan of Care for two children enrolled had not been updated since 2021. .1712(f) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The Ready to Go File did not include copies of blank incident reports. .1714(d)(10) 1940 Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care. The laundry room closet containing household cleaning supplies labeled Keep Out of Reach of Children with additional warnings was observed to be unlocked. .1719(a)(6) 2004 For off-premise activities occurring on regular basis, the standing permission for 12 months had expired. The off-premise activity forms for two children enrolled had not been updated within the past 12 months. .1723(15)(b) 2005 The operator and/or staff member did not take the required identifying information for each child participating in the off-premise activity as outlined in rule .1721(a )(3). The off-premise authorization forms on file for ten children enrolled did not include a current photograph of the child. .1723(15)(c ) 2015 Operator did not review the abusive head trauma and shaken baby syndrome policy with staff and/or the acknowledgement of the review did not contain required items or was not available for review. A signed Shaken Baby Syndrome and Abusive Head Trauma Policy was not observed on file for review for one additional caregiver. .1726(d)(1-4) 2027 The professional development plan was not maintained in the personnel file. An updated Professional Development Plan was not observed on file for review for one additional caregiver. .1703(i)(5) 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 4/15/2025. 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 Written Plan of Care for two children enrolled had not been updated since 2021. The off-premise activity forms for two children enrolled had not been updated within the past 12 months. The off-premise authorization forms on file for ten children enrolled did not include a current photograph of the child. A medical report for one child enrolled was not observed on file for review. Ms. Harrison stated she did not realized the above documentation was not on file or current. 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. Please review all off-premise authorization forms to ensure they have been fully completed. Please place a record of high school diploma on file for Ms. Penn and Mr. Harrison. Ms. Harrison must complete 3 additional ongoing training hours by 4/11/2025, and Ms. Penn must complete 19 additional training hours by 4/11/2025. These hours will be monitored during the next annual compliance visit. Be reminded the Criminal Background Check renewals for Mrs. Harrison and Mr. Harrison are due prior to 8/28/25 and 8/21/25, respectively. Also, remember the SIDS certifications for Ms. Penn and Mr. Harrison expire on 6/25/2025. 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. At the completion of the visit, this visit summary was reviewed with and provided to you, and you were provided the opportunity to ask questions during and at the conclusion of the visit. Thank you for your time and assistance with this 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: LITTLE LEADERS LEARNING CENTER Facility ID: 34001019 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 12/2/2024 Number Present: 4 Completed Date: 12/2/2024 Age: From 1 To 3 Total Minutes: 125 Time In: 09:40 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Tashua Harrison, Operator, assisted me with the visit. Additional caregiver, Jocelyn Penn, was also present during the visit. Your program currently operates with a 4-Star license effective 7/23/2018. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschool children at any time; children in care on ground level only, converted garage off-limits, and trampoline off-limits. A trampoline is no longer on the property. The program’s compliance history was 84% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Mrs. Harrison stated she and Mr. Harrison 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 the children in care playing with toys, engaging in conversations, general routines and other activities with Ms. Harrison and Ms. Penn 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. A playground inspection was recorded 11/19/2024. A fire drill was recorded 11/19/2024. The most recent lockdown drill and shelter in place drill for the facility were recorded on 10/02/24. There are currently no pets in the home. The program does not provide transportation or participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 716 Electrical outlets not in use were not covered. One outlet in the hallway next to the bathroom used by children was observed without a safety cover. 10A NCAC .1719(a)(27) 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. One child enrolled was not signed in upon arrival. .1721(e)(6) 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, a small metal table was observed to have the paint worn off and visible rust on the top and bottom. A small plastic shovel was observed to be broken and sharp to the touch. The bed of a metal toy dump truck was observed to be rusting. Four plastic bags were observed inside an unlatched drawer of the island located in the space designated for child care, less than five feet from the ground. 10A NCAC 09 .1719 (a) 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 package of matches, a tube of Gorilla Glue, and a bag of cough drops labeled Keep Out of Reach of Children with additional warnings were observed in an unlocked drawer of the island located in the space designated for child care. A liquid plug-in was observed plugged in in the bathroom used by children enrolled. 10A NCAC 09 .1719(a)(7) Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided during today’s visit: One package of matches, a tube of Gorilla Glue, and a bag of cough drops labeled Keep Out of Reach of Children with additional warnings were observed in an unlocked drawer of the island located in the space designated for child care. Ms. Harrison placed each of these items into locked storage during the visit. A liquid plug-in was observed plugged in in the bathroom used by children enrolled; Ms. Harrison placed this item into locked storage during the visit. On the playground, a small metal table was observed to have the paint worn off and visible rust on the top and bottom. A small plastic shovel was observed to be broken and sharp to the touch. The bed of a metal toy dump truck was observed to be rusting. Each of these items was removed from the playground during the visit. Four plastic bags were observed inside an unlatched drawer of the island located in the space designated for child care, less than five feet from the ground. Ms. Harrison made each of these plastic bags inaccessible to children during the visit. One outlet in the hallway next to the bathroom used by children was observed without a safety cover; Ms. Harrison placed a safety cover in this outlet during the visit. One child enrolled was not signed in upon arrival; Ms. Harrison recorded the time the child arrived during the visit. Consultation provided during today’s visit: The following Child Care Rule was reviewed with Ms. Harrison during the visit: 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (d) (10) 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) 814-8401 and someone will assist you. 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: LITTLE LEADERS LEARNING CENTER Facility ID: 34001019 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 12/2/2024 Number Present: 4 Completed Date: 12/2/2024 Age: From 1 To 3 Total Minutes: 125 Time In: 09:40 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Tashua Harrison, Operator, assisted me with the visit. Additional caregiver, Jocelyn Penn, was also present during the visit. Your program currently operates with a 4-Star license effective 7/23/2018. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschool children at any time; children in care on ground level only, converted garage off-limits, and trampoline off-limits. A trampoline is no longer on the property. The program’s compliance history was 84% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Mrs. Harrison stated she and Mr. Harrison 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 the children in care playing with toys, engaging in conversations, general routines and other activities with Ms. Harrison and Ms. Penn 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. A playground inspection was recorded 11/19/2024. A fire drill was recorded 11/19/2024. The most recent lockdown drill and shelter in place drill for the facility were recorded on 10/02/24. There are currently no pets in the home. The program does not provide transportation or participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 716 Electrical outlets not in use were not covered. One outlet in the hallway next to the bathroom used by children was observed without a safety cover. 10A NCAC .1719(a)(27) 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. One child enrolled was not signed in upon arrival. .1721(e)(6) 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, a small metal table was observed to have the paint worn off and visible rust on the top and bottom. A small plastic shovel was observed to be broken and sharp to the touch. The bed of a metal toy dump truck was observed to be rusting. Four plastic bags were observed inside an unlatched drawer of the island located in the space designated for child care, less than five feet from the ground. 10A NCAC 09 .1719 (a) 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 package of matches, a tube of Gorilla Glue, and a bag of cough drops labeled Keep Out of Reach of Children with additional warnings were observed in an unlocked drawer of the island located in the space designated for child care. A liquid plug-in was observed plugged in in the bathroom used by children enrolled. 10A NCAC 09 .1719(a)(7) Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided during today’s visit: One package of matches, a tube of Gorilla Glue, and a bag of cough drops labeled Keep Out of Reach of Children with additional warnings were observed in an unlocked drawer of the island located in the space designated for child care. Ms. Harrison placed each of these items into locked storage during the visit. A liquid plug-in was observed plugged in in the bathroom used by children enrolled; Ms. Harrison placed this item into locked storage during the visit. On the playground, a small metal table was observed to have the paint worn off and visible rust on the top and bottom. A small plastic shovel was observed to be broken and sharp to the touch. The bed of a metal toy dump truck was observed to be rusting. Each of these items was removed from the playground during the visit. Four plastic bags were observed inside an unlatched drawer of the island located in the space designated for child care, less than five feet from the ground. Ms. Harrison made each of these plastic bags inaccessible to children during the visit. One outlet in the hallway next to the bathroom used by children was observed without a safety cover; Ms. Harrison placed a safety cover in this outlet during the visit. One child enrolled was not signed in upon arrival; Ms. Harrison recorded the time the child arrived during the visit. Consultation provided during today’s visit: The following Child Care Rule was reviewed with Ms. Harrison during the visit: 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (d) (10) 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) 814-8401 and someone will assist you. 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: LITTLE LEADERS LEARNING CENTER Facility ID: 34001019 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 4/11/2024 Number Present: 2 Completed Date: 4/11/2024 Age: From 0 To 3 Total Minutes: 345 Time In: 10:00 AM Time Out: 03:45 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 by Cara McKeown-Stewart, Child Care Consultant, with Tashua Harrison, Operator. Jocelyn Penn, additional caregiver, was also present during the visit. Your program currently operates with a 4-Star license. Restrictions include 1st, 2nd, and 3rd shift care; children in care on ground level only; maximum of five preschoolers at any time; converted garage – off limits; trampoline off-limits. There is no longer a trampoline on the premises. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 88% 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. Two outlets were observed without safety covers in the kitchen accessible to children. Ms. Harrison placed safety covers on both outlets during the visit. Two plastic bags and one open diaper wrapper were observed less than five feet from the ground on a shelf beneath the diaper table, accessible to children under three years of age. Greater than two plastic bags containing various items were observed inside a cabinet beneath the television in the space designated for child care, accessible to children under the age of three. Ms. Harrison made all of these bags and wrappers inaccessible to children during the visit. One bottle of liquid White Out, one tube of Neosporin, one small bottle of aerosol room spray, one tube of medicated lotion, one bag of cough drops, two packages of antibacterial wipes and other items labeled Keep Out of Reach of Children with additional warnings, were observed on a shelf less than five feet from the ground, in unlocked storage. I handed these to Ms. Harrison during the visit, and she removed them from the childcare space. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. Mrs. Harrison will update her floor plan to identify the spaces designated for child care. These spaces will not include the kitchen and dining room. Mrs. Harrison will update her floor plan to identify the spaces designated for child care. These spaces will not include the kitchen and dining room. I observed two children in care playing with toys, engaging in conversations, and participating in general routines with Ms. Penn and Ms. Harrison 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 4/18/2023. Verification of Required Information for Operator and Additional Caregivers forms were not submitted prior to the visit for the operator and two additional caregivers; however, Ms. Harrison had each of these forms completed and on file when I arrived for 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 4/01/2024. The most recent lockdown and shelter in place drill was documented on 4/01/2024. The last outdoor inspection was documented on 4/01/2024. There are currently no pets at this facility. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. Requirements for off-premise activities were monitored; Ms. Harrison stated she and the children sometimes take walks around the neighborhood. The program does not provide transportation or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. Corrosive agents, pesticides, bleaches, cleansers, and polishes were not observed. The laundry room, which contained hazardous materials labeled Keep Out of Reach of Children with additional warnings was observed unlocked. One bottle of liquid White Out, one tube of Neosporin, one small bottle of aerosol room spray, one tube of medicated lotion, one bags of cough drops, two packages of antibacterial wipes and other items labeled Keep Out of Reach of Children with additional warnings, were observed on a shelf less than five feet from the ground, in unlocked storage. .1719 (a)(7) 716 Electrical outlets not in use were not covered. Two outlets were observed without safety covers in the kitchen accessible to children. 10A NCAC .1719(a)(27) 816 Each child's hands were not washed before and after eating. An Additional Care Giver was also observed to feed a child a bottle two times without first washing her hands or the child’s hands. .1725(a)(7)(B) 916 Operator did not maintain a record of on-going training in which he/she has participated. An on-going training log for the operator was not observed on file. 10A NCAC 09 .1705(b)(4)(C) 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 Plan of Care for each child enrolled did not include current information for Additional Care Givers and did not specify times for completing routine tasks or include those times on the written schedule. .1712(e)(1) 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 poster was not observed to be posted. .1724(b) 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. A record of Safe Sleep Checks was not observed on file for review. .1724(a)(8)&(f) 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The printed Emergency Preparedness and Response Plan was last updated on 4/30/2017. .1714(e ) 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. Two plastic bags and one open diaper wrapper were observed less than five feet from the ground on a shelf beneath the diaper table, accessible to children under three years of age. Greater than two plastic bags containing various items were observed inside a cabinet beneath the television in the space designated for child care, accessible to children under the age of three. .1719(a)(18) 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 two children enrolled 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. .1706(i) 2004 For off-premise activities occurring on regular basis, the standing permission for 12 months had expired. The standing permissions for 12 months for the Off-Premise Activity forms for four children enrolled had expired. .1723(15)(b) 2005 The operator and/or staff member did not take the required identifying information for each child participating in the off-premise activity as outlined in rule .1721(a )(3). The Off-Premise Activity Permission forms for each child enrolled did not include the location, departure, or return times for children, and a photograph of each child was not on file with all identifying information. .1723(15)(c ) 2027 The professional development plan was not maintained in the personnel file. A Professional Development Plan was not observed on file for one Additional Caregiver. .1703(i)(5) 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 4/25/2024. 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 following today’s visit: • The Professional Development Plan for one Additional Caregiver was not observed on file for review. An On-Going training log for the Operator was not observed on file for review. A Safe Sleep posted was not posted. A record of Safe Sleep Checks was not observed on file for review. The printed Emergency Preparedness and Response Plan was last updated on 4/30/2017. The Written Plan of Care for each child enrolled did not include current information for Additional Care Givers and did not specify times for completing routine tasks or include those times on the written schedule. The Off-Premise Activity Permission forms for each child enrolled did not include the location, departure, or return times for children, and a photograph of each child was not on file with all identifying information. The standing permissions for 12 months for the Off-Premise Activity forms for four children enrolled had expired. The infant feeding plan for two children enrolled 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. Ms. Harrison stated she was not aware information was missing from certain documents or that certain documents were not on file. 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. Harrison create a routine schedule to follow for monitoring all Program, Staff, and Children’s files. • The laundry room, which contained hazardous materials labeled Keep Out of Reach of Children with additional warnings was observed unlocked. Ms. Harrison stated this set of doors was going to be replaced with a new set of doors which will properly lock. One bottle of liquid White Out, one tube of Neosporin, one small bottle of aerosol room spray, one tube of medicated lotion, one bag of cough drops, two packages of antibacterial wipes and other items labeled Keep Out of Reach of Children with additional warnings, were observed on a shelf less than five feet from the ground, in unlocked storage. I handed these to Ms. Harrison during the visit, and she removed them from the childcare space. She stated a drawer containing some of these items would be equipped with a locking device soon. It is important for all areas accessed by children to be safe. I recommended Ms. Harrison create a plan for monitoring the indoor learning environment daily, prior to children arriving for care. • An Additional Care Giver was also observed to feed a child a bottle two times without first washing her hands or the child’s hands. It is important to practice proper hand washing at all times to minimize cross-contamination and maximize safety for children and caregivers. I recommend Ms. Harrison review Child Care Rule 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES with all care givers. Consultation provided following today’s visit: The following Child Care Rules were reviewed with Ms. Harrison following the visit: 10A NCAC 09 .1711 SUPERVISION OF CHILDREN IN A FAMILY CHILD CARE HOME (a) (1) 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (8) (c ) 10A NCAC 09 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS (a) (2) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mrs. Harrison confirmed during today’s visit that the email was received and provided information that she will enroll in testing within the next two weeks. • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please be reminded you must complete three additional hours of on-going training by 4/18/2024, and Ms. Penn must complete nine additional hours of on-going training by 4/18/2024. - Ms. Harrison and I discussed if the space in which I am working needs to change to meet the needs of the children or caregivers, to bring this to my attention. Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Ms. Harrison had to leave the facility prior to my completion of the visit. We scheduled a time prior to the end of the business day today to review the visit via phone. Following the visit, all visit summary will be reviewed with and provided to you. Ms. Harrison stated she would sign all necessary documentation once we reviewed the visit summary. 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 .1711 · Violation

Name of Operation: LITTLE LEADERS LEARNING CENTER Facility ID: 34001019 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 4/11/2024 Number Present: 2 Completed Date: 4/11/2024 Age: From 0 To 3 Total Minutes: 345 Time In: 10:00 AM Time Out: 03:45 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 by Cara McKeown-Stewart, Child Care Consultant, with Tashua Harrison, Operator. Jocelyn Penn, additional caregiver, was also present during the visit. Your program currently operates with a 4-Star license. Restrictions include 1st, 2nd, and 3rd shift care; children in care on ground level only; maximum of five preschoolers at any time; converted garage – off limits; trampoline off-limits. There is no longer a trampoline on the premises. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 88% 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. Two outlets were observed without safety covers in the kitchen accessible to children. Ms. Harrison placed safety covers on both outlets during the visit. Two plastic bags and one open diaper wrapper were observed less than five feet from the ground on a shelf beneath the diaper table, accessible to children under three years of age. Greater than two plastic bags containing various items were observed inside a cabinet beneath the television in the space designated for child care, accessible to children under the age of three. Ms. Harrison made all of these bags and wrappers inaccessible to children during the visit. One bottle of liquid White Out, one tube of Neosporin, one small bottle of aerosol room spray, one tube of medicated lotion, one bag of cough drops, two packages of antibacterial wipes and other items labeled Keep Out of Reach of Children with additional warnings, were observed on a shelf less than five feet from the ground, in unlocked storage. I handed these to Ms. Harrison during the visit, and she removed them from the childcare space. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. Mrs. Harrison will update her floor plan to identify the spaces designated for child care. These spaces will not include the kitchen and dining room. Mrs. Harrison will update her floor plan to identify the spaces designated for child care. These spaces will not include the kitchen and dining room. I observed two children in care playing with toys, engaging in conversations, and participating in general routines with Ms. Penn and Ms. Harrison 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 4/18/2023. Verification of Required Information for Operator and Additional Caregivers forms were not submitted prior to the visit for the operator and two additional caregivers; however, Ms. Harrison had each of these forms completed and on file when I arrived for 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 4/01/2024. The most recent lockdown and shelter in place drill was documented on 4/01/2024. The last outdoor inspection was documented on 4/01/2024. There are currently no pets at this facility. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. Requirements for off-premise activities were monitored; Ms. Harrison stated she and the children sometimes take walks around the neighborhood. The program does not provide transportation or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. Corrosive agents, pesticides, bleaches, cleansers, and polishes were not observed. The laundry room, which contained hazardous materials labeled Keep Out of Reach of Children with additional warnings was observed unlocked. One bottle of liquid White Out, one tube of Neosporin, one small bottle of aerosol room spray, one tube of medicated lotion, one bags of cough drops, two packages of antibacterial wipes and other items labeled Keep Out of Reach of Children with additional warnings, were observed on a shelf less than five feet from the ground, in unlocked storage. .1719 (a)(7) 716 Electrical outlets not in use were not covered. Two outlets were observed without safety covers in the kitchen accessible to children. 10A NCAC .1719(a)(27) 816 Each child's hands were not washed before and after eating. An Additional Care Giver was also observed to feed a child a bottle two times without first washing her hands or the child’s hands. .1725(a)(7)(B) 916 Operator did not maintain a record of on-going training in which he/she has participated. An on-going training log for the operator was not observed on file. 10A NCAC 09 .1705(b)(4)(C) 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 Plan of Care for each child enrolled did not include current information for Additional Care Givers and did not specify times for completing routine tasks or include those times on the written schedule. .1712(e)(1) 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 poster was not observed to be posted. .1724(b) 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. A record of Safe Sleep Checks was not observed on file for review. .1724(a)(8)&(f) 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The printed Emergency Preparedness and Response Plan was last updated on 4/30/2017. .1714(e ) 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. Two plastic bags and one open diaper wrapper were observed less than five feet from the ground on a shelf beneath the diaper table, accessible to children under three years of age. Greater than two plastic bags containing various items were observed inside a cabinet beneath the television in the space designated for child care, accessible to children under the age of three. .1719(a)(18) 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 two children enrolled 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. .1706(i) 2004 For off-premise activities occurring on regular basis, the standing permission for 12 months had expired. The standing permissions for 12 months for the Off-Premise Activity forms for four children enrolled had expired. .1723(15)(b) 2005 The operator and/or staff member did not take the required identifying information for each child participating in the off-premise activity as outlined in rule .1721(a )(3). The Off-Premise Activity Permission forms for each child enrolled did not include the location, departure, or return times for children, and a photograph of each child was not on file with all identifying information. .1723(15)(c ) 2027 The professional development plan was not maintained in the personnel file. A Professional Development Plan was not observed on file for one Additional Caregiver. .1703(i)(5) 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 4/25/2024. 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 following today’s visit: • The Professional Development Plan for one Additional Caregiver was not observed on file for review. An On-Going training log for the Operator was not observed on file for review. A Safe Sleep posted was not posted. A record of Safe Sleep Checks was not observed on file for review. The printed Emergency Preparedness and Response Plan was last updated on 4/30/2017. The Written Plan of Care for each child enrolled did not include current information for Additional Care Givers and did not specify times for completing routine tasks or include those times on the written schedule. The Off-Premise Activity Permission forms for each child enrolled did not include the location, departure, or return times for children, and a photograph of each child was not on file with all identifying information. The standing permissions for 12 months for the Off-Premise Activity forms for four children enrolled had expired. The infant feeding plan for two children enrolled 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. Ms. Harrison stated she was not aware information was missing from certain documents or that certain documents were not on file. 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. Harrison create a routine schedule to follow for monitoring all Program, Staff, and Children’s files. • The laundry room, which contained hazardous materials labeled Keep Out of Reach of Children with additional warnings was observed unlocked. Ms. Harrison stated this set of doors was going to be replaced with a new set of doors which will properly lock. One bottle of liquid White Out, one tube of Neosporin, one small bottle of aerosol room spray, one tube of medicated lotion, one bag of cough drops, two packages of antibacterial wipes and other items labeled Keep Out of Reach of Children with additional warnings, were observed on a shelf less than five feet from the ground, in unlocked storage. I handed these to Ms. Harrison during the visit, and she removed them from the childcare space. She stated a drawer containing some of these items would be equipped with a locking device soon. It is important for all areas accessed by children to be safe. I recommended Ms. Harrison create a plan for monitoring the indoor learning environment daily, prior to children arriving for care. • An Additional Care Giver was also observed to feed a child a bottle two times without first washing her hands or the child’s hands. It is important to practice proper hand washing at all times to minimize cross-contamination and maximize safety for children and caregivers. I recommend Ms. Harrison review Child Care Rule 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES with all care givers. Consultation provided following today’s visit: The following Child Care Rules were reviewed with Ms. Harrison following the visit: 10A NCAC 09 .1711 SUPERVISION OF CHILDREN IN A FAMILY CHILD CARE HOME (a) (1) 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (8) (c ) 10A NCAC 09 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS (a) (2) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mrs. Harrison confirmed during today’s visit that the email was received and provided information that she will enroll in testing within the next two weeks. • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please be reminded you must complete three additional hours of on-going training by 4/18/2024, and Ms. Penn must complete nine additional hours of on-going training by 4/18/2024. - Ms. Harrison and I discussed if the space in which I am working needs to change to meet the needs of the children or caregivers, to bring this to my attention. Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Ms. Harrison had to leave the facility prior to my completion of the visit. We scheduled a time prior to the end of the business day today to review the visit via phone. Following the visit, all visit summary will be reviewed with and provided to you. Ms. Harrison stated she would sign all necessary documentation once we reviewed the visit summary. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1718 · Violation

Name of Operation: LITTLE LEADERS LEARNING CENTER Facility ID: 34001019 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 4/11/2024 Number Present: 2 Completed Date: 4/11/2024 Age: From 0 To 3 Total Minutes: 345 Time In: 10:00 AM Time Out: 03:45 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 by Cara McKeown-Stewart, Child Care Consultant, with Tashua Harrison, Operator. Jocelyn Penn, additional caregiver, was also present during the visit. Your program currently operates with a 4-Star license. Restrictions include 1st, 2nd, and 3rd shift care; children in care on ground level only; maximum of five preschoolers at any time; converted garage – off limits; trampoline off-limits. There is no longer a trampoline on the premises. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 88% 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. Two outlets were observed without safety covers in the kitchen accessible to children. Ms. Harrison placed safety covers on both outlets during the visit. Two plastic bags and one open diaper wrapper were observed less than five feet from the ground on a shelf beneath the diaper table, accessible to children under three years of age. Greater than two plastic bags containing various items were observed inside a cabinet beneath the television in the space designated for child care, accessible to children under the age of three. Ms. Harrison made all of these bags and wrappers inaccessible to children during the visit. One bottle of liquid White Out, one tube of Neosporin, one small bottle of aerosol room spray, one tube of medicated lotion, one bag of cough drops, two packages of antibacterial wipes and other items labeled Keep Out of Reach of Children with additional warnings, were observed on a shelf less than five feet from the ground, in unlocked storage. I handed these to Ms. Harrison during the visit, and she removed them from the childcare space. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. Mrs. Harrison will update her floor plan to identify the spaces designated for child care. These spaces will not include the kitchen and dining room. Mrs. Harrison will update her floor plan to identify the spaces designated for child care. These spaces will not include the kitchen and dining room. I observed two children in care playing with toys, engaging in conversations, and participating in general routines with Ms. Penn and Ms. Harrison 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 4/18/2023. Verification of Required Information for Operator and Additional Caregivers forms were not submitted prior to the visit for the operator and two additional caregivers; however, Ms. Harrison had each of these forms completed and on file when I arrived for 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 4/01/2024. The most recent lockdown and shelter in place drill was documented on 4/01/2024. The last outdoor inspection was documented on 4/01/2024. There are currently no pets at this facility. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. Requirements for off-premise activities were monitored; Ms. Harrison stated she and the children sometimes take walks around the neighborhood. The program does not provide transportation or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. Corrosive agents, pesticides, bleaches, cleansers, and polishes were not observed. The laundry room, which contained hazardous materials labeled Keep Out of Reach of Children with additional warnings was observed unlocked. One bottle of liquid White Out, one tube of Neosporin, one small bottle of aerosol room spray, one tube of medicated lotion, one bags of cough drops, two packages of antibacterial wipes and other items labeled Keep Out of Reach of Children with additional warnings, were observed on a shelf less than five feet from the ground, in unlocked storage. .1719 (a)(7) 716 Electrical outlets not in use were not covered. Two outlets were observed without safety covers in the kitchen accessible to children. 10A NCAC .1719(a)(27) 816 Each child's hands were not washed before and after eating. An Additional Care Giver was also observed to feed a child a bottle two times without first washing her hands or the child’s hands. .1725(a)(7)(B) 916 Operator did not maintain a record of on-going training in which he/she has participated. An on-going training log for the operator was not observed on file. 10A NCAC 09 .1705(b)(4)(C) 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 Plan of Care for each child enrolled did not include current information for Additional Care Givers and did not specify times for completing routine tasks or include those times on the written schedule. .1712(e)(1) 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 poster was not observed to be posted. .1724(b) 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. A record of Safe Sleep Checks was not observed on file for review. .1724(a)(8)&(f) 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The printed Emergency Preparedness and Response Plan was last updated on 4/30/2017. .1714(e ) 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. Two plastic bags and one open diaper wrapper were observed less than five feet from the ground on a shelf beneath the diaper table, accessible to children under three years of age. Greater than two plastic bags containing various items were observed inside a cabinet beneath the television in the space designated for child care, accessible to children under the age of three. .1719(a)(18) 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 two children enrolled 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. .1706(i) 2004 For off-premise activities occurring on regular basis, the standing permission for 12 months had expired. The standing permissions for 12 months for the Off-Premise Activity forms for four children enrolled had expired. .1723(15)(b) 2005 The operator and/or staff member did not take the required identifying information for each child participating in the off-premise activity as outlined in rule .1721(a )(3). The Off-Premise Activity Permission forms for each child enrolled did not include the location, departure, or return times for children, and a photograph of each child was not on file with all identifying information. .1723(15)(c ) 2027 The professional development plan was not maintained in the personnel file. A Professional Development Plan was not observed on file for one Additional Caregiver. .1703(i)(5) 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 4/25/2024. 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 following today’s visit: • The Professional Development Plan for one Additional Caregiver was not observed on file for review. An On-Going training log for the Operator was not observed on file for review. A Safe Sleep posted was not posted. A record of Safe Sleep Checks was not observed on file for review. The printed Emergency Preparedness and Response Plan was last updated on 4/30/2017. The Written Plan of Care for each child enrolled did not include current information for Additional Care Givers and did not specify times for completing routine tasks or include those times on the written schedule. The Off-Premise Activity Permission forms for each child enrolled did not include the location, departure, or return times for children, and a photograph of each child was not on file with all identifying information. The standing permissions for 12 months for the Off-Premise Activity forms for four children enrolled had expired. The infant feeding plan for two children enrolled 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. Ms. Harrison stated she was not aware information was missing from certain documents or that certain documents were not on file. 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. Harrison create a routine schedule to follow for monitoring all Program, Staff, and Children’s files. • The laundry room, which contained hazardous materials labeled Keep Out of Reach of Children with additional warnings was observed unlocked. Ms. Harrison stated this set of doors was going to be replaced with a new set of doors which will properly lock. One bottle of liquid White Out, one tube of Neosporin, one small bottle of aerosol room spray, one tube of medicated lotion, one bag of cough drops, two packages of antibacterial wipes and other items labeled Keep Out of Reach of Children with additional warnings, were observed on a shelf less than five feet from the ground, in unlocked storage. I handed these to Ms. Harrison during the visit, and she removed them from the childcare space. She stated a drawer containing some of these items would be equipped with a locking device soon. It is important for all areas accessed by children to be safe. I recommended Ms. Harrison create a plan for monitoring the indoor learning environment daily, prior to children arriving for care. • An Additional Care Giver was also observed to feed a child a bottle two times without first washing her hands or the child’s hands. It is important to practice proper hand washing at all times to minimize cross-contamination and maximize safety for children and caregivers. I recommend Ms. Harrison review Child Care Rule 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES with all care givers. Consultation provided following today’s visit: The following Child Care Rules were reviewed with Ms. Harrison following the visit: 10A NCAC 09 .1711 SUPERVISION OF CHILDREN IN A FAMILY CHILD CARE HOME (a) (1) 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (8) (c ) 10A NCAC 09 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS (a) (2) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mrs. Harrison confirmed during today’s visit that the email was received and provided information that she will enroll in testing within the next two weeks. • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please be reminded you must complete three additional hours of on-going training by 4/18/2024, and Ms. Penn must complete nine additional hours of on-going training by 4/18/2024. - Ms. Harrison and I discussed if the space in which I am working needs to change to meet the needs of the children or caregivers, to bring this to my attention. Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Ms. Harrison had to leave the facility prior to my completion of the visit. We scheduled a time prior to the end of the business day today to review the visit via phone. Following the visit, all visit summary will be reviewed with and provided to you. Ms. Harrison stated she would sign all necessary documentation once we reviewed the visit summary. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1725 · Violation

Name of Operation: LITTLE LEADERS LEARNING CENTER Facility ID: 34001019 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 4/11/2024 Number Present: 2 Completed Date: 4/11/2024 Age: From 0 To 3 Total Minutes: 345 Time In: 10:00 AM Time Out: 03:45 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 by Cara McKeown-Stewart, Child Care Consultant, with Tashua Harrison, Operator. Jocelyn Penn, additional caregiver, was also present during the visit. Your program currently operates with a 4-Star license. Restrictions include 1st, 2nd, and 3rd shift care; children in care on ground level only; maximum of five preschoolers at any time; converted garage – off limits; trampoline off-limits. There is no longer a trampoline on the premises. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 88% 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. Two outlets were observed without safety covers in the kitchen accessible to children. Ms. Harrison placed safety covers on both outlets during the visit. Two plastic bags and one open diaper wrapper were observed less than five feet from the ground on a shelf beneath the diaper table, accessible to children under three years of age. Greater than two plastic bags containing various items were observed inside a cabinet beneath the television in the space designated for child care, accessible to children under the age of three. Ms. Harrison made all of these bags and wrappers inaccessible to children during the visit. One bottle of liquid White Out, one tube of Neosporin, one small bottle of aerosol room spray, one tube of medicated lotion, one bag of cough drops, two packages of antibacterial wipes and other items labeled Keep Out of Reach of Children with additional warnings, were observed on a shelf less than five feet from the ground, in unlocked storage. I handed these to Ms. Harrison during the visit, and she removed them from the childcare space. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. Mrs. Harrison will update her floor plan to identify the spaces designated for child care. These spaces will not include the kitchen and dining room. Mrs. Harrison will update her floor plan to identify the spaces designated for child care. These spaces will not include the kitchen and dining room. I observed two children in care playing with toys, engaging in conversations, and participating in general routines with Ms. Penn and Ms. Harrison 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 4/18/2023. Verification of Required Information for Operator and Additional Caregivers forms were not submitted prior to the visit for the operator and two additional caregivers; however, Ms. Harrison had each of these forms completed and on file when I arrived for 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 4/01/2024. The most recent lockdown and shelter in place drill was documented on 4/01/2024. The last outdoor inspection was documented on 4/01/2024. There are currently no pets at this facility. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. Requirements for off-premise activities were monitored; Ms. Harrison stated she and the children sometimes take walks around the neighborhood. The program does not provide transportation or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. Corrosive agents, pesticides, bleaches, cleansers, and polishes were not observed. The laundry room, which contained hazardous materials labeled Keep Out of Reach of Children with additional warnings was observed unlocked. One bottle of liquid White Out, one tube of Neosporin, one small bottle of aerosol room spray, one tube of medicated lotion, one bags of cough drops, two packages of antibacterial wipes and other items labeled Keep Out of Reach of Children with additional warnings, were observed on a shelf less than five feet from the ground, in unlocked storage. .1719 (a)(7) 716 Electrical outlets not in use were not covered. Two outlets were observed without safety covers in the kitchen accessible to children. 10A NCAC .1719(a)(27) 816 Each child's hands were not washed before and after eating. An Additional Care Giver was also observed to feed a child a bottle two times without first washing her hands or the child’s hands. .1725(a)(7)(B) 916 Operator did not maintain a record of on-going training in which he/she has participated. An on-going training log for the operator was not observed on file. 10A NCAC 09 .1705(b)(4)(C) 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 Plan of Care for each child enrolled did not include current information for Additional Care Givers and did not specify times for completing routine tasks or include those times on the written schedule. .1712(e)(1) 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 poster was not observed to be posted. .1724(b) 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. A record of Safe Sleep Checks was not observed on file for review. .1724(a)(8)&(f) 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The printed Emergency Preparedness and Response Plan was last updated on 4/30/2017. .1714(e ) 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. Two plastic bags and one open diaper wrapper were observed less than five feet from the ground on a shelf beneath the diaper table, accessible to children under three years of age. Greater than two plastic bags containing various items were observed inside a cabinet beneath the television in the space designated for child care, accessible to children under the age of three. .1719(a)(18) 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 two children enrolled 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. .1706(i) 2004 For off-premise activities occurring on regular basis, the standing permission for 12 months had expired. The standing permissions for 12 months for the Off-Premise Activity forms for four children enrolled had expired. .1723(15)(b) 2005 The operator and/or staff member did not take the required identifying information for each child participating in the off-premise activity as outlined in rule .1721(a )(3). The Off-Premise Activity Permission forms for each child enrolled did not include the location, departure, or return times for children, and a photograph of each child was not on file with all identifying information. .1723(15)(c ) 2027 The professional development plan was not maintained in the personnel file. A Professional Development Plan was not observed on file for one Additional Caregiver. .1703(i)(5) 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 4/25/2024. 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 following today’s visit: • The Professional Development Plan for one Additional Caregiver was not observed on file for review. An On-Going training log for the Operator was not observed on file for review. A Safe Sleep posted was not posted. A record of Safe Sleep Checks was not observed on file for review. The printed Emergency Preparedness and Response Plan was last updated on 4/30/2017. The Written Plan of Care for each child enrolled did not include current information for Additional Care Givers and did not specify times for completing routine tasks or include those times on the written schedule. The Off-Premise Activity Permission forms for each child enrolled did not include the location, departure, or return times for children, and a photograph of each child was not on file with all identifying information. The standing permissions for 12 months for the Off-Premise Activity forms for four children enrolled had expired. The infant feeding plan for two children enrolled 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. Ms. Harrison stated she was not aware information was missing from certain documents or that certain documents were not on file. 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. Harrison create a routine schedule to follow for monitoring all Program, Staff, and Children’s files. • The laundry room, which contained hazardous materials labeled Keep Out of Reach of Children with additional warnings was observed unlocked. Ms. Harrison stated this set of doors was going to be replaced with a new set of doors which will properly lock. One bottle of liquid White Out, one tube of Neosporin, one small bottle of aerosol room spray, one tube of medicated lotion, one bag of cough drops, two packages of antibacterial wipes and other items labeled Keep Out of Reach of Children with additional warnings, were observed on a shelf less than five feet from the ground, in unlocked storage. I handed these to Ms. Harrison during the visit, and she removed them from the childcare space. She stated a drawer containing some of these items would be equipped with a locking device soon. It is important for all areas accessed by children to be safe. I recommended Ms. Harrison create a plan for monitoring the indoor learning environment daily, prior to children arriving for care. • An Additional Care Giver was also observed to feed a child a bottle two times without first washing her hands or the child’s hands. It is important to practice proper hand washing at all times to minimize cross-contamination and maximize safety for children and caregivers. I recommend Ms. Harrison review Child Care Rule 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES with all care givers. Consultation provided following today’s visit: The following Child Care Rules were reviewed with Ms. Harrison following the visit: 10A NCAC 09 .1711 SUPERVISION OF CHILDREN IN A FAMILY CHILD CARE HOME (a) (1) 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (8) (c ) 10A NCAC 09 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS (a) (2) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mrs. Harrison confirmed during today’s visit that the email was received and provided information that she will enroll in testing within the next two weeks. • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please be reminded you must complete three additional hours of on-going training by 4/18/2024, and Ms. Penn must complete nine additional hours of on-going training by 4/18/2024. - Ms. Harrison and I discussed if the space in which I am working needs to change to meet the needs of the children or caregivers, to bring this to my attention. Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Ms. Harrison had to leave the facility prior to my completion of the visit. We scheduled a time prior to the end of the business day today to review the visit via phone. Following the visit, all visit summary will be reviewed with and provided to you. Ms. Harrison stated she would sign all necessary documentation once we reviewed the visit summary. 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 .1729 · Violation

Name of Operation: LITTLE LEADERS LEARNING CENTER Facility ID: 34001019 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 4/11/2024 Number Present: 2 Completed Date: 4/11/2024 Age: From 0 To 3 Total Minutes: 345 Time In: 10:00 AM Time Out: 03:45 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 by Cara McKeown-Stewart, Child Care Consultant, with Tashua Harrison, Operator. Jocelyn Penn, additional caregiver, was also present during the visit. Your program currently operates with a 4-Star license. Restrictions include 1st, 2nd, and 3rd shift care; children in care on ground level only; maximum of five preschoolers at any time; converted garage – off limits; trampoline off-limits. There is no longer a trampoline on the premises. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 88% 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. Two outlets were observed without safety covers in the kitchen accessible to children. Ms. Harrison placed safety covers on both outlets during the visit. Two plastic bags and one open diaper wrapper were observed less than five feet from the ground on a shelf beneath the diaper table, accessible to children under three years of age. Greater than two plastic bags containing various items were observed inside a cabinet beneath the television in the space designated for child care, accessible to children under the age of three. Ms. Harrison made all of these bags and wrappers inaccessible to children during the visit. One bottle of liquid White Out, one tube of Neosporin, one small bottle of aerosol room spray, one tube of medicated lotion, one bag of cough drops, two packages of antibacterial wipes and other items labeled Keep Out of Reach of Children with additional warnings, were observed on a shelf less than five feet from the ground, in unlocked storage. I handed these to Ms. Harrison during the visit, and she removed them from the childcare space. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. Mrs. Harrison will update her floor plan to identify the spaces designated for child care. These spaces will not include the kitchen and dining room. Mrs. Harrison will update her floor plan to identify the spaces designated for child care. These spaces will not include the kitchen and dining room. I observed two children in care playing with toys, engaging in conversations, and participating in general routines with Ms. Penn and Ms. Harrison 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 4/18/2023. Verification of Required Information for Operator and Additional Caregivers forms were not submitted prior to the visit for the operator and two additional caregivers; however, Ms. Harrison had each of these forms completed and on file when I arrived for 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 4/01/2024. The most recent lockdown and shelter in place drill was documented on 4/01/2024. The last outdoor inspection was documented on 4/01/2024. There are currently no pets at this facility. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. Requirements for off-premise activities were monitored; Ms. Harrison stated she and the children sometimes take walks around the neighborhood. The program does not provide transportation or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. Corrosive agents, pesticides, bleaches, cleansers, and polishes were not observed. The laundry room, which contained hazardous materials labeled Keep Out of Reach of Children with additional warnings was observed unlocked. One bottle of liquid White Out, one tube of Neosporin, one small bottle of aerosol room spray, one tube of medicated lotion, one bags of cough drops, two packages of antibacterial wipes and other items labeled Keep Out of Reach of Children with additional warnings, were observed on a shelf less than five feet from the ground, in unlocked storage. .1719 (a)(7) 716 Electrical outlets not in use were not covered. Two outlets were observed without safety covers in the kitchen accessible to children. 10A NCAC .1719(a)(27) 816 Each child's hands were not washed before and after eating. An Additional Care Giver was also observed to feed a child a bottle two times without first washing her hands or the child’s hands. .1725(a)(7)(B) 916 Operator did not maintain a record of on-going training in which he/she has participated. An on-going training log for the operator was not observed on file. 10A NCAC 09 .1705(b)(4)(C) 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 Plan of Care for each child enrolled did not include current information for Additional Care Givers and did not specify times for completing routine tasks or include those times on the written schedule. .1712(e)(1) 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 poster was not observed to be posted. .1724(b) 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. A record of Safe Sleep Checks was not observed on file for review. .1724(a)(8)&(f) 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The printed Emergency Preparedness and Response Plan was last updated on 4/30/2017. .1714(e ) 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. Two plastic bags and one open diaper wrapper were observed less than five feet from the ground on a shelf beneath the diaper table, accessible to children under three years of age. Greater than two plastic bags containing various items were observed inside a cabinet beneath the television in the space designated for child care, accessible to children under the age of three. .1719(a)(18) 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 two children enrolled 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. .1706(i) 2004 For off-premise activities occurring on regular basis, the standing permission for 12 months had expired. The standing permissions for 12 months for the Off-Premise Activity forms for four children enrolled had expired. .1723(15)(b) 2005 The operator and/or staff member did not take the required identifying information for each child participating in the off-premise activity as outlined in rule .1721(a )(3). The Off-Premise Activity Permission forms for each child enrolled did not include the location, departure, or return times for children, and a photograph of each child was not on file with all identifying information. .1723(15)(c ) 2027 The professional development plan was not maintained in the personnel file. A Professional Development Plan was not observed on file for one Additional Caregiver. .1703(i)(5) 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 4/25/2024. 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 following today’s visit: • The Professional Development Plan for one Additional Caregiver was not observed on file for review. An On-Going training log for the Operator was not observed on file for review. A Safe Sleep posted was not posted. A record of Safe Sleep Checks was not observed on file for review. The printed Emergency Preparedness and Response Plan was last updated on 4/30/2017. The Written Plan of Care for each child enrolled did not include current information for Additional Care Givers and did not specify times for completing routine tasks or include those times on the written schedule. The Off-Premise Activity Permission forms for each child enrolled did not include the location, departure, or return times for children, and a photograph of each child was not on file with all identifying information. The standing permissions for 12 months for the Off-Premise Activity forms for four children enrolled had expired. The infant feeding plan for two children enrolled 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. Ms. Harrison stated she was not aware information was missing from certain documents or that certain documents were not on file. 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. Harrison create a routine schedule to follow for monitoring all Program, Staff, and Children’s files. • The laundry room, which contained hazardous materials labeled Keep Out of Reach of Children with additional warnings was observed unlocked. Ms. Harrison stated this set of doors was going to be replaced with a new set of doors which will properly lock. One bottle of liquid White Out, one tube of Neosporin, one small bottle of aerosol room spray, one tube of medicated lotion, one bag of cough drops, two packages of antibacterial wipes and other items labeled Keep Out of Reach of Children with additional warnings, were observed on a shelf less than five feet from the ground, in unlocked storage. I handed these to Ms. Harrison during the visit, and she removed them from the childcare space. She stated a drawer containing some of these items would be equipped with a locking device soon. It is important for all areas accessed by children to be safe. I recommended Ms. Harrison create a plan for monitoring the indoor learning environment daily, prior to children arriving for care. • An Additional Care Giver was also observed to feed a child a bottle two times without first washing her hands or the child’s hands. It is important to practice proper hand washing at all times to minimize cross-contamination and maximize safety for children and caregivers. I recommend Ms. Harrison review Child Care Rule 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES with all care givers. Consultation provided following today’s visit: The following Child Care Rules were reviewed with Ms. Harrison following the visit: 10A NCAC 09 .1711 SUPERVISION OF CHILDREN IN A FAMILY CHILD CARE HOME (a) (1) 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (8) (c ) 10A NCAC 09 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS (a) (2) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mrs. Harrison confirmed during today’s visit that the email was received and provided information that she will enroll in testing within the next two weeks. • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please be reminded you must complete three additional hours of on-going training by 4/18/2024, and Ms. Penn must complete nine additional hours of on-going training by 4/18/2024. - Ms. Harrison and I discussed if the space in which I am working needs to change to meet the needs of the children or caregivers, to bring this to my attention. Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Ms. Harrison had to leave the facility prior to my completion of the visit. We scheduled a time prior to the end of the business day today to review the visit via phone. Following the visit, all visit summary will be reviewed with and provided to you. Ms. Harrison stated she would sign all necessary documentation once we reviewed the visit summary. 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: LITTLE LEADERS LEARNING CENTER Facility ID: 34001019 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 4/11/2024 Number Present: 2 Completed Date: 4/11/2024 Age: From 0 To 3 Total Minutes: 345 Time In: 10:00 AM Time Out: 03:45 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 by Cara McKeown-Stewart, Child Care Consultant, with Tashua Harrison, Operator. Jocelyn Penn, additional caregiver, was also present during the visit. Your program currently operates with a 4-Star license. Restrictions include 1st, 2nd, and 3rd shift care; children in care on ground level only; maximum of five preschoolers at any time; converted garage – off limits; trampoline off-limits. There is no longer a trampoline on the premises. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 88% 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. Two outlets were observed without safety covers in the kitchen accessible to children. Ms. Harrison placed safety covers on both outlets during the visit. Two plastic bags and one open diaper wrapper were observed less than five feet from the ground on a shelf beneath the diaper table, accessible to children under three years of age. Greater than two plastic bags containing various items were observed inside a cabinet beneath the television in the space designated for child care, accessible to children under the age of three. Ms. Harrison made all of these bags and wrappers inaccessible to children during the visit. One bottle of liquid White Out, one tube of Neosporin, one small bottle of aerosol room spray, one tube of medicated lotion, one bag of cough drops, two packages of antibacterial wipes and other items labeled Keep Out of Reach of Children with additional warnings, were observed on a shelf less than five feet from the ground, in unlocked storage. I handed these to Ms. Harrison during the visit, and she removed them from the childcare space. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. Mrs. Harrison will update her floor plan to identify the spaces designated for child care. These spaces will not include the kitchen and dining room. Mrs. Harrison will update her floor plan to identify the spaces designated for child care. These spaces will not include the kitchen and dining room. I observed two children in care playing with toys, engaging in conversations, and participating in general routines with Ms. Penn and Ms. Harrison 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 4/18/2023. Verification of Required Information for Operator and Additional Caregivers forms were not submitted prior to the visit for the operator and two additional caregivers; however, Ms. Harrison had each of these forms completed and on file when I arrived for 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 4/01/2024. The most recent lockdown and shelter in place drill was documented on 4/01/2024. The last outdoor inspection was documented on 4/01/2024. There are currently no pets at this facility. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. Requirements for off-premise activities were monitored; Ms. Harrison stated she and the children sometimes take walks around the neighborhood. The program does not provide transportation or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. Corrosive agents, pesticides, bleaches, cleansers, and polishes were not observed. The laundry room, which contained hazardous materials labeled Keep Out of Reach of Children with additional warnings was observed unlocked. One bottle of liquid White Out, one tube of Neosporin, one small bottle of aerosol room spray, one tube of medicated lotion, one bags of cough drops, two packages of antibacterial wipes and other items labeled Keep Out of Reach of Children with additional warnings, were observed on a shelf less than five feet from the ground, in unlocked storage. .1719 (a)(7) 716 Electrical outlets not in use were not covered. Two outlets were observed without safety covers in the kitchen accessible to children. 10A NCAC .1719(a)(27) 816 Each child's hands were not washed before and after eating. An Additional Care Giver was also observed to feed a child a bottle two times without first washing her hands or the child’s hands. .1725(a)(7)(B) 916 Operator did not maintain a record of on-going training in which he/she has participated. An on-going training log for the operator was not observed on file. 10A NCAC 09 .1705(b)(4)(C) 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 Plan of Care for each child enrolled did not include current information for Additional Care Givers and did not specify times for completing routine tasks or include those times on the written schedule. .1712(e)(1) 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 poster was not observed to be posted. .1724(b) 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. A record of Safe Sleep Checks was not observed on file for review. .1724(a)(8)&(f) 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The printed Emergency Preparedness and Response Plan was last updated on 4/30/2017. .1714(e ) 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. Two plastic bags and one open diaper wrapper were observed less than five feet from the ground on a shelf beneath the diaper table, accessible to children under three years of age. Greater than two plastic bags containing various items were observed inside a cabinet beneath the television in the space designated for child care, accessible to children under the age of three. .1719(a)(18) 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 two children enrolled 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. .1706(i) 2004 For off-premise activities occurring on regular basis, the standing permission for 12 months had expired. The standing permissions for 12 months for the Off-Premise Activity forms for four children enrolled had expired. .1723(15)(b) 2005 The operator and/or staff member did not take the required identifying information for each child participating in the off-premise activity as outlined in rule .1721(a )(3). The Off-Premise Activity Permission forms for each child enrolled did not include the location, departure, or return times for children, and a photograph of each child was not on file with all identifying information. .1723(15)(c ) 2027 The professional development plan was not maintained in the personnel file. A Professional Development Plan was not observed on file for one Additional Caregiver. .1703(i)(5) 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 4/25/2024. 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 following today’s visit: • The Professional Development Plan for one Additional Caregiver was not observed on file for review. An On-Going training log for the Operator was not observed on file for review. A Safe Sleep posted was not posted. A record of Safe Sleep Checks was not observed on file for review. The printed Emergency Preparedness and Response Plan was last updated on 4/30/2017. The Written Plan of Care for each child enrolled did not include current information for Additional Care Givers and did not specify times for completing routine tasks or include those times on the written schedule. The Off-Premise Activity Permission forms for each child enrolled did not include the location, departure, or return times for children, and a photograph of each child was not on file with all identifying information. The standing permissions for 12 months for the Off-Premise Activity forms for four children enrolled had expired. The infant feeding plan for two children enrolled 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. Ms. Harrison stated she was not aware information was missing from certain documents or that certain documents were not on file. 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. Harrison create a routine schedule to follow for monitoring all Program, Staff, and Children’s files. • The laundry room, which contained hazardous materials labeled Keep Out of Reach of Children with additional warnings was observed unlocked. Ms. Harrison stated this set of doors was going to be replaced with a new set of doors which will properly lock. One bottle of liquid White Out, one tube of Neosporin, one small bottle of aerosol room spray, one tube of medicated lotion, one bag of cough drops, two packages of antibacterial wipes and other items labeled Keep Out of Reach of Children with additional warnings, were observed on a shelf less than five feet from the ground, in unlocked storage. I handed these to Ms. Harrison during the visit, and she removed them from the childcare space. She stated a drawer containing some of these items would be equipped with a locking device soon. It is important for all areas accessed by children to be safe. I recommended Ms. Harrison create a plan for monitoring the indoor learning environment daily, prior to children arriving for care. • An Additional Care Giver was also observed to feed a child a bottle two times without first washing her hands or the child’s hands. It is important to practice proper hand washing at all times to minimize cross-contamination and maximize safety for children and caregivers. I recommend Ms. Harrison review Child Care Rule 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES with all care givers. Consultation provided following today’s visit: The following Child Care Rules were reviewed with Ms. Harrison following the visit: 10A NCAC 09 .1711 SUPERVISION OF CHILDREN IN A FAMILY CHILD CARE HOME (a) (1) 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (8) (c ) 10A NCAC 09 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS (a) (2) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mrs. Harrison confirmed during today’s visit that the email was received and provided information that she will enroll in testing within the next two weeks. • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please be reminded you must complete three additional hours of on-going training by 4/18/2024, and Ms. Penn must complete nine additional hours of on-going training by 4/18/2024. - Ms. Harrison and I discussed if the space in which I am working needs to change to meet the needs of the children or caregivers, to bring this to my attention. Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Ms. Harrison had to leave the facility prior to my completion of the visit. We scheduled a time prior to the end of the business day today to review the visit via phone. Following the visit, all visit summary will be reviewed with and provided to you. Ms. Harrison stated she would sign all necessary documentation once we reviewed the visit summary. 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 .0510 · Violation

Name of Operation: LITTLE LEADERS LEARNING CENTER Facility ID: 34001019 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 10/3/2023 Number Present: 4 Completed Date: 10/3/2023 Age: From 2 To 4 Total Minutes: 210 Time In: 10:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Tashua Harrison, Operator, assisted me with the visit. Ms. Harrison’s mother and additional caregiver, Jocelyn Penn, was also present during a portion of the visit. Mr. Daniel Harrison, Mrs. Harrison’s husband, is also an additional caregiver, but was not present during the visit. Your program currently operates with a 4-Star license effective 7/23/2018. Restrictions include 1st, 2nd, and 3rd shift care; children in care on ground level only; maximum of 5 preschool children at any time; converted garage off limits; trampoline off limits. I observed that the trampoline has been removed from the backyard; this restriction will be removed from the license. The program’s compliance history was 90% 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. Harrison stated she and her husband are the only people living in the home. A current CBC qualification letter was observed to be on file for each individual, as well as for Ms. Penn, additional caregiver. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Two electrical outlets behind the couches in the living room, but accessible to children, were observed to have three plugs without safety covers and both outlets without outlet covers. Upon arrival, capacity was monitored as indicated on the attached worksheet. A record of arrival was not recorded for the four children present today. Supervision was adequate during the visit. I observed positive interactions today. I observed the children in care playing with toys in activity centers, engaging in conversations and play with Ms. Harrison and Ms. Penn, participating in general routines and eating lunch during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, ITS-SIDS, Special Trainings, and Criminal Background Checks. A training certificate for Health and Safety Training Topic #2, Administration of Medication with Standards for Parental Consent, was observed to be on file for the additional caregiver, but was not provided by a DCDEE approved trainer. A training certificate for Recognizing to Suspicions of Child Abuse and Maltreatment was not observed on file for two additional caregivers. Ms. Harrison stated no children enrolled take medication during operating hours. Storage of hazardous items was monitored today. In the bathroom used by children, a liquid plug-in was observed plugged into the wall by the handwashing sink. The cupboard and two drawers beneath the handwashing sink were observed to be unlocked and contained multiple items labeled Keep Out of Reach of Children with additional warnings. Three bags of cough drops and one additional item labeled Keep Out of Reach of Children with additional warnings were observed in two unlocked kitchen drawers. One liquid White-Out Pen was observed inside an unlocked cabinet beneath the television. One small bottle of hand sanitizer was observed stored in a First Aid kit stored less than five feet from the ground. Ms. Harrison removed this bottle of hand sanitizer during the visit. A playground inspection was recorded 9/08/2023. The most recent fire drill was recorded on 9/08/2023. A lockdown and shelter-in-place drill for the facility were recorded 7/07/2023. There are no pets at this facility. The program does not provide transportation, participate in off-premise activities, or participate in aquatic activities. The following violations were cited during today’s visit: Violation Number Comment Rule 716 Electrical outlets not in use were not covered. Two electrical outlets behind the couches in the living room, but accessible to children, were observed to have three plugs without safety covers and both outlets without outlet covers. 10A NCAC .1719(a)(27) 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 record of arrival was not recorded for the four children present today. .1721(e)(6) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. A training certificate for Health and Safety Training Topic #2, Administration of Medication with Standards for Parental Consent, was observed to be on file for the additional caregiver, but was not provided by a DCDEE approved trainer. A training certificate for Recognizing to Suspicions of Child Abuse and Maltreatment was not observed on file for two additional caregivers. .1703(d)(2) 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. In the bathroom used by children, a liquid plug-in was observed plugged into the wall by the handwashing sink. The cupboard and two drawers beneath the handwashing sink were observed to be unlocked and contained multiple items labeled Keep Out of Reach of Children with additional warnings. Three bags of cough drops and one additional item labeled Keep Out of Reach of Children with additional warnings were observed in two unlocked kitchen drawers. One liquid White-Out Pen was observed inside an unlocked cabinet beneath the television. One small bottle of hand sanitizer was observed stored in a First Aid kit stored less than five feet from the ground. 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 10/17/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways. o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 • The following Child Care Rules were thoroughly discussed with Ms. Harrison 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: (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor; 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (2) the age range of the children served; (5) information about services provided by the operator, such as number of meals served, before and after school care, and transportation; (6) items, if any, to be provided by parents; (7) a schedule of daily, weekly, and monthly cleaning duties; (9) the operator's discipline policy for behavior management; (11) nutrition policies. (b) Operational policies shall be discussed with parents on or before the child's first day of attendance in the home. A copy of the policies shall be given to the parents on or before the child's first day of attendance and the parents shall be notified in writing of any changes in policy. Please add each of the above components to your current Operational Policies. 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. (e) When children under three years old are in care the following apply: (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (a) The family child care home operator shall maintain the following health records for each enrolled child, including his or her own child(ren) who are not school-age: (6) daily attendance records for all children in care, including the operator's own preschool children. The attendance record shall indicate the date and time of arrival and departure for each child and shall be maintained as children arrive and depart; 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. • Please print and post the most updated Infant Safe Sleep Poster which can be found at the following link: http://safesleepnc.org/wp-content/uploads/2019/03/safesleep-flyer-052118-ENGLISH-FINAL.pdf - Please follow-up with Smart Start of Forsyth County to reissue your Emergency Preparedness and Response certificate, the training you completed on 5/02/2023. • Please post the most updated version of the Safe Sleep Policy located on the Division website; please also check the boxes on the form which your facility follows for infants enrolled. • Please post the most updated version of the Summary of NC Child Care Law located on the Division website. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please log onto the Risk Management Portal at the following web address: https://rmp.nc.gov/portal/portal.aspx# and review your EPR plan to ensure all information is updated and current. • Please cover the duct located behind the couch until the vent cover is replaced. • Please add sections to your current activity plan that include how you incorporate activities fostering children’s health and physical development and social and emotional development. • Please access the training for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment at the following web address: https://www.preventchildabusenc.org/recognizing-responding-online-course/ • Please monitor the outdoor learning environment, equipment, and fencing for developing rust and mildew. • Please also ensure all balls are inflated and ready for use by children enrolled. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a) The family child care home operator (operator or operators) shall provide the following on a daily basis for all children in care: (1) Developmentally appropriate equipment and materials for a variety of outdoor activities that allow for vigorous play, large and small muscle development, and social, emotional, and intellectual development. For purposes of this Rule "vigorous" means done with force and energy. Each child shall have the opportunity for a minimum of one hour of outdoor play each day that weather conditions permit. The operator shall provide space and time for vigorous indoor activities when children cannot play outdoors; • The Winston-Salem/Forsyth County Unified Development Ordinances (UDO) are the compilation of regulations that govern land use, which include the Zoning Ordinance, the Environmental Ordinance, and the Subdivision Ordinance/Regulations. Chapter 5 Use Standards Section 5.2 Use-Specific Standards (WINSTON-SALEM/FORSYTH COUNTY UDO 5-27 LAST UPDATED: 7.27.23) states the following: 5.2.21 CHILD DAY CARE (SMALL HOME) A. LOCATION This use is permitted only in a private residence occupied by the licensed operator or as an accessory use operated by a religious institution on the same zoning lot and within buildings also used for religious activities in all zoning districts. B. INDOOR SPACE At least twenty-five (25) square feet of inside space shall be provided for each child enrolled. C. OUTDOOR SPACE 1. Outdoor play area of one hundred (100) square feet for each child enrolled, with an eight hundred (800) square feet minimum, shall be provided. 2. Such outdoor play area shall be enclosed by a minimum four (4) foot tall security fence. 3. Outdoor activities shall be limited to the fenced area between 8:00 a.m. and 8:00 p.m. D. REGISTRATION Registration with the State is required. Based upon this ordinance and effective immediately, enrolled children may only play inside the fenced-in area during operating hours between 8 a.m. and 8 p.m. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1714 · Violation

Name of Operation: LITTLE LEADERS LEARNING CENTER Facility ID: 34001019 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 10/3/2023 Number Present: 4 Completed Date: 10/3/2023 Age: From 2 To 4 Total Minutes: 210 Time In: 10:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Tashua Harrison, Operator, assisted me with the visit. Ms. Harrison’s mother and additional caregiver, Jocelyn Penn, was also present during a portion of the visit. Mr. Daniel Harrison, Mrs. Harrison’s husband, is also an additional caregiver, but was not present during the visit. Your program currently operates with a 4-Star license effective 7/23/2018. Restrictions include 1st, 2nd, and 3rd shift care; children in care on ground level only; maximum of 5 preschool children at any time; converted garage off limits; trampoline off limits. I observed that the trampoline has been removed from the backyard; this restriction will be removed from the license. The program’s compliance history was 90% 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. Harrison stated she and her husband are the only people living in the home. A current CBC qualification letter was observed to be on file for each individual, as well as for Ms. Penn, additional caregiver. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Two electrical outlets behind the couches in the living room, but accessible to children, were observed to have three plugs without safety covers and both outlets without outlet covers. Upon arrival, capacity was monitored as indicated on the attached worksheet. A record of arrival was not recorded for the four children present today. Supervision was adequate during the visit. I observed positive interactions today. I observed the children in care playing with toys in activity centers, engaging in conversations and play with Ms. Harrison and Ms. Penn, participating in general routines and eating lunch during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, ITS-SIDS, Special Trainings, and Criminal Background Checks. A training certificate for Health and Safety Training Topic #2, Administration of Medication with Standards for Parental Consent, was observed to be on file for the additional caregiver, but was not provided by a DCDEE approved trainer. A training certificate for Recognizing to Suspicions of Child Abuse and Maltreatment was not observed on file for two additional caregivers. Ms. Harrison stated no children enrolled take medication during operating hours. Storage of hazardous items was monitored today. In the bathroom used by children, a liquid plug-in was observed plugged into the wall by the handwashing sink. The cupboard and two drawers beneath the handwashing sink were observed to be unlocked and contained multiple items labeled Keep Out of Reach of Children with additional warnings. Three bags of cough drops and one additional item labeled Keep Out of Reach of Children with additional warnings were observed in two unlocked kitchen drawers. One liquid White-Out Pen was observed inside an unlocked cabinet beneath the television. One small bottle of hand sanitizer was observed stored in a First Aid kit stored less than five feet from the ground. Ms. Harrison removed this bottle of hand sanitizer during the visit. A playground inspection was recorded 9/08/2023. The most recent fire drill was recorded on 9/08/2023. A lockdown and shelter-in-place drill for the facility were recorded 7/07/2023. There are no pets at this facility. The program does not provide transportation, participate in off-premise activities, or participate in aquatic activities. The following violations were cited during today’s visit: Violation Number Comment Rule 716 Electrical outlets not in use were not covered. Two electrical outlets behind the couches in the living room, but accessible to children, were observed to have three plugs without safety covers and both outlets without outlet covers. 10A NCAC .1719(a)(27) 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 record of arrival was not recorded for the four children present today. .1721(e)(6) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. A training certificate for Health and Safety Training Topic #2, Administration of Medication with Standards for Parental Consent, was observed to be on file for the additional caregiver, but was not provided by a DCDEE approved trainer. A training certificate for Recognizing to Suspicions of Child Abuse and Maltreatment was not observed on file for two additional caregivers. .1703(d)(2) 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. In the bathroom used by children, a liquid plug-in was observed plugged into the wall by the handwashing sink. The cupboard and two drawers beneath the handwashing sink were observed to be unlocked and contained multiple items labeled Keep Out of Reach of Children with additional warnings. Three bags of cough drops and one additional item labeled Keep Out of Reach of Children with additional warnings were observed in two unlocked kitchen drawers. One liquid White-Out Pen was observed inside an unlocked cabinet beneath the television. One small bottle of hand sanitizer was observed stored in a First Aid kit stored less than five feet from the ground. 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 10/17/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways. o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 • The following Child Care Rules were thoroughly discussed with Ms. Harrison 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: (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor; 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (2) the age range of the children served; (5) information about services provided by the operator, such as number of meals served, before and after school care, and transportation; (6) items, if any, to be provided by parents; (7) a schedule of daily, weekly, and monthly cleaning duties; (9) the operator's discipline policy for behavior management; (11) nutrition policies. (b) Operational policies shall be discussed with parents on or before the child's first day of attendance in the home. A copy of the policies shall be given to the parents on or before the child's first day of attendance and the parents shall be notified in writing of any changes in policy. Please add each of the above components to your current Operational Policies. 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. (e) When children under three years old are in care the following apply: (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (a) The family child care home operator shall maintain the following health records for each enrolled child, including his or her own child(ren) who are not school-age: (6) daily attendance records for all children in care, including the operator's own preschool children. The attendance record shall indicate the date and time of arrival and departure for each child and shall be maintained as children arrive and depart; 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. • Please print and post the most updated Infant Safe Sleep Poster which can be found at the following link: http://safesleepnc.org/wp-content/uploads/2019/03/safesleep-flyer-052118-ENGLISH-FINAL.pdf - Please follow-up with Smart Start of Forsyth County to reissue your Emergency Preparedness and Response certificate, the training you completed on 5/02/2023. • Please post the most updated version of the Safe Sleep Policy located on the Division website; please also check the boxes on the form which your facility follows for infants enrolled. • Please post the most updated version of the Summary of NC Child Care Law located on the Division website. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please log onto the Risk Management Portal at the following web address: https://rmp.nc.gov/portal/portal.aspx# and review your EPR plan to ensure all information is updated and current. • Please cover the duct located behind the couch until the vent cover is replaced. • Please add sections to your current activity plan that include how you incorporate activities fostering children’s health and physical development and social and emotional development. • Please access the training for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment at the following web address: https://www.preventchildabusenc.org/recognizing-responding-online-course/ • Please monitor the outdoor learning environment, equipment, and fencing for developing rust and mildew. • Please also ensure all balls are inflated and ready for use by children enrolled. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a) The family child care home operator (operator or operators) shall provide the following on a daily basis for all children in care: (1) Developmentally appropriate equipment and materials for a variety of outdoor activities that allow for vigorous play, large and small muscle development, and social, emotional, and intellectual development. For purposes of this Rule "vigorous" means done with force and energy. Each child shall have the opportunity for a minimum of one hour of outdoor play each day that weather conditions permit. The operator shall provide space and time for vigorous indoor activities when children cannot play outdoors; • The Winston-Salem/Forsyth County Unified Development Ordinances (UDO) are the compilation of regulations that govern land use, which include the Zoning Ordinance, the Environmental Ordinance, and the Subdivision Ordinance/Regulations. Chapter 5 Use Standards Section 5.2 Use-Specific Standards (WINSTON-SALEM/FORSYTH COUNTY UDO 5-27 LAST UPDATED: 7.27.23) states the following: 5.2.21 CHILD DAY CARE (SMALL HOME) A. LOCATION This use is permitted only in a private residence occupied by the licensed operator or as an accessory use operated by a religious institution on the same zoning lot and within buildings also used for religious activities in all zoning districts. B. INDOOR SPACE At least twenty-five (25) square feet of inside space shall be provided for each child enrolled. C. OUTDOOR SPACE 1. Outdoor play area of one hundred (100) square feet for each child enrolled, with an eight hundred (800) square feet minimum, shall be provided. 2. Such outdoor play area shall be enclosed by a minimum four (4) foot tall security fence. 3. Outdoor activities shall be limited to the fenced area between 8:00 a.m. and 8:00 p.m. D. REGISTRATION Registration with the State is required. Based upon this ordinance and effective immediately, enrolled children may only play inside the fenced-in area during operating hours between 8 a.m. and 8 p.m. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1715 · Violation

Name of Operation: LITTLE LEADERS LEARNING CENTER Facility ID: 34001019 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 10/3/2023 Number Present: 4 Completed Date: 10/3/2023 Age: From 2 To 4 Total Minutes: 210 Time In: 10:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Tashua Harrison, Operator, assisted me with the visit. Ms. Harrison’s mother and additional caregiver, Jocelyn Penn, was also present during a portion of the visit. Mr. Daniel Harrison, Mrs. Harrison’s husband, is also an additional caregiver, but was not present during the visit. Your program currently operates with a 4-Star license effective 7/23/2018. Restrictions include 1st, 2nd, and 3rd shift care; children in care on ground level only; maximum of 5 preschool children at any time; converted garage off limits; trampoline off limits. I observed that the trampoline has been removed from the backyard; this restriction will be removed from the license. The program’s compliance history was 90% 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. Harrison stated she and her husband are the only people living in the home. A current CBC qualification letter was observed to be on file for each individual, as well as for Ms. Penn, additional caregiver. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Two electrical outlets behind the couches in the living room, but accessible to children, were observed to have three plugs without safety covers and both outlets without outlet covers. Upon arrival, capacity was monitored as indicated on the attached worksheet. A record of arrival was not recorded for the four children present today. Supervision was adequate during the visit. I observed positive interactions today. I observed the children in care playing with toys in activity centers, engaging in conversations and play with Ms. Harrison and Ms. Penn, participating in general routines and eating lunch during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, ITS-SIDS, Special Trainings, and Criminal Background Checks. A training certificate for Health and Safety Training Topic #2, Administration of Medication with Standards for Parental Consent, was observed to be on file for the additional caregiver, but was not provided by a DCDEE approved trainer. A training certificate for Recognizing to Suspicions of Child Abuse and Maltreatment was not observed on file for two additional caregivers. Ms. Harrison stated no children enrolled take medication during operating hours. Storage of hazardous items was monitored today. In the bathroom used by children, a liquid plug-in was observed plugged into the wall by the handwashing sink. The cupboard and two drawers beneath the handwashing sink were observed to be unlocked and contained multiple items labeled Keep Out of Reach of Children with additional warnings. Three bags of cough drops and one additional item labeled Keep Out of Reach of Children with additional warnings were observed in two unlocked kitchen drawers. One liquid White-Out Pen was observed inside an unlocked cabinet beneath the television. One small bottle of hand sanitizer was observed stored in a First Aid kit stored less than five feet from the ground. Ms. Harrison removed this bottle of hand sanitizer during the visit. A playground inspection was recorded 9/08/2023. The most recent fire drill was recorded on 9/08/2023. A lockdown and shelter-in-place drill for the facility were recorded 7/07/2023. There are no pets at this facility. The program does not provide transportation, participate in off-premise activities, or participate in aquatic activities. The following violations were cited during today’s visit: Violation Number Comment Rule 716 Electrical outlets not in use were not covered. Two electrical outlets behind the couches in the living room, but accessible to children, were observed to have three plugs without safety covers and both outlets without outlet covers. 10A NCAC .1719(a)(27) 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 record of arrival was not recorded for the four children present today. .1721(e)(6) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. A training certificate for Health and Safety Training Topic #2, Administration of Medication with Standards for Parental Consent, was observed to be on file for the additional caregiver, but was not provided by a DCDEE approved trainer. A training certificate for Recognizing to Suspicions of Child Abuse and Maltreatment was not observed on file for two additional caregivers. .1703(d)(2) 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. In the bathroom used by children, a liquid plug-in was observed plugged into the wall by the handwashing sink. The cupboard and two drawers beneath the handwashing sink were observed to be unlocked and contained multiple items labeled Keep Out of Reach of Children with additional warnings. Three bags of cough drops and one additional item labeled Keep Out of Reach of Children with additional warnings were observed in two unlocked kitchen drawers. One liquid White-Out Pen was observed inside an unlocked cabinet beneath the television. One small bottle of hand sanitizer was observed stored in a First Aid kit stored less than five feet from the ground. 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 10/17/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways. o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 • The following Child Care Rules were thoroughly discussed with Ms. Harrison 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: (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor; 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (2) the age range of the children served; (5) information about services provided by the operator, such as number of meals served, before and after school care, and transportation; (6) items, if any, to be provided by parents; (7) a schedule of daily, weekly, and monthly cleaning duties; (9) the operator's discipline policy for behavior management; (11) nutrition policies. (b) Operational policies shall be discussed with parents on or before the child's first day of attendance in the home. A copy of the policies shall be given to the parents on or before the child's first day of attendance and the parents shall be notified in writing of any changes in policy. Please add each of the above components to your current Operational Policies. 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. (e) When children under three years old are in care the following apply: (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (a) The family child care home operator shall maintain the following health records for each enrolled child, including his or her own child(ren) who are not school-age: (6) daily attendance records for all children in care, including the operator's own preschool children. The attendance record shall indicate the date and time of arrival and departure for each child and shall be maintained as children arrive and depart; 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. • Please print and post the most updated Infant Safe Sleep Poster which can be found at the following link: http://safesleepnc.org/wp-content/uploads/2019/03/safesleep-flyer-052118-ENGLISH-FINAL.pdf - Please follow-up with Smart Start of Forsyth County to reissue your Emergency Preparedness and Response certificate, the training you completed on 5/02/2023. • Please post the most updated version of the Safe Sleep Policy located on the Division website; please also check the boxes on the form which your facility follows for infants enrolled. • Please post the most updated version of the Summary of NC Child Care Law located on the Division website. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please log onto the Risk Management Portal at the following web address: https://rmp.nc.gov/portal/portal.aspx# and review your EPR plan to ensure all information is updated and current. • Please cover the duct located behind the couch until the vent cover is replaced. • Please add sections to your current activity plan that include how you incorporate activities fostering children’s health and physical development and social and emotional development. • Please access the training for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment at the following web address: https://www.preventchildabusenc.org/recognizing-responding-online-course/ • Please monitor the outdoor learning environment, equipment, and fencing for developing rust and mildew. • Please also ensure all balls are inflated and ready for use by children enrolled. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a) The family child care home operator (operator or operators) shall provide the following on a daily basis for all children in care: (1) Developmentally appropriate equipment and materials for a variety of outdoor activities that allow for vigorous play, large and small muscle development, and social, emotional, and intellectual development. For purposes of this Rule "vigorous" means done with force and energy. Each child shall have the opportunity for a minimum of one hour of outdoor play each day that weather conditions permit. The operator shall provide space and time for vigorous indoor activities when children cannot play outdoors; • The Winston-Salem/Forsyth County Unified Development Ordinances (UDO) are the compilation of regulations that govern land use, which include the Zoning Ordinance, the Environmental Ordinance, and the Subdivision Ordinance/Regulations. Chapter 5 Use Standards Section 5.2 Use-Specific Standards (WINSTON-SALEM/FORSYTH COUNTY UDO 5-27 LAST UPDATED: 7.27.23) states the following: 5.2.21 CHILD DAY CARE (SMALL HOME) A. LOCATION This use is permitted only in a private residence occupied by the licensed operator or as an accessory use operated by a religious institution on the same zoning lot and within buildings also used for religious activities in all zoning districts. B. INDOOR SPACE At least twenty-five (25) square feet of inside space shall be provided for each child enrolled. C. OUTDOOR SPACE 1. Outdoor play area of one hundred (100) square feet for each child enrolled, with an eight hundred (800) square feet minimum, shall be provided. 2. Such outdoor play area shall be enclosed by a minimum four (4) foot tall security fence. 3. Outdoor activities shall be limited to the fenced area between 8:00 a.m. and 8:00 p.m. D. REGISTRATION Registration with the State is required. Based upon this ordinance and effective immediately, enrolled children may only play inside the fenced-in area during operating hours between 8 a.m. and 8 p.m. 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 .1718 · Violation

Name of Operation: LITTLE LEADERS LEARNING CENTER Facility ID: 34001019 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 10/3/2023 Number Present: 4 Completed Date: 10/3/2023 Age: From 2 To 4 Total Minutes: 210 Time In: 10:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Tashua Harrison, Operator, assisted me with the visit. Ms. Harrison’s mother and additional caregiver, Jocelyn Penn, was also present during a portion of the visit. Mr. Daniel Harrison, Mrs. Harrison’s husband, is also an additional caregiver, but was not present during the visit. Your program currently operates with a 4-Star license effective 7/23/2018. Restrictions include 1st, 2nd, and 3rd shift care; children in care on ground level only; maximum of 5 preschool children at any time; converted garage off limits; trampoline off limits. I observed that the trampoline has been removed from the backyard; this restriction will be removed from the license. The program’s compliance history was 90% 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. Harrison stated she and her husband are the only people living in the home. A current CBC qualification letter was observed to be on file for each individual, as well as for Ms. Penn, additional caregiver. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Two electrical outlets behind the couches in the living room, but accessible to children, were observed to have three plugs without safety covers and both outlets without outlet covers. Upon arrival, capacity was monitored as indicated on the attached worksheet. A record of arrival was not recorded for the four children present today. Supervision was adequate during the visit. I observed positive interactions today. I observed the children in care playing with toys in activity centers, engaging in conversations and play with Ms. Harrison and Ms. Penn, participating in general routines and eating lunch during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, ITS-SIDS, Special Trainings, and Criminal Background Checks. A training certificate for Health and Safety Training Topic #2, Administration of Medication with Standards for Parental Consent, was observed to be on file for the additional caregiver, but was not provided by a DCDEE approved trainer. A training certificate for Recognizing to Suspicions of Child Abuse and Maltreatment was not observed on file for two additional caregivers. Ms. Harrison stated no children enrolled take medication during operating hours. Storage of hazardous items was monitored today. In the bathroom used by children, a liquid plug-in was observed plugged into the wall by the handwashing sink. The cupboard and two drawers beneath the handwashing sink were observed to be unlocked and contained multiple items labeled Keep Out of Reach of Children with additional warnings. Three bags of cough drops and one additional item labeled Keep Out of Reach of Children with additional warnings were observed in two unlocked kitchen drawers. One liquid White-Out Pen was observed inside an unlocked cabinet beneath the television. One small bottle of hand sanitizer was observed stored in a First Aid kit stored less than five feet from the ground. Ms. Harrison removed this bottle of hand sanitizer during the visit. A playground inspection was recorded 9/08/2023. The most recent fire drill was recorded on 9/08/2023. A lockdown and shelter-in-place drill for the facility were recorded 7/07/2023. There are no pets at this facility. The program does not provide transportation, participate in off-premise activities, or participate in aquatic activities. The following violations were cited during today’s visit: Violation Number Comment Rule 716 Electrical outlets not in use were not covered. Two electrical outlets behind the couches in the living room, but accessible to children, were observed to have three plugs without safety covers and both outlets without outlet covers. 10A NCAC .1719(a)(27) 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 record of arrival was not recorded for the four children present today. .1721(e)(6) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. A training certificate for Health and Safety Training Topic #2, Administration of Medication with Standards for Parental Consent, was observed to be on file for the additional caregiver, but was not provided by a DCDEE approved trainer. A training certificate for Recognizing to Suspicions of Child Abuse and Maltreatment was not observed on file for two additional caregivers. .1703(d)(2) 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. In the bathroom used by children, a liquid plug-in was observed plugged into the wall by the handwashing sink. The cupboard and two drawers beneath the handwashing sink were observed to be unlocked and contained multiple items labeled Keep Out of Reach of Children with additional warnings. Three bags of cough drops and one additional item labeled Keep Out of Reach of Children with additional warnings were observed in two unlocked kitchen drawers. One liquid White-Out Pen was observed inside an unlocked cabinet beneath the television. One small bottle of hand sanitizer was observed stored in a First Aid kit stored less than five feet from the ground. 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 10/17/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways. o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 • The following Child Care Rules were thoroughly discussed with Ms. Harrison 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: (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor; 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (2) the age range of the children served; (5) information about services provided by the operator, such as number of meals served, before and after school care, and transportation; (6) items, if any, to be provided by parents; (7) a schedule of daily, weekly, and monthly cleaning duties; (9) the operator's discipline policy for behavior management; (11) nutrition policies. (b) Operational policies shall be discussed with parents on or before the child's first day of attendance in the home. A copy of the policies shall be given to the parents on or before the child's first day of attendance and the parents shall be notified in writing of any changes in policy. Please add each of the above components to your current Operational Policies. 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. (e) When children under three years old are in care the following apply: (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (a) The family child care home operator shall maintain the following health records for each enrolled child, including his or her own child(ren) who are not school-age: (6) daily attendance records for all children in care, including the operator's own preschool children. The attendance record shall indicate the date and time of arrival and departure for each child and shall be maintained as children arrive and depart; 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. • Please print and post the most updated Infant Safe Sleep Poster which can be found at the following link: http://safesleepnc.org/wp-content/uploads/2019/03/safesleep-flyer-052118-ENGLISH-FINAL.pdf - Please follow-up with Smart Start of Forsyth County to reissue your Emergency Preparedness and Response certificate, the training you completed on 5/02/2023. • Please post the most updated version of the Safe Sleep Policy located on the Division website; please also check the boxes on the form which your facility follows for infants enrolled. • Please post the most updated version of the Summary of NC Child Care Law located on the Division website. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please log onto the Risk Management Portal at the following web address: https://rmp.nc.gov/portal/portal.aspx# and review your EPR plan to ensure all information is updated and current. • Please cover the duct located behind the couch until the vent cover is replaced. • Please add sections to your current activity plan that include how you incorporate activities fostering children’s health and physical development and social and emotional development. • Please access the training for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment at the following web address: https://www.preventchildabusenc.org/recognizing-responding-online-course/ • Please monitor the outdoor learning environment, equipment, and fencing for developing rust and mildew. • Please also ensure all balls are inflated and ready for use by children enrolled. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a) The family child care home operator (operator or operators) shall provide the following on a daily basis for all children in care: (1) Developmentally appropriate equipment and materials for a variety of outdoor activities that allow for vigorous play, large and small muscle development, and social, emotional, and intellectual development. For purposes of this Rule "vigorous" means done with force and energy. Each child shall have the opportunity for a minimum of one hour of outdoor play each day that weather conditions permit. The operator shall provide space and time for vigorous indoor activities when children cannot play outdoors; • The Winston-Salem/Forsyth County Unified Development Ordinances (UDO) are the compilation of regulations that govern land use, which include the Zoning Ordinance, the Environmental Ordinance, and the Subdivision Ordinance/Regulations. Chapter 5 Use Standards Section 5.2 Use-Specific Standards (WINSTON-SALEM/FORSYTH COUNTY UDO 5-27 LAST UPDATED: 7.27.23) states the following: 5.2.21 CHILD DAY CARE (SMALL HOME) A. LOCATION This use is permitted only in a private residence occupied by the licensed operator or as an accessory use operated by a religious institution on the same zoning lot and within buildings also used for religious activities in all zoning districts. B. INDOOR SPACE At least twenty-five (25) square feet of inside space shall be provided for each child enrolled. C. OUTDOOR SPACE 1. Outdoor play area of one hundred (100) square feet for each child enrolled, with an eight hundred (800) square feet minimum, shall be provided. 2. Such outdoor play area shall be enclosed by a minimum four (4) foot tall security fence. 3. Outdoor activities shall be limited to the fenced area between 8:00 a.m. and 8:00 p.m. D. REGISTRATION Registration with the State is required. Based upon this ordinance and effective immediately, enrolled children may only play inside the fenced-in area during operating hours between 8 a.m. and 8 p.m. 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: LITTLE LEADERS LEARNING CENTER Facility ID: 34001019 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 10/3/2023 Number Present: 4 Completed Date: 10/3/2023 Age: From 2 To 4 Total Minutes: 210 Time In: 10:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Tashua Harrison, Operator, assisted me with the visit. Ms. Harrison’s mother and additional caregiver, Jocelyn Penn, was also present during a portion of the visit. Mr. Daniel Harrison, Mrs. Harrison’s husband, is also an additional caregiver, but was not present during the visit. Your program currently operates with a 4-Star license effective 7/23/2018. Restrictions include 1st, 2nd, and 3rd shift care; children in care on ground level only; maximum of 5 preschool children at any time; converted garage off limits; trampoline off limits. I observed that the trampoline has been removed from the backyard; this restriction will be removed from the license. The program’s compliance history was 90% 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. Harrison stated she and her husband are the only people living in the home. A current CBC qualification letter was observed to be on file for each individual, as well as for Ms. Penn, additional caregiver. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Two electrical outlets behind the couches in the living room, but accessible to children, were observed to have three plugs without safety covers and both outlets without outlet covers. Upon arrival, capacity was monitored as indicated on the attached worksheet. A record of arrival was not recorded for the four children present today. Supervision was adequate during the visit. I observed positive interactions today. I observed the children in care playing with toys in activity centers, engaging in conversations and play with Ms. Harrison and Ms. Penn, participating in general routines and eating lunch during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, ITS-SIDS, Special Trainings, and Criminal Background Checks. A training certificate for Health and Safety Training Topic #2, Administration of Medication with Standards for Parental Consent, was observed to be on file for the additional caregiver, but was not provided by a DCDEE approved trainer. A training certificate for Recognizing to Suspicions of Child Abuse and Maltreatment was not observed on file for two additional caregivers. Ms. Harrison stated no children enrolled take medication during operating hours. Storage of hazardous items was monitored today. In the bathroom used by children, a liquid plug-in was observed plugged into the wall by the handwashing sink. The cupboard and two drawers beneath the handwashing sink were observed to be unlocked and contained multiple items labeled Keep Out of Reach of Children with additional warnings. Three bags of cough drops and one additional item labeled Keep Out of Reach of Children with additional warnings were observed in two unlocked kitchen drawers. One liquid White-Out Pen was observed inside an unlocked cabinet beneath the television. One small bottle of hand sanitizer was observed stored in a First Aid kit stored less than five feet from the ground. Ms. Harrison removed this bottle of hand sanitizer during the visit. A playground inspection was recorded 9/08/2023. The most recent fire drill was recorded on 9/08/2023. A lockdown and shelter-in-place drill for the facility were recorded 7/07/2023. There are no pets at this facility. The program does not provide transportation, participate in off-premise activities, or participate in aquatic activities. The following violations were cited during today’s visit: Violation Number Comment Rule 716 Electrical outlets not in use were not covered. Two electrical outlets behind the couches in the living room, but accessible to children, were observed to have three plugs without safety covers and both outlets without outlet covers. 10A NCAC .1719(a)(27) 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 record of arrival was not recorded for the four children present today. .1721(e)(6) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. A training certificate for Health and Safety Training Topic #2, Administration of Medication with Standards for Parental Consent, was observed to be on file for the additional caregiver, but was not provided by a DCDEE approved trainer. A training certificate for Recognizing to Suspicions of Child Abuse and Maltreatment was not observed on file for two additional caregivers. .1703(d)(2) 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. In the bathroom used by children, a liquid plug-in was observed plugged into the wall by the handwashing sink. The cupboard and two drawers beneath the handwashing sink were observed to be unlocked and contained multiple items labeled Keep Out of Reach of Children with additional warnings. Three bags of cough drops and one additional item labeled Keep Out of Reach of Children with additional warnings were observed in two unlocked kitchen drawers. One liquid White-Out Pen was observed inside an unlocked cabinet beneath the television. One small bottle of hand sanitizer was observed stored in a First Aid kit stored less than five feet from the ground. 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 10/17/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways. o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 • The following Child Care Rules were thoroughly discussed with Ms. Harrison 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: (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor; 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (2) the age range of the children served; (5) information about services provided by the operator, such as number of meals served, before and after school care, and transportation; (6) items, if any, to be provided by parents; (7) a schedule of daily, weekly, and monthly cleaning duties; (9) the operator's discipline policy for behavior management; (11) nutrition policies. (b) Operational policies shall be discussed with parents on or before the child's first day of attendance in the home. A copy of the policies shall be given to the parents on or before the child's first day of attendance and the parents shall be notified in writing of any changes in policy. Please add each of the above components to your current Operational Policies. 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. (e) When children under three years old are in care the following apply: (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (a) The family child care home operator shall maintain the following health records for each enrolled child, including his or her own child(ren) who are not school-age: (6) daily attendance records for all children in care, including the operator's own preschool children. The attendance record shall indicate the date and time of arrival and departure for each child and shall be maintained as children arrive and depart; 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. • Please print and post the most updated Infant Safe Sleep Poster which can be found at the following link: http://safesleepnc.org/wp-content/uploads/2019/03/safesleep-flyer-052118-ENGLISH-FINAL.pdf - Please follow-up with Smart Start of Forsyth County to reissue your Emergency Preparedness and Response certificate, the training you completed on 5/02/2023. • Please post the most updated version of the Safe Sleep Policy located on the Division website; please also check the boxes on the form which your facility follows for infants enrolled. • Please post the most updated version of the Summary of NC Child Care Law located on the Division website. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please log onto the Risk Management Portal at the following web address: https://rmp.nc.gov/portal/portal.aspx# and review your EPR plan to ensure all information is updated and current. • Please cover the duct located behind the couch until the vent cover is replaced. • Please add sections to your current activity plan that include how you incorporate activities fostering children’s health and physical development and social and emotional development. • Please access the training for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment at the following web address: https://www.preventchildabusenc.org/recognizing-responding-online-course/ • Please monitor the outdoor learning environment, equipment, and fencing for developing rust and mildew. • Please also ensure all balls are inflated and ready for use by children enrolled. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a) The family child care home operator (operator or operators) shall provide the following on a daily basis for all children in care: (1) Developmentally appropriate equipment and materials for a variety of outdoor activities that allow for vigorous play, large and small muscle development, and social, emotional, and intellectual development. For purposes of this Rule "vigorous" means done with force and energy. Each child shall have the opportunity for a minimum of one hour of outdoor play each day that weather conditions permit. The operator shall provide space and time for vigorous indoor activities when children cannot play outdoors; • The Winston-Salem/Forsyth County Unified Development Ordinances (UDO) are the compilation of regulations that govern land use, which include the Zoning Ordinance, the Environmental Ordinance, and the Subdivision Ordinance/Regulations. Chapter 5 Use Standards Section 5.2 Use-Specific Standards (WINSTON-SALEM/FORSYTH COUNTY UDO 5-27 LAST UPDATED: 7.27.23) states the following: 5.2.21 CHILD DAY CARE (SMALL HOME) A. LOCATION This use is permitted only in a private residence occupied by the licensed operator or as an accessory use operated by a religious institution on the same zoning lot and within buildings also used for religious activities in all zoning districts. B. INDOOR SPACE At least twenty-five (25) square feet of inside space shall be provided for each child enrolled. C. OUTDOOR SPACE 1. Outdoor play area of one hundred (100) square feet for each child enrolled, with an eight hundred (800) square feet minimum, shall be provided. 2. Such outdoor play area shall be enclosed by a minimum four (4) foot tall security fence. 3. Outdoor activities shall be limited to the fenced area between 8:00 a.m. and 8:00 p.m. D. REGISTRATION Registration with the State is required. Based upon this ordinance and effective immediately, enrolled children may only play inside the fenced-in area during operating hours between 8 a.m. and 8 p.m. 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: LITTLE LEADERS LEARNING CENTER Facility ID: 34001019 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 10/3/2023 Number Present: 4 Completed Date: 10/3/2023 Age: From 2 To 4 Total Minutes: 210 Time In: 10:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Tashua Harrison, Operator, assisted me with the visit. Ms. Harrison’s mother and additional caregiver, Jocelyn Penn, was also present during a portion of the visit. Mr. Daniel Harrison, Mrs. Harrison’s husband, is also an additional caregiver, but was not present during the visit. Your program currently operates with a 4-Star license effective 7/23/2018. Restrictions include 1st, 2nd, and 3rd shift care; children in care on ground level only; maximum of 5 preschool children at any time; converted garage off limits; trampoline off limits. I observed that the trampoline has been removed from the backyard; this restriction will be removed from the license. The program’s compliance history was 90% 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. Harrison stated she and her husband are the only people living in the home. A current CBC qualification letter was observed to be on file for each individual, as well as for Ms. Penn, additional caregiver. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Two electrical outlets behind the couches in the living room, but accessible to children, were observed to have three plugs without safety covers and both outlets without outlet covers. Upon arrival, capacity was monitored as indicated on the attached worksheet. A record of arrival was not recorded for the four children present today. Supervision was adequate during the visit. I observed positive interactions today. I observed the children in care playing with toys in activity centers, engaging in conversations and play with Ms. Harrison and Ms. Penn, participating in general routines and eating lunch during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, ITS-SIDS, Special Trainings, and Criminal Background Checks. A training certificate for Health and Safety Training Topic #2, Administration of Medication with Standards for Parental Consent, was observed to be on file for the additional caregiver, but was not provided by a DCDEE approved trainer. A training certificate for Recognizing to Suspicions of Child Abuse and Maltreatment was not observed on file for two additional caregivers. Ms. Harrison stated no children enrolled take medication during operating hours. Storage of hazardous items was monitored today. In the bathroom used by children, a liquid plug-in was observed plugged into the wall by the handwashing sink. The cupboard and two drawers beneath the handwashing sink were observed to be unlocked and contained multiple items labeled Keep Out of Reach of Children with additional warnings. Three bags of cough drops and one additional item labeled Keep Out of Reach of Children with additional warnings were observed in two unlocked kitchen drawers. One liquid White-Out Pen was observed inside an unlocked cabinet beneath the television. One small bottle of hand sanitizer was observed stored in a First Aid kit stored less than five feet from the ground. Ms. Harrison removed this bottle of hand sanitizer during the visit. A playground inspection was recorded 9/08/2023. The most recent fire drill was recorded on 9/08/2023. A lockdown and shelter-in-place drill for the facility were recorded 7/07/2023. There are no pets at this facility. The program does not provide transportation, participate in off-premise activities, or participate in aquatic activities. The following violations were cited during today’s visit: Violation Number Comment Rule 716 Electrical outlets not in use were not covered. Two electrical outlets behind the couches in the living room, but accessible to children, were observed to have three plugs without safety covers and both outlets without outlet covers. 10A NCAC .1719(a)(27) 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 record of arrival was not recorded for the four children present today. .1721(e)(6) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. A training certificate for Health and Safety Training Topic #2, Administration of Medication with Standards for Parental Consent, was observed to be on file for the additional caregiver, but was not provided by a DCDEE approved trainer. A training certificate for Recognizing to Suspicions of Child Abuse and Maltreatment was not observed on file for two additional caregivers. .1703(d)(2) 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. In the bathroom used by children, a liquid plug-in was observed plugged into the wall by the handwashing sink. The cupboard and two drawers beneath the handwashing sink were observed to be unlocked and contained multiple items labeled Keep Out of Reach of Children with additional warnings. Three bags of cough drops and one additional item labeled Keep Out of Reach of Children with additional warnings were observed in two unlocked kitchen drawers. One liquid White-Out Pen was observed inside an unlocked cabinet beneath the television. One small bottle of hand sanitizer was observed stored in a First Aid kit stored less than five feet from the ground. 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 10/17/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways. o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 • The following Child Care Rules were thoroughly discussed with Ms. Harrison 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: (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor; 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (2) the age range of the children served; (5) information about services provided by the operator, such as number of meals served, before and after school care, and transportation; (6) items, if any, to be provided by parents; (7) a schedule of daily, weekly, and monthly cleaning duties; (9) the operator's discipline policy for behavior management; (11) nutrition policies. (b) Operational policies shall be discussed with parents on or before the child's first day of attendance in the home. A copy of the policies shall be given to the parents on or before the child's first day of attendance and the parents shall be notified in writing of any changes in policy. Please add each of the above components to your current Operational Policies. 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. (e) When children under three years old are in care the following apply: (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (a) The family child care home operator shall maintain the following health records for each enrolled child, including his or her own child(ren) who are not school-age: (6) daily attendance records for all children in care, including the operator's own preschool children. The attendance record shall indicate the date and time of arrival and departure for each child and shall be maintained as children arrive and depart; 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. • Please print and post the most updated Infant Safe Sleep Poster which can be found at the following link: http://safesleepnc.org/wp-content/uploads/2019/03/safesleep-flyer-052118-ENGLISH-FINAL.pdf - Please follow-up with Smart Start of Forsyth County to reissue your Emergency Preparedness and Response certificate, the training you completed on 5/02/2023. • Please post the most updated version of the Safe Sleep Policy located on the Division website; please also check the boxes on the form which your facility follows for infants enrolled. • Please post the most updated version of the Summary of NC Child Care Law located on the Division website. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please log onto the Risk Management Portal at the following web address: https://rmp.nc.gov/portal/portal.aspx# and review your EPR plan to ensure all information is updated and current. • Please cover the duct located behind the couch until the vent cover is replaced. • Please add sections to your current activity plan that include how you incorporate activities fostering children’s health and physical development and social and emotional development. • Please access the training for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment at the following web address: https://www.preventchildabusenc.org/recognizing-responding-online-course/ • Please monitor the outdoor learning environment, equipment, and fencing for developing rust and mildew. • Please also ensure all balls are inflated and ready for use by children enrolled. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a) The family child care home operator (operator or operators) shall provide the following on a daily basis for all children in care: (1) Developmentally appropriate equipment and materials for a variety of outdoor activities that allow for vigorous play, large and small muscle development, and social, emotional, and intellectual development. For purposes of this Rule "vigorous" means done with force and energy. Each child shall have the opportunity for a minimum of one hour of outdoor play each day that weather conditions permit. The operator shall provide space and time for vigorous indoor activities when children cannot play outdoors; • The Winston-Salem/Forsyth County Unified Development Ordinances (UDO) are the compilation of regulations that govern land use, which include the Zoning Ordinance, the Environmental Ordinance, and the Subdivision Ordinance/Regulations. Chapter 5 Use Standards Section 5.2 Use-Specific Standards (WINSTON-SALEM/FORSYTH COUNTY UDO 5-27 LAST UPDATED: 7.27.23) states the following: 5.2.21 CHILD DAY CARE (SMALL HOME) A. LOCATION This use is permitted only in a private residence occupied by the licensed operator or as an accessory use operated by a religious institution on the same zoning lot and within buildings also used for religious activities in all zoning districts. B. INDOOR SPACE At least twenty-five (25) square feet of inside space shall be provided for each child enrolled. C. OUTDOOR SPACE 1. Outdoor play area of one hundred (100) square feet for each child enrolled, with an eight hundred (800) square feet minimum, shall be provided. 2. Such outdoor play area shall be enclosed by a minimum four (4) foot tall security fence. 3. Outdoor activities shall be limited to the fenced area between 8:00 a.m. and 8:00 p.m. D. REGISTRATION Registration with the State is required. Based upon this ordinance and effective immediately, enrolled children may only play inside the fenced-in area during operating hours between 8 a.m. and 8 p.m. 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: LITTLE LEADERS LEARNING CENTER Facility ID: 34001019 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 10/3/2023 Number Present: 4 Completed Date: 10/3/2023 Age: From 2 To 4 Total Minutes: 210 Time In: 10:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Tashua Harrison, Operator, assisted me with the visit. Ms. Harrison’s mother and additional caregiver, Jocelyn Penn, was also present during a portion of the visit. Mr. Daniel Harrison, Mrs. Harrison’s husband, is also an additional caregiver, but was not present during the visit. Your program currently operates with a 4-Star license effective 7/23/2018. Restrictions include 1st, 2nd, and 3rd shift care; children in care on ground level only; maximum of 5 preschool children at any time; converted garage off limits; trampoline off limits. I observed that the trampoline has been removed from the backyard; this restriction will be removed from the license. The program’s compliance history was 90% 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. Harrison stated she and her husband are the only people living in the home. A current CBC qualification letter was observed to be on file for each individual, as well as for Ms. Penn, additional caregiver. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Two electrical outlets behind the couches in the living room, but accessible to children, were observed to have three plugs without safety covers and both outlets without outlet covers. Upon arrival, capacity was monitored as indicated on the attached worksheet. A record of arrival was not recorded for the four children present today. Supervision was adequate during the visit. I observed positive interactions today. I observed the children in care playing with toys in activity centers, engaging in conversations and play with Ms. Harrison and Ms. Penn, participating in general routines and eating lunch during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, ITS-SIDS, Special Trainings, and Criminal Background Checks. A training certificate for Health and Safety Training Topic #2, Administration of Medication with Standards for Parental Consent, was observed to be on file for the additional caregiver, but was not provided by a DCDEE approved trainer. A training certificate for Recognizing to Suspicions of Child Abuse and Maltreatment was not observed on file for two additional caregivers. Ms. Harrison stated no children enrolled take medication during operating hours. Storage of hazardous items was monitored today. In the bathroom used by children, a liquid plug-in was observed plugged into the wall by the handwashing sink. The cupboard and two drawers beneath the handwashing sink were observed to be unlocked and contained multiple items labeled Keep Out of Reach of Children with additional warnings. Three bags of cough drops and one additional item labeled Keep Out of Reach of Children with additional warnings were observed in two unlocked kitchen drawers. One liquid White-Out Pen was observed inside an unlocked cabinet beneath the television. One small bottle of hand sanitizer was observed stored in a First Aid kit stored less than five feet from the ground. Ms. Harrison removed this bottle of hand sanitizer during the visit. A playground inspection was recorded 9/08/2023. The most recent fire drill was recorded on 9/08/2023. A lockdown and shelter-in-place drill for the facility were recorded 7/07/2023. There are no pets at this facility. The program does not provide transportation, participate in off-premise activities, or participate in aquatic activities. The following violations were cited during today’s visit: Violation Number Comment Rule 716 Electrical outlets not in use were not covered. Two electrical outlets behind the couches in the living room, but accessible to children, were observed to have three plugs without safety covers and both outlets without outlet covers. 10A NCAC .1719(a)(27) 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 record of arrival was not recorded for the four children present today. .1721(e)(6) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. A training certificate for Health and Safety Training Topic #2, Administration of Medication with Standards for Parental Consent, was observed to be on file for the additional caregiver, but was not provided by a DCDEE approved trainer. A training certificate for Recognizing to Suspicions of Child Abuse and Maltreatment was not observed on file for two additional caregivers. .1703(d)(2) 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. In the bathroom used by children, a liquid plug-in was observed plugged into the wall by the handwashing sink. The cupboard and two drawers beneath the handwashing sink were observed to be unlocked and contained multiple items labeled Keep Out of Reach of Children with additional warnings. Three bags of cough drops and one additional item labeled Keep Out of Reach of Children with additional warnings were observed in two unlocked kitchen drawers. One liquid White-Out Pen was observed inside an unlocked cabinet beneath the television. One small bottle of hand sanitizer was observed stored in a First Aid kit stored less than five feet from the ground. 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 10/17/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways. o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 • The following Child Care Rules were thoroughly discussed with Ms. Harrison 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: (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor; 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (2) the age range of the children served; (5) information about services provided by the operator, such as number of meals served, before and after school care, and transportation; (6) items, if any, to be provided by parents; (7) a schedule of daily, weekly, and monthly cleaning duties; (9) the operator's discipline policy for behavior management; (11) nutrition policies. (b) Operational policies shall be discussed with parents on or before the child's first day of attendance in the home. A copy of the policies shall be given to the parents on or before the child's first day of attendance and the parents shall be notified in writing of any changes in policy. Please add each of the above components to your current Operational Policies. 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. (e) When children under three years old are in care the following apply: (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (a) The family child care home operator shall maintain the following health records for each enrolled child, including his or her own child(ren) who are not school-age: (6) daily attendance records for all children in care, including the operator's own preschool children. The attendance record shall indicate the date and time of arrival and departure for each child and shall be maintained as children arrive and depart; 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. • Please print and post the most updated Infant Safe Sleep Poster which can be found at the following link: http://safesleepnc.org/wp-content/uploads/2019/03/safesleep-flyer-052118-ENGLISH-FINAL.pdf - Please follow-up with Smart Start of Forsyth County to reissue your Emergency Preparedness and Response certificate, the training you completed on 5/02/2023. • Please post the most updated version of the Safe Sleep Policy located on the Division website; please also check the boxes on the form which your facility follows for infants enrolled. • Please post the most updated version of the Summary of NC Child Care Law located on the Division website. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please log onto the Risk Management Portal at the following web address: https://rmp.nc.gov/portal/portal.aspx# and review your EPR plan to ensure all information is updated and current. • Please cover the duct located behind the couch until the vent cover is replaced. • Please add sections to your current activity plan that include how you incorporate activities fostering children’s health and physical development and social and emotional development. • Please access the training for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment at the following web address: https://www.preventchildabusenc.org/recognizing-responding-online-course/ • Please monitor the outdoor learning environment, equipment, and fencing for developing rust and mildew. • Please also ensure all balls are inflated and ready for use by children enrolled. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a) The family child care home operator (operator or operators) shall provide the following on a daily basis for all children in care: (1) Developmentally appropriate equipment and materials for a variety of outdoor activities that allow for vigorous play, large and small muscle development, and social, emotional, and intellectual development. For purposes of this Rule "vigorous" means done with force and energy. Each child shall have the opportunity for a minimum of one hour of outdoor play each day that weather conditions permit. The operator shall provide space and time for vigorous indoor activities when children cannot play outdoors; • The Winston-Salem/Forsyth County Unified Development Ordinances (UDO) are the compilation of regulations that govern land use, which include the Zoning Ordinance, the Environmental Ordinance, and the Subdivision Ordinance/Regulations. Chapter 5 Use Standards Section 5.2 Use-Specific Standards (WINSTON-SALEM/FORSYTH COUNTY UDO 5-27 LAST UPDATED: 7.27.23) states the following: 5.2.21 CHILD DAY CARE (SMALL HOME) A. LOCATION This use is permitted only in a private residence occupied by the licensed operator or as an accessory use operated by a religious institution on the same zoning lot and within buildings also used for religious activities in all zoning districts. B. INDOOR SPACE At least twenty-five (25) square feet of inside space shall be provided for each child enrolled. C. OUTDOOR SPACE 1. Outdoor play area of one hundred (100) square feet for each child enrolled, with an eight hundred (800) square feet minimum, shall be provided. 2. Such outdoor play area shall be enclosed by a minimum four (4) foot tall security fence. 3. Outdoor activities shall be limited to the fenced area between 8:00 a.m. and 8:00 p.m. D. REGISTRATION Registration with the State is required. Based upon this ordinance and effective immediately, enrolled children may only play inside the fenced-in area during operating hours between 8 a.m. and 8 p.m. 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