Little Ones Heaven

10A NCAC 09 .1719 · Violation

Name of Operation: LITTLE ONES HEAVEN Facility ID: 34000694 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/31/2026 Number Present: 4 Completed Date: 3/31/2026 Age: From 0 To 4 Total Minutes: 270 Time In: 08:45 AM Time Out: 01:15 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 Kenyetta Driver, Operator. Additional caregiver, Cleveland Brown, was also present during the visit. Ms. Driver stated Mr. Brown currently does not substitute for more than five hours per week and also does not substitute for more than ten days per year. 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; and no more than two infants under the age of one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 94% 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 eating lunch with Ms. Driver during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 4/08/2025. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator and Additional Caregiver 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 3/27/2026. The most recent shelter-in-place drill was documented on 2/27/2026. The last outdoor inspection was documented on 3/27/2026. There is one pet outside the home, and all vaccinations were observed to be current and on file. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed, nor reported. Ms. Driver stated program does not transport children or participate in off-premise activities or in aquatic activities at this time. NCAC 09 .1719 (a)(2) was monitored during the visit. The following violations were cited during today’s visit: Violation Number Comment Rule 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 3/07/2026. .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 3/07/2026. .1703(a)(3) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. On the playground used by children, one wasp nest was observed inside the roof of a small nonstationary play structure; a wasp was observed crawling on the nest. Another wasp nest was observed inside a toy grill covers with a wasp crawling on the nest. Two nails, sharp to the touch, were observed protruding from the back of the fencing less than five feet from the ground. One heavily rusted hinge was observed on the back left portion of the fencing accessible to children. 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 pump bottle of Aveeno hand lotion was observed stored less than five feet from the ground in the hallway accessed by children; the label on this bottle stated Keep Out of Reach of Children and had one additional warning. 10A NCAC 09 .1719(a)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 4/14/2026. 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 CPR/ FA certification for the operator expired on 3/07/2026. Ms. Driver stated she did not realize these trainings were getting ready to expire. It is imperative for all required trainings to be current and on file, especially health & safety related trainings. You may consider creating a reminder to renew these trainings every two years. One pump bottle of Aveno hand lotion was observed stored less than five feet from the ground in the hallway accessed by children; the label on this bottle stated Keep Out of Reach of Children and had one additional warning. Mr. Brown immediately removed this bottle from the space designated for child care. On the playground used by children, one wasp nest was observed inside the roof of a small nonstationary play structure; a wasp was observed crawling on the nest. Another wasp nest was observed inside a toy grill covers with a wasp crawling on the nest. Mr. Brown removed these nests while I was monitoring the playground. Two nails, sharp to the touch, were observed protruding from the back of the fencing less than five feet from the ground; Mr. Brown hammered these nails back into the wooden fencing while I was monitoring the playground. It is imperative for the indoor environment to be a safe place for children to explore at all times. You may consider conducting a daily walkthrough of the indoor and outdoor environments daily prior to children playing outside to ensure it is safe for children to explore. Consultation provided following today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Remember to renew the following this year: • Rabies vaccination for Nite Nite before 5/24/2026; • Criminal Background Check Qualification Letters for the operator and additional caregiver prior to 5/24/2026. 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. Driver stated she is planning to choose Pathway 2, the Classroom and Instructional Quality Pathway. She stated she was working with Smart Start of Forsyth County using the Creative Curriculum and TSG, but had recently stopped this process. Ms. Driver stated she will contact SSFC again today to re-engage with this process. Additionally, I shared with Mrs. Driver 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. She stated she still plans to apply for Pathway 2 this summer; she also stated she continues to be interested in earning NAFCC Accreditation, but will use Pathway 2 until she achieves this accreditation. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: LITTLE ONES HEAVEN Facility ID: 34000694 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/31/2026 Number Present: 4 Completed Date: 3/31/2026 Age: From 0 To 4 Total Minutes: 270 Time In: 08:45 AM Time Out: 01:15 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 Kenyetta Driver, Operator. Additional caregiver, Cleveland Brown, was also present during the visit. Ms. Driver stated Mr. Brown currently does not substitute for more than five hours per week and also does not substitute for more than ten days per year. 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; and no more than two infants under the age of one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 94% 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 eating lunch with Ms. Driver during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 4/08/2025. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator and Additional Caregiver 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 3/27/2026. The most recent shelter-in-place drill was documented on 2/27/2026. The last outdoor inspection was documented on 3/27/2026. There is one pet outside the home, and all vaccinations were observed to be current and on file. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed, nor reported. Ms. Driver stated program does not transport children or participate in off-premise activities or in aquatic activities at this time. NCAC 09 .1719 (a)(2) was monitored during the visit. The following violations were cited during today’s visit: Violation Number Comment Rule 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 3/07/2026. .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 3/07/2026. .1703(a)(3) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. On the playground used by children, one wasp nest was observed inside the roof of a small nonstationary play structure; a wasp was observed crawling on the nest. Another wasp nest was observed inside a toy grill covers with a wasp crawling on the nest. Two nails, sharp to the touch, were observed protruding from the back of the fencing less than five feet from the ground. One heavily rusted hinge was observed on the back left portion of the fencing accessible to children. 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 pump bottle of Aveeno hand lotion was observed stored less than five feet from the ground in the hallway accessed by children; the label on this bottle stated Keep Out of Reach of Children and had one additional warning. 10A NCAC 09 .1719(a)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 4/14/2026. 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 CPR/ FA certification for the operator expired on 3/07/2026. Ms. Driver stated she did not realize these trainings were getting ready to expire. It is imperative for all required trainings to be current and on file, especially health & safety related trainings. You may consider creating a reminder to renew these trainings every two years. One pump bottle of Aveno hand lotion was observed stored less than five feet from the ground in the hallway accessed by children; the label on this bottle stated Keep Out of Reach of Children and had one additional warning. Mr. Brown immediately removed this bottle from the space designated for child care. On the playground used by children, one wasp nest was observed inside the roof of a small nonstationary play structure; a wasp was observed crawling on the nest. Another wasp nest was observed inside a toy grill covers with a wasp crawling on the nest. Mr. Brown removed these nests while I was monitoring the playground. Two nails, sharp to the touch, were observed protruding from the back of the fencing less than five feet from the ground; Mr. Brown hammered these nails back into the wooden fencing while I was monitoring the playground. It is imperative for the indoor environment to be a safe place for children to explore at all times. You may consider conducting a daily walkthrough of the indoor and outdoor environments daily prior to children playing outside to ensure it is safe for children to explore. Consultation provided following today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Remember to renew the following this year: • Rabies vaccination for Nite Nite before 5/24/2026; • Criminal Background Check Qualification Letters for the operator and additional caregiver prior to 5/24/2026. 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. Driver stated she is planning to choose Pathway 2, the Classroom and Instructional Quality Pathway. She stated she was working with Smart Start of Forsyth County using the Creative Curriculum and TSG, but had recently stopped this process. Ms. Driver stated she will contact SSFC again today to re-engage with this process. Additionally, I shared with Mrs. Driver 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. She stated she still plans to apply for Pathway 2 this summer; she also stated she continues to be interested in earning NAFCC Accreditation, but will use Pathway 2 until she achieves this accreditation. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1719 · Violation

Name of Operation: LITTLE ONES HEAVEN Facility ID: 34000694 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 10/15/2025 Number Present: 1 Completed Date: 10/15/2025 Age: From 1 To 1 Total Minutes: 233 Time In: 09:37 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 unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted with Kenyetta Driver, Operator. Additional caregiver, Cleveland Brown, was present during the visit as well. Melinda Lescar, Child Care Consultant, was also present during the visit. Your program currently operates with a 4-Star license effective 3/14/2018. Restrictions include 1st, 2nd, and 3rd shift care, children in care on ground level only, a maximum of five preschool children at any time, and no more than two infants under one year of age. Mrs. Driver stated she is only operating 1st shift care at this time. The program’s compliance history was 93% 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. Driver stated she, her husband, and her minor sons (17 years old and 12 years old, respectively) live in the home. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed the child in care playing with toys, engaging in conversations and activities with Ms. Driver, playing outdoors, and participating in general routines during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, ITS-SIDS, and Criminal Background Checks. No medications were observed, nor reported. Storage of hazardous items was monitored today and found to be in compliance. The most recent playground inspection was recorded on 9/25/2025. The most recent fire drill was recorded on 9/25/2025. A shelter-in-place drill for the facility was last recorded on 8/25/2025. Child Care Rule .1719 (a)(2) was monitored during the visit. There is one pet located outside of the home, and all vaccinations were observed to be current and on file. The program does not participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Two rusted nails were observed exposed and accessible to children on the back left side of the fencing, due to a fence board coming loose. 10A NCAC 09 .1719 (a) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, the CBC for the operator's minor son (17 years of age) was not yet linked to this profile. G.S. 110-90.2 & .2703(r) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 10/29/2025. 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: 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 During the Visit: Two rusted nails were observed exposed and accessible to children on the back left side of the fencing, due to a fence board coming loose. It is imperative the outdoor environment be a safe place for children to engage in and with at all times. You may consider adding monitoring the fencing for safety issues to your monthly playground inspection. A facility profile for Criminal Background Checks had not been created; hence, the CBC for the operator's minor son (17 years of age) was not yet linked to this profile. It is necessary for all staff members and resident of the home 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. Ms. Driver stated she has the instructions I sent via email to complete this process, and I emailed the ABCMS Technical Assistance guidance recently received to Ms. Driver during the visit, as well as contact information for NCID and the ABCMS/ CBC Unit. Consultation provided during today’s visit: Ms. Driver reported approximately one month ago, a microburst (miniature tornado) traveled through her neighborhood, causing a tree to fall, damaging a section of the neighbor’s fencing, which also serves as a portion of Ms. Driver’s playground fencing borders in the outdoor learning environment. During today’s visit, two holes were observed in the section of damaged fencing with sharp fencing wires accessible, and one full opening in the fencing was observed which was approximately 18 inches wide. Ms. Driver stated the fallen tree was removed last week, and her neighbor would be covering these repairs, but that she currently does not have a timeline for permanent repairs. We discussed Ms. Driver would implement a temporary solution (possibly lattice) to make this section of fencing stable, fully enclosed, and ensure the holes and sharp exposed wires are inaccessible to children within two weeks of the visit. Ms. Driver stated she will update me on permanent repairs as she is provided additional information. Ms. Driver stated during today’s visit she is interested in increasing her capacity, but does not yet know which option she will choose. We discussed the NC DCDEE Email Blast sent on 10/10/2025, and I emailed Ms. Driver the contact information for Forsyth County Zoning Department during the visit. I also stated to Ms. Driver I would request clarification as to whether a battery-operated carbon monoxide detector can be used in the home to meet requirements for the capacity increase. A copy of the NC FELD was provided to Ms. Driver during the visit. Please monitor the outdoor learning environment for rust. 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 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. 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 reviewed with and provided to you, and you were given the opportunity to ask questions regarding the visit. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: LITTLE ONES HEAVEN Facility ID: 34000694 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 10/15/2025 Number Present: 1 Completed Date: 10/15/2025 Age: From 1 To 1 Total Minutes: 233 Time In: 09:37 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 unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted with Kenyetta Driver, Operator. Additional caregiver, Cleveland Brown, was present during the visit as well. Melinda Lescar, Child Care Consultant, was also present during the visit. Your program currently operates with a 4-Star license effective 3/14/2018. Restrictions include 1st, 2nd, and 3rd shift care, children in care on ground level only, a maximum of five preschool children at any time, and no more than two infants under one year of age. Mrs. Driver stated she is only operating 1st shift care at this time. The program’s compliance history was 93% 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. Driver stated she, her husband, and her minor sons (17 years old and 12 years old, respectively) live in the home. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed the child in care playing with toys, engaging in conversations and activities with Ms. Driver, playing outdoors, and participating in general routines during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, ITS-SIDS, and Criminal Background Checks. No medications were observed, nor reported. Storage of hazardous items was monitored today and found to be in compliance. The most recent playground inspection was recorded on 9/25/2025. The most recent fire drill was recorded on 9/25/2025. A shelter-in-place drill for the facility was last recorded on 8/25/2025. Child Care Rule .1719 (a)(2) was monitored during the visit. There is one pet located outside of the home, and all vaccinations were observed to be current and on file. The program does not participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Two rusted nails were observed exposed and accessible to children on the back left side of the fencing, due to a fence board coming loose. 10A NCAC 09 .1719 (a) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, the CBC for the operator's minor son (17 years of age) was not yet linked to this profile. G.S. 110-90.2 & .2703(r) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 10/29/2025. 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: 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 During the Visit: Two rusted nails were observed exposed and accessible to children on the back left side of the fencing, due to a fence board coming loose. It is imperative the outdoor environment be a safe place for children to engage in and with at all times. You may consider adding monitoring the fencing for safety issues to your monthly playground inspection. A facility profile for Criminal Background Checks had not been created; hence, the CBC for the operator's minor son (17 years of age) was not yet linked to this profile. It is necessary for all staff members and resident of the home 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. Ms. Driver stated she has the instructions I sent via email to complete this process, and I emailed the ABCMS Technical Assistance guidance recently received to Ms. Driver during the visit, as well as contact information for NCID and the ABCMS/ CBC Unit. Consultation provided during today’s visit: Ms. Driver reported approximately one month ago, a microburst (miniature tornado) traveled through her neighborhood, causing a tree to fall, damaging a section of the neighbor’s fencing, which also serves as a portion of Ms. Driver’s playground fencing borders in the outdoor learning environment. During today’s visit, two holes were observed in the section of damaged fencing with sharp fencing wires accessible, and one full opening in the fencing was observed which was approximately 18 inches wide. Ms. Driver stated the fallen tree was removed last week, and her neighbor would be covering these repairs, but that she currently does not have a timeline for permanent repairs. We discussed Ms. Driver would implement a temporary solution (possibly lattice) to make this section of fencing stable, fully enclosed, and ensure the holes and sharp exposed wires are inaccessible to children within two weeks of the visit. Ms. Driver stated she will update me on permanent repairs as she is provided additional information. Ms. Driver stated during today’s visit she is interested in increasing her capacity, but does not yet know which option she will choose. We discussed the NC DCDEE Email Blast sent on 10/10/2025, and I emailed Ms. Driver the contact information for Forsyth County Zoning Department during the visit. I also stated to Ms. Driver I would request clarification as to whether a battery-operated carbon monoxide detector can be used in the home to meet requirements for the capacity increase. A copy of the NC FELD was provided to Ms. Driver during the visit. Please monitor the outdoor learning environment for rust. 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 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. 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 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 ONES HEAVEN Facility ID: 34000694 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 10/15/2025 Number Present: 1 Completed Date: 10/15/2025 Age: From 1 To 1 Total Minutes: 233 Time In: 09:37 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 unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted with Kenyetta Driver, Operator. Additional caregiver, Cleveland Brown, was present during the visit as well. Melinda Lescar, Child Care Consultant, was also present during the visit. Your program currently operates with a 4-Star license effective 3/14/2018. Restrictions include 1st, 2nd, and 3rd shift care, children in care on ground level only, a maximum of five preschool children at any time, and no more than two infants under one year of age. Mrs. Driver stated she is only operating 1st shift care at this time. The program’s compliance history was 93% 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. Driver stated she, her husband, and her minor sons (17 years old and 12 years old, respectively) live in the home. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed the child in care playing with toys, engaging in conversations and activities with Ms. Driver, playing outdoors, and participating in general routines during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, ITS-SIDS, and Criminal Background Checks. No medications were observed, nor reported. Storage of hazardous items was monitored today and found to be in compliance. The most recent playground inspection was recorded on 9/25/2025. The most recent fire drill was recorded on 9/25/2025. A shelter-in-place drill for the facility was last recorded on 8/25/2025. Child Care Rule .1719 (a)(2) was monitored during the visit. There is one pet located outside of the home, and all vaccinations were observed to be current and on file. The program does not participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Two rusted nails were observed exposed and accessible to children on the back left side of the fencing, due to a fence board coming loose. 10A NCAC 09 .1719 (a) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, the CBC for the operator's minor son (17 years of age) was not yet linked to this profile. G.S. 110-90.2 & .2703(r) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 10/29/2025. 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: 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 During the Visit: Two rusted nails were observed exposed and accessible to children on the back left side of the fencing, due to a fence board coming loose. It is imperative the outdoor environment be a safe place for children to engage in and with at all times. You may consider adding monitoring the fencing for safety issues to your monthly playground inspection. A facility profile for Criminal Background Checks had not been created; hence, the CBC for the operator's minor son (17 years of age) was not yet linked to this profile. It is necessary for all staff members and resident of the home 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. Ms. Driver stated she has the instructions I sent via email to complete this process, and I emailed the ABCMS Technical Assistance guidance recently received to Ms. Driver during the visit, as well as contact information for NCID and the ABCMS/ CBC Unit. Consultation provided during today’s visit: Ms. Driver reported approximately one month ago, a microburst (miniature tornado) traveled through her neighborhood, causing a tree to fall, damaging a section of the neighbor’s fencing, which also serves as a portion of Ms. Driver’s playground fencing borders in the outdoor learning environment. During today’s visit, two holes were observed in the section of damaged fencing with sharp fencing wires accessible, and one full opening in the fencing was observed which was approximately 18 inches wide. Ms. Driver stated the fallen tree was removed last week, and her neighbor would be covering these repairs, but that she currently does not have a timeline for permanent repairs. We discussed Ms. Driver would implement a temporary solution (possibly lattice) to make this section of fencing stable, fully enclosed, and ensure the holes and sharp exposed wires are inaccessible to children within two weeks of the visit. Ms. Driver stated she will update me on permanent repairs as she is provided additional information. Ms. Driver stated during today’s visit she is interested in increasing her capacity, but does not yet know which option she will choose. We discussed the NC DCDEE Email Blast sent on 10/10/2025, and I emailed Ms. Driver the contact information for Forsyth County Zoning Department during the visit. I also stated to Ms. Driver I would request clarification as to whether a battery-operated carbon monoxide detector can be used in the home to meet requirements for the capacity increase. A copy of the NC FELD was provided to Ms. Driver during the visit. Please monitor the outdoor learning environment for rust. 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 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. 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 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 .1705 · Violation

Name of Operation: LITTLE ONES HEAVEN Facility ID: 34000694 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 4/8/2025 Number Present: 5 Completed Date: 4/8/2025 Age: From 0 To 4 Total Minutes: 121 Time In: 10:45 AM Time Out: 12:46 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 Kenyetta Driver, Operator. Cleveland Brown, 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; serves no more than two infants under age one, and children in care on ground level only. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 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. Upon arrival, capacity was monitored as indicated on the attached worksheet. Five children were present during the visit; they were observed participating in general routines, eating lunch, engaging in conversations with Ms. Driver, 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 5/03/2024. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator and Additional Caregiver 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 3/27/25. The most recent shelter-in-place drill was documented on 2/28/2025. The last outdoor inspection was documented on 3/27/2025. There is one pet at the home, and all vaccinations were observed to be current and on file. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. The program does not provide transportation or participate in off-premise activities or in aquatic activities at this time. NCAC 09 .1719 (a)(2) was monitored during the visit. The following violations were cited during today’s visit: Violation Number Comment Rule 409 Individuals who provide care for 5 hours or more hours in a week, during planned absences of the family child care home operator, did not meet the requirements as specified in rule. The additional caregiver was required to complete 15.5 additional ongoing annual training hours following the AC visit conducted on 5/03/2024, and prior to 5/23/2024; Mr. Brown completed four (4) of the 15.5 required hours. 10 A NCAC 09.1701(b) 1301 Operator did not complete the required number of on-going training hours as specified in rule. The operator was required to complete 5.5 additional ongoing annual training hours following the AC visit conducted on 5/03/24, and prior to 5/23/2024; Ms. Driver completed two (2) of the 5.5 hours. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 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 solid cone air freshener labeled Keep Out of Reach of Children with additional warnings was observed in the bathroom used by children, stored greater than five feet from the ground, but in unlocked storage. 10A NCAC 09 .1719(a)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 4/22/2025. 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 operator was required to complete 5.5 additional ongoing annual training hours following the AC visit conducted on 5/03/24, and prior to 5/23/2024; Ms. Driver completed two (2) of the 5.5 hours. The additional caregiver was required to complete 15.5 additional ongoing annual training hours following the AC visit conducted on 5/03/2024, and prior to 5/23/2024; Mr. Brown completed four (4) of the 15.5 required hours. It is important for all ongoing training hours to be completed, 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 ongoing training documentation to track how many hours of training you have completed from AC visit to AC visit date. Consultation provided following today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. Please be reminded Ms. Driver must complete 7 additional hours of training by 5/03/2025, and 10 hours of ongoing training by 4/08/2026, and Mr. Brown must complete 12 additional hours of on-going training by 5/03/2025 and 15 hours of ongoing training by 4/08/2026. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1719 · Violation

Name of Operation: LITTLE ONES HEAVEN Facility ID: 34000694 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 4/8/2025 Number Present: 5 Completed Date: 4/8/2025 Age: From 0 To 4 Total Minutes: 121 Time In: 10:45 AM Time Out: 12:46 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 Kenyetta Driver, Operator. Cleveland Brown, 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; serves no more than two infants under age one, and children in care on ground level only. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 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. Upon arrival, capacity was monitored as indicated on the attached worksheet. Five children were present during the visit; they were observed participating in general routines, eating lunch, engaging in conversations with Ms. Driver, 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 5/03/2024. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator and Additional Caregiver 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 3/27/25. The most recent shelter-in-place drill was documented on 2/28/2025. The last outdoor inspection was documented on 3/27/2025. There is one pet at the home, and all vaccinations were observed to be current and on file. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. The program does not provide transportation or participate in off-premise activities or in aquatic activities at this time. NCAC 09 .1719 (a)(2) was monitored during the visit. The following violations were cited during today’s visit: Violation Number Comment Rule 409 Individuals who provide care for 5 hours or more hours in a week, during planned absences of the family child care home operator, did not meet the requirements as specified in rule. The additional caregiver was required to complete 15.5 additional ongoing annual training hours following the AC visit conducted on 5/03/2024, and prior to 5/23/2024; Mr. Brown completed four (4) of the 15.5 required hours. 10 A NCAC 09.1701(b) 1301 Operator did not complete the required number of on-going training hours as specified in rule. The operator was required to complete 5.5 additional ongoing annual training hours following the AC visit conducted on 5/03/24, and prior to 5/23/2024; Ms. Driver completed two (2) of the 5.5 hours. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 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 solid cone air freshener labeled Keep Out of Reach of Children with additional warnings was observed in the bathroom used by children, stored greater than five feet from the ground, but in unlocked storage. 10A NCAC 09 .1719(a)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 4/22/2025. 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 operator was required to complete 5.5 additional ongoing annual training hours following the AC visit conducted on 5/03/24, and prior to 5/23/2024; Ms. Driver completed two (2) of the 5.5 hours. The additional caregiver was required to complete 15.5 additional ongoing annual training hours following the AC visit conducted on 5/03/2024, and prior to 5/23/2024; Mr. Brown completed four (4) of the 15.5 required hours. It is important for all ongoing training hours to be completed, 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 ongoing training documentation to track how many hours of training you have completed from AC visit to AC visit date. Consultation provided following today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. Please be reminded Ms. Driver must complete 7 additional hours of training by 5/03/2025, and 10 hours of ongoing training by 4/08/2026, and Mr. Brown must complete 12 additional hours of on-going training by 5/03/2025 and 15 hours of ongoing training by 4/08/2026. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: LITTLE ONES HEAVEN Facility ID: 34000694 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 4/8/2025 Number Present: 5 Completed Date: 4/8/2025 Age: From 0 To 4 Total Minutes: 121 Time In: 10:45 AM Time Out: 12:46 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 Kenyetta Driver, Operator. Cleveland Brown, 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; serves no more than two infants under age one, and children in care on ground level only. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 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. Upon arrival, capacity was monitored as indicated on the attached worksheet. Five children were present during the visit; they were observed participating in general routines, eating lunch, engaging in conversations with Ms. Driver, 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 5/03/2024. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator and Additional Caregiver 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 3/27/25. The most recent shelter-in-place drill was documented on 2/28/2025. The last outdoor inspection was documented on 3/27/2025. There is one pet at the home, and all vaccinations were observed to be current and on file. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. The program does not provide transportation or participate in off-premise activities or in aquatic activities at this time. NCAC 09 .1719 (a)(2) was monitored during the visit. The following violations were cited during today’s visit: Violation Number Comment Rule 409 Individuals who provide care for 5 hours or more hours in a week, during planned absences of the family child care home operator, did not meet the requirements as specified in rule. The additional caregiver was required to complete 15.5 additional ongoing annual training hours following the AC visit conducted on 5/03/2024, and prior to 5/23/2024; Mr. Brown completed four (4) of the 15.5 required hours. 10 A NCAC 09.1701(b) 1301 Operator did not complete the required number of on-going training hours as specified in rule. The operator was required to complete 5.5 additional ongoing annual training hours following the AC visit conducted on 5/03/24, and prior to 5/23/2024; Ms. Driver completed two (2) of the 5.5 hours. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 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 solid cone air freshener labeled Keep Out of Reach of Children with additional warnings was observed in the bathroom used by children, stored greater than five feet from the ground, but in unlocked storage. 10A NCAC 09 .1719(a)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 4/22/2025. 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 operator was required to complete 5.5 additional ongoing annual training hours following the AC visit conducted on 5/03/24, and prior to 5/23/2024; Ms. Driver completed two (2) of the 5.5 hours. The additional caregiver was required to complete 15.5 additional ongoing annual training hours following the AC visit conducted on 5/03/2024, and prior to 5/23/2024; Mr. Brown completed four (4) of the 15.5 required hours. It is important for all ongoing training hours to be completed, 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 ongoing training documentation to track how many hours of training you have completed from AC visit to AC visit date. Consultation provided following today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. Please be reminded Ms. Driver must complete 7 additional hours of training by 5/03/2025, and 10 hours of ongoing training by 4/08/2026, and Mr. Brown must complete 12 additional hours of on-going training by 5/03/2025 and 15 hours of ongoing training by 4/08/2026. 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 ONES HEAVEN Facility ID: 34000694 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 4/8/2025 Number Present: 5 Completed Date: 4/8/2025 Age: From 0 To 4 Total Minutes: 121 Time In: 10:45 AM Time Out: 12:46 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 Kenyetta Driver, Operator. Cleveland Brown, 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; serves no more than two infants under age one, and children in care on ground level only. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 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. Upon arrival, capacity was monitored as indicated on the attached worksheet. Five children were present during the visit; they were observed participating in general routines, eating lunch, engaging in conversations with Ms. Driver, 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 5/03/2024. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator and Additional Caregiver 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 3/27/25. The most recent shelter-in-place drill was documented on 2/28/2025. The last outdoor inspection was documented on 3/27/2025. There is one pet at the home, and all vaccinations were observed to be current and on file. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. The program does not provide transportation or participate in off-premise activities or in aquatic activities at this time. NCAC 09 .1719 (a)(2) was monitored during the visit. The following violations were cited during today’s visit: Violation Number Comment Rule 409 Individuals who provide care for 5 hours or more hours in a week, during planned absences of the family child care home operator, did not meet the requirements as specified in rule. The additional caregiver was required to complete 15.5 additional ongoing annual training hours following the AC visit conducted on 5/03/2024, and prior to 5/23/2024; Mr. Brown completed four (4) of the 15.5 required hours. 10 A NCAC 09.1701(b) 1301 Operator did not complete the required number of on-going training hours as specified in rule. The operator was required to complete 5.5 additional ongoing annual training hours following the AC visit conducted on 5/03/24, and prior to 5/23/2024; Ms. Driver completed two (2) of the 5.5 hours. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 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 solid cone air freshener labeled Keep Out of Reach of Children with additional warnings was observed in the bathroom used by children, stored greater than five feet from the ground, but in unlocked storage. 10A NCAC 09 .1719(a)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 4/22/2025. 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 operator was required to complete 5.5 additional ongoing annual training hours following the AC visit conducted on 5/03/24, and prior to 5/23/2024; Ms. Driver completed two (2) of the 5.5 hours. The additional caregiver was required to complete 15.5 additional ongoing annual training hours following the AC visit conducted on 5/03/2024, and prior to 5/23/2024; Mr. Brown completed four (4) of the 15.5 required hours. It is important for all ongoing training hours to be completed, 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 ongoing training documentation to track how many hours of training you have completed from AC visit to AC visit date. Consultation provided following today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. Please be reminded Ms. Driver must complete 7 additional hours of training by 5/03/2025, and 10 hours of ongoing training by 4/08/2026, and Mr. Brown must complete 12 additional hours of on-going training by 5/03/2025 and 15 hours of ongoing training by 4/08/2026. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1719 · Violation

Name of Operation: LITTLE ONES HEAVEN Facility ID: 34000694 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 9/25/2024 Number Present: 4 Completed Date: 9/25/2024 Age: From 0 To 3 Total Minutes: 180 Time In: 09:45 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Kenyetta Driver, Operator, assisted me with the visit. Additional caregiver, Cleveland Brown, was also present during the visit. Your program currently operates with a 4-Star license effective 3/14/2018. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschool children at any time; children in care on ground level only, and serves no more than two infants under age one. Ms. Driver stated she is currently only operating first shift care. The program’s compliance history was 91 % 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. Driver stated she, Mr. Brown, and her two sons are the only people living in the home. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing with toys, engaging in conversations, circle time, general routines and other activities with Ms. Driver during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, ITS-SIDS, and Criminal Background Checks. .1719 (a)(2) was monitored for compliance during the visit. No medications were observed nor reported. Storage of hazardous items was monitored today and found to be in compliance. A playground inspection was recorded 8/26/2024. A fire drill was recorded 8/26/2024. The most recent shelter-in-place drill for the facility was recorded 8/26/2024. There is currently one pet at the home, and all required vaccination records were observed to be current and on file. The program does not provide transportation or participate in off-premise or aquatic activities at this time. The following violations were during today’s visit: Violation Number Comment Rule 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. On the playground accessed by children, one small plastic piece from a toy play house was observed to be broken and sharp to the touch, located on the ground inside the stationary play house. This plastic piece was removed from the playground during the visit. The second section of wooden fencing on the left side of the playground (facing away from the home) was observed to have three rusted nails, sharp to the touch, protruding from a fence board, approximately 34 inches from the ground. The fifth section of wooden fencing on the left side of the playground (facing away from the home) was observed to be unstable. 10A NCAC 09 .1719 (a) 1831 A valid qualification letter was not on file and available for review at the facility. A physical copy of the Criminal Background Check qualification letter was not observed on file for the operator’s son during the visit. G.S. 110-90.2 (b) & (d) & .2703(e) .1702(b)(1) 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. An empty plastic soap wrapper was observed beneath an unlatched cabinet in the bathroom, accessible to children younger than three years of age. Four plastic shopping bags were observed less than five feet from the ground, accessible to children under three years of age, in the space between the room designated for child care and the kitchen. .1719(a)(18) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 10/09/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided during today’s visit: An empty plastic soap wrapper was observed beneath an unlatched cabinet in the bathroom, accessible to children younger than three years of age. Four plastic shopping bags were observed less than five feet from the ground, accessible to children under three years of age, in the space between the room designated for child care and the kitchen. Ms. Driver made each of these bags and wrappers inaccessible during the visit. A physical copy of the Criminal Background Check qualification letter was not observed on file for the operator’s son during the visit. A copy of this qualification letter was printed and placed in the operator’s file for her son during the visit. On the playground accessed by children, one small plastic piece from a toy play house was observed to be broken and sharp to the touch, located on the ground inside the stationary play house. This plastic piece was removed from the playground during the visit. The second section of wooden fencing on the left side of the playground (facing away from the home) was observed to have three rusted nails, sharp to the touch, protruding from a fence board, approximately 34 inches from the ground. The fifth section of wooden fencing on the left side of the playground (facing away from the home) was observed to be unstable. It is important for the outdoor learning environment to be safe place for children in care to explore at all times. Ms. Driver stated she was aware of the issues on the fence. She stated a few weeks ago, a storm with strong wind came through the area and destabilized several areas of the fencing. Ms. Driver stated Mr. Brown has been working on these areas over the past two weeks to fix all issues. You may consider potential temporary fixes for these items when they occur until they can be permanently fixed and checking for broken equipment and debris on the playground each morning, just prior to children’s use. Consultation provided during today’s visit: The following Child Care Rule was reviewed with Ms. Driver during the visit: 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) (21) 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (5)(6)(9) North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1725 · Violation

Name of Operation: LITTLE ONES HEAVEN Facility ID: 34000694 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 9/25/2024 Number Present: 4 Completed Date: 9/25/2024 Age: From 0 To 3 Total Minutes: 180 Time In: 09:45 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Kenyetta Driver, Operator, assisted me with the visit. Additional caregiver, Cleveland Brown, was also present during the visit. Your program currently operates with a 4-Star license effective 3/14/2018. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschool children at any time; children in care on ground level only, and serves no more than two infants under age one. Ms. Driver stated she is currently only operating first shift care. The program’s compliance history was 91 % 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. Driver stated she, Mr. Brown, and her two sons are the only people living in the home. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing with toys, engaging in conversations, circle time, general routines and other activities with Ms. Driver during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, ITS-SIDS, and Criminal Background Checks. .1719 (a)(2) was monitored for compliance during the visit. No medications were observed nor reported. Storage of hazardous items was monitored today and found to be in compliance. A playground inspection was recorded 8/26/2024. A fire drill was recorded 8/26/2024. The most recent shelter-in-place drill for the facility was recorded 8/26/2024. There is currently one pet at the home, and all required vaccination records were observed to be current and on file. The program does not provide transportation or participate in off-premise or aquatic activities at this time. The following violations were during today’s visit: Violation Number Comment Rule 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. On the playground accessed by children, one small plastic piece from a toy play house was observed to be broken and sharp to the touch, located on the ground inside the stationary play house. This plastic piece was removed from the playground during the visit. The second section of wooden fencing on the left side of the playground (facing away from the home) was observed to have three rusted nails, sharp to the touch, protruding from a fence board, approximately 34 inches from the ground. The fifth section of wooden fencing on the left side of the playground (facing away from the home) was observed to be unstable. 10A NCAC 09 .1719 (a) 1831 A valid qualification letter was not on file and available for review at the facility. A physical copy of the Criminal Background Check qualification letter was not observed on file for the operator’s son during the visit. G.S. 110-90.2 (b) & (d) & .2703(e) .1702(b)(1) 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. An empty plastic soap wrapper was observed beneath an unlatched cabinet in the bathroom, accessible to children younger than three years of age. Four plastic shopping bags were observed less than five feet from the ground, accessible to children under three years of age, in the space between the room designated for child care and the kitchen. .1719(a)(18) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 10/09/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided during today’s visit: An empty plastic soap wrapper was observed beneath an unlatched cabinet in the bathroom, accessible to children younger than three years of age. Four plastic shopping bags were observed less than five feet from the ground, accessible to children under three years of age, in the space between the room designated for child care and the kitchen. Ms. Driver made each of these bags and wrappers inaccessible during the visit. A physical copy of the Criminal Background Check qualification letter was not observed on file for the operator’s son during the visit. A copy of this qualification letter was printed and placed in the operator’s file for her son during the visit. On the playground accessed by children, one small plastic piece from a toy play house was observed to be broken and sharp to the touch, located on the ground inside the stationary play house. This plastic piece was removed from the playground during the visit. The second section of wooden fencing on the left side of the playground (facing away from the home) was observed to have three rusted nails, sharp to the touch, protruding from a fence board, approximately 34 inches from the ground. The fifth section of wooden fencing on the left side of the playground (facing away from the home) was observed to be unstable. It is important for the outdoor learning environment to be safe place for children in care to explore at all times. Ms. Driver stated she was aware of the issues on the fence. She stated a few weeks ago, a storm with strong wind came through the area and destabilized several areas of the fencing. Ms. Driver stated Mr. Brown has been working on these areas over the past two weeks to fix all issues. You may consider potential temporary fixes for these items when they occur until they can be permanently fixed and checking for broken equipment and debris on the playground each morning, just prior to children’s use. Consultation provided during today’s visit: The following Child Care Rule was reviewed with Ms. Driver during the visit: 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) (21) 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (5)(6)(9) North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: LITTLE ONES HEAVEN Facility ID: 34000694 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 9/25/2024 Number Present: 4 Completed Date: 9/25/2024 Age: From 0 To 3 Total Minutes: 180 Time In: 09:45 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Kenyetta Driver, Operator, assisted me with the visit. Additional caregiver, Cleveland Brown, was also present during the visit. Your program currently operates with a 4-Star license effective 3/14/2018. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschool children at any time; children in care on ground level only, and serves no more than two infants under age one. Ms. Driver stated she is currently only operating first shift care. The program’s compliance history was 91 % 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. Driver stated she, Mr. Brown, and her two sons are the only people living in the home. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing with toys, engaging in conversations, circle time, general routines and other activities with Ms. Driver during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, ITS-SIDS, and Criminal Background Checks. .1719 (a)(2) was monitored for compliance during the visit. No medications were observed nor reported. Storage of hazardous items was monitored today and found to be in compliance. A playground inspection was recorded 8/26/2024. A fire drill was recorded 8/26/2024. The most recent shelter-in-place drill for the facility was recorded 8/26/2024. There is currently one pet at the home, and all required vaccination records were observed to be current and on file. The program does not provide transportation or participate in off-premise or aquatic activities at this time. The following violations were during today’s visit: Violation Number Comment Rule 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. On the playground accessed by children, one small plastic piece from a toy play house was observed to be broken and sharp to the touch, located on the ground inside the stationary play house. This plastic piece was removed from the playground during the visit. The second section of wooden fencing on the left side of the playground (facing away from the home) was observed to have three rusted nails, sharp to the touch, protruding from a fence board, approximately 34 inches from the ground. The fifth section of wooden fencing on the left side of the playground (facing away from the home) was observed to be unstable. 10A NCAC 09 .1719 (a) 1831 A valid qualification letter was not on file and available for review at the facility. A physical copy of the Criminal Background Check qualification letter was not observed on file for the operator’s son during the visit. G.S. 110-90.2 (b) & (d) & .2703(e) .1702(b)(1) 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. An empty plastic soap wrapper was observed beneath an unlatched cabinet in the bathroom, accessible to children younger than three years of age. Four plastic shopping bags were observed less than five feet from the ground, accessible to children under three years of age, in the space between the room designated for child care and the kitchen. .1719(a)(18) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 10/09/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided during today’s visit: An empty plastic soap wrapper was observed beneath an unlatched cabinet in the bathroom, accessible to children younger than three years of age. Four plastic shopping bags were observed less than five feet from the ground, accessible to children under three years of age, in the space between the room designated for child care and the kitchen. Ms. Driver made each of these bags and wrappers inaccessible during the visit. A physical copy of the Criminal Background Check qualification letter was not observed on file for the operator’s son during the visit. A copy of this qualification letter was printed and placed in the operator’s file for her son during the visit. On the playground accessed by children, one small plastic piece from a toy play house was observed to be broken and sharp to the touch, located on the ground inside the stationary play house. This plastic piece was removed from the playground during the visit. The second section of wooden fencing on the left side of the playground (facing away from the home) was observed to have three rusted nails, sharp to the touch, protruding from a fence board, approximately 34 inches from the ground. The fifth section of wooden fencing on the left side of the playground (facing away from the home) was observed to be unstable. It is important for the outdoor learning environment to be safe place for children in care to explore at all times. Ms. Driver stated she was aware of the issues on the fence. She stated a few weeks ago, a storm with strong wind came through the area and destabilized several areas of the fencing. Ms. Driver stated Mr. Brown has been working on these areas over the past two weeks to fix all issues. You may consider potential temporary fixes for these items when they occur until they can be permanently fixed and checking for broken equipment and debris on the playground each morning, just prior to children’s use. Consultation provided during today’s visit: The following Child Care Rule was reviewed with Ms. Driver during the visit: 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) (21) 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (5)(6)(9) North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: LITTLE ONES HEAVEN Facility ID: 34000694 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 9/25/2024 Number Present: 4 Completed Date: 9/25/2024 Age: From 0 To 3 Total Minutes: 180 Time In: 09:45 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Kenyetta Driver, Operator, assisted me with the visit. Additional caregiver, Cleveland Brown, was also present during the visit. Your program currently operates with a 4-Star license effective 3/14/2018. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschool children at any time; children in care on ground level only, and serves no more than two infants under age one. Ms. Driver stated she is currently only operating first shift care. The program’s compliance history was 91 % 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. Driver stated she, Mr. Brown, and her two sons are the only people living in the home. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing with toys, engaging in conversations, circle time, general routines and other activities with Ms. Driver during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, ITS-SIDS, and Criminal Background Checks. .1719 (a)(2) was monitored for compliance during the visit. No medications were observed nor reported. Storage of hazardous items was monitored today and found to be in compliance. A playground inspection was recorded 8/26/2024. A fire drill was recorded 8/26/2024. The most recent shelter-in-place drill for the facility was recorded 8/26/2024. There is currently one pet at the home, and all required vaccination records were observed to be current and on file. The program does not provide transportation or participate in off-premise or aquatic activities at this time. The following violations were during today’s visit: Violation Number Comment Rule 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. On the playground accessed by children, one small plastic piece from a toy play house was observed to be broken and sharp to the touch, located on the ground inside the stationary play house. This plastic piece was removed from the playground during the visit. The second section of wooden fencing on the left side of the playground (facing away from the home) was observed to have three rusted nails, sharp to the touch, protruding from a fence board, approximately 34 inches from the ground. The fifth section of wooden fencing on the left side of the playground (facing away from the home) was observed to be unstable. 10A NCAC 09 .1719 (a) 1831 A valid qualification letter was not on file and available for review at the facility. A physical copy of the Criminal Background Check qualification letter was not observed on file for the operator’s son during the visit. G.S. 110-90.2 (b) & (d) & .2703(e) .1702(b)(1) 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. An empty plastic soap wrapper was observed beneath an unlatched cabinet in the bathroom, accessible to children younger than three years of age. Four plastic shopping bags were observed less than five feet from the ground, accessible to children under three years of age, in the space between the room designated for child care and the kitchen. .1719(a)(18) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 10/09/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided during today’s visit: An empty plastic soap wrapper was observed beneath an unlatched cabinet in the bathroom, accessible to children younger than three years of age. Four plastic shopping bags were observed less than five feet from the ground, accessible to children under three years of age, in the space between the room designated for child care and the kitchen. Ms. Driver made each of these bags and wrappers inaccessible during the visit. A physical copy of the Criminal Background Check qualification letter was not observed on file for the operator’s son during the visit. A copy of this qualification letter was printed and placed in the operator’s file for her son during the visit. On the playground accessed by children, one small plastic piece from a toy play house was observed to be broken and sharp to the touch, located on the ground inside the stationary play house. This plastic piece was removed from the playground during the visit. The second section of wooden fencing on the left side of the playground (facing away from the home) was observed to have three rusted nails, sharp to the touch, protruding from a fence board, approximately 34 inches from the ground. The fifth section of wooden fencing on the left side of the playground (facing away from the home) was observed to be unstable. It is important for the outdoor learning environment to be safe place for children in care to explore at all times. Ms. Driver stated she was aware of the issues on the fence. She stated a few weeks ago, a storm with strong wind came through the area and destabilized several areas of the fencing. Ms. Driver stated Mr. Brown has been working on these areas over the past two weeks to fix all issues. You may consider potential temporary fixes for these items when they occur until they can be permanently fixed and checking for broken equipment and debris on the playground each morning, just prior to children’s use. Consultation provided during today’s visit: The following Child Care Rule was reviewed with Ms. Driver during the visit: 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) (21) 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (5)(6)(9) North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1719 · Violation

Name of Operation: LITTLE ONES HEAVEN Facility ID: 34000694 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 5/3/2024 Number Present: 3 Completed Date: 5/3/2024 Age: From 1 To 4 Total Minutes: 265 Time In: 09:05 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant, with Kenyetta Driver, Operator. Additional Care Giver, Cleveland Brown, was present during a portion of the visit today. Your program currently operates with a 4-Star license. Restrictions include 1st, 2nd, and 3rd shift care; maximum of five preschoolers at any time; children in care on ground level only, and serves no more than two infants under one year of age. Mrs. Driver stated she is only providing first shift care at this time. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Mrs. Driver stated the only spaces in the home used by children enrolled is the space designated for child care, the hallway leading to the bathroom, and the bathroom off of the hallway. She stated Mr. Brown prepares lunches in the kitchen and serves the children daily. Ms. Driver also stated children only walk through the dining room and kitchen to access the outdoor learning environment. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed three children in care playing with toys, engaging in conversations, games, and activities, and participating in general routines with Ms. Driver 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 5/23/2023. Verification of Required Information for Operator and Additional Caregivers forms were submitted prior to the visit for the operator. A Verification of Required Information for Operator and Additional Caregivers form was completed for the additional caregiver during the visit. I completed spaces which were left blank or needed revised on the form, and I discussed all information added or changed on the forms with Ms. Driver 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. Child Care Rule 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a)(2) was monitored during the visit. Program records and required postings were monitored. The last fire drill was conducted on 4/29/2024. The most recent lockdown drill was documented on 2/29/2024. The last outdoor inspection was documented on 4/29/2024. There is currently one pet at this facility, and all vaccinations were observed to be current and on file. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. The program does not provide transportation or participate in aquatic activities or off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. The times of arrival were not recorded for two children enrolled at the point of service. .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 board was observed to be detached from the fence, exposing seven nails, sharp to the touch. 10A NCAC 09 .1719 (a) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. At the base of the basketball goal, a sheet of plastic was observed to be torn and accessible to children under three years of age. .1719(a)(18) 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. Health & Safety Training certificates for Topic # 10 (Recognizing and reporting child abuse, child neglect, and child maltreatment) were not observed on file for the operator. .1703(d)(2) 2036 The operator did not review the plan for emergency procedures with additional caregivers and substitutes prior to allowing them to care for children, and when the plan is revised. An Emergency Medical Care Plan review was not observed on file for review for the additional care giver. .1713 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 5/17/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 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: • Health & Safety Training certificates for Topic # 10 (Recognizing and reporting child abuse, child neglect, and child maltreatment) were not observed on file for the operator. The times of arrival for two children in care were not recorded at the point of service. An Emergency Medical Care Plan review was not observed on file for review for the additional care giver. Ms. Driver recorded the times of arrival for the children who had not been signed in and stated she was not aware the other 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. You may consider creating a routine schedule to follow for monitoring all Program, Staff, and Children’s files. • On the playground, a board was observed to be detached from the fence, exposing seven nails, sharp to the touch. At the base of the basketball goal, a sheet of plastic was observed to be torn and accessible to children under three years of age. It is important to monitor the outdoor learning environment daily prior to children using the space to ensure it is free of safety hazards and ready for children to explore safely. Ms. Driver was unaware of these issues. You may consider monitoring outdoor equipment daily to ensure it is in good repair. Consultation provided during today’s visit: The following Child Care Rules were reviewed with Ms. Driver during the visit: 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. Driver confirmed during today’s visit that the email was received and provided information that she enrolled in testing on 2/27/2024. • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please be reminded you must complete 5.5 additional hours of training, and Mr. Brown must complete 18.5 additional hours of on-going training by 5/23/2024. 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 ONES HEAVEN Facility ID: 34000694 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 5/3/2024 Number Present: 3 Completed Date: 5/3/2024 Age: From 1 To 4 Total Minutes: 265 Time In: 09:05 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant, with Kenyetta Driver, Operator. Additional Care Giver, Cleveland Brown, was present during a portion of the visit today. Your program currently operates with a 4-Star license. Restrictions include 1st, 2nd, and 3rd shift care; maximum of five preschoolers at any time; children in care on ground level only, and serves no more than two infants under one year of age. Mrs. Driver stated she is only providing first shift care at this time. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Mrs. Driver stated the only spaces in the home used by children enrolled is the space designated for child care, the hallway leading to the bathroom, and the bathroom off of the hallway. She stated Mr. Brown prepares lunches in the kitchen and serves the children daily. Ms. Driver also stated children only walk through the dining room and kitchen to access the outdoor learning environment. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed three children in care playing with toys, engaging in conversations, games, and activities, and participating in general routines with Ms. Driver 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 5/23/2023. Verification of Required Information for Operator and Additional Caregivers forms were submitted prior to the visit for the operator. A Verification of Required Information for Operator and Additional Caregivers form was completed for the additional caregiver during the visit. I completed spaces which were left blank or needed revised on the form, and I discussed all information added or changed on the forms with Ms. Driver 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. Child Care Rule 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a)(2) was monitored during the visit. Program records and required postings were monitored. The last fire drill was conducted on 4/29/2024. The most recent lockdown drill was documented on 2/29/2024. The last outdoor inspection was documented on 4/29/2024. There is currently one pet at this facility, and all vaccinations were observed to be current and on file. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. The program does not provide transportation or participate in aquatic activities or off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. The times of arrival were not recorded for two children enrolled at the point of service. .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 board was observed to be detached from the fence, exposing seven nails, sharp to the touch. 10A NCAC 09 .1719 (a) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. At the base of the basketball goal, a sheet of plastic was observed to be torn and accessible to children under three years of age. .1719(a)(18) 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. Health & Safety Training certificates for Topic # 10 (Recognizing and reporting child abuse, child neglect, and child maltreatment) were not observed on file for the operator. .1703(d)(2) 2036 The operator did not review the plan for emergency procedures with additional caregivers and substitutes prior to allowing them to care for children, and when the plan is revised. An Emergency Medical Care Plan review was not observed on file for review for the additional care giver. .1713 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 5/17/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 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: • Health & Safety Training certificates for Topic # 10 (Recognizing and reporting child abuse, child neglect, and child maltreatment) were not observed on file for the operator. The times of arrival for two children in care were not recorded at the point of service. An Emergency Medical Care Plan review was not observed on file for review for the additional care giver. Ms. Driver recorded the times of arrival for the children who had not been signed in and stated she was not aware the other 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. You may consider creating a routine schedule to follow for monitoring all Program, Staff, and Children’s files. • On the playground, a board was observed to be detached from the fence, exposing seven nails, sharp to the touch. At the base of the basketball goal, a sheet of plastic was observed to be torn and accessible to children under three years of age. It is important to monitor the outdoor learning environment daily prior to children using the space to ensure it is free of safety hazards and ready for children to explore safely. Ms. Driver was unaware of these issues. You may consider monitoring outdoor equipment daily to ensure it is in good repair. Consultation provided during today’s visit: The following Child Care Rules were reviewed with Ms. Driver during the visit: 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. Driver confirmed during today’s visit that the email was received and provided information that she enrolled in testing on 2/27/2024. • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please be reminded you must complete 5.5 additional hours of training, and Mr. Brown must complete 18.5 additional hours of on-going training by 5/23/2024. 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 ONES HEAVEN Facility ID: 34000694 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 5/3/2024 Number Present: 3 Completed Date: 5/3/2024 Age: From 1 To 4 Total Minutes: 265 Time In: 09:05 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant, with Kenyetta Driver, Operator. Additional Care Giver, Cleveland Brown, was present during a portion of the visit today. Your program currently operates with a 4-Star license. Restrictions include 1st, 2nd, and 3rd shift care; maximum of five preschoolers at any time; children in care on ground level only, and serves no more than two infants under one year of age. Mrs. Driver stated she is only providing first shift care at this time. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Mrs. Driver stated the only spaces in the home used by children enrolled is the space designated for child care, the hallway leading to the bathroom, and the bathroom off of the hallway. She stated Mr. Brown prepares lunches in the kitchen and serves the children daily. Ms. Driver also stated children only walk through the dining room and kitchen to access the outdoor learning environment. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed three children in care playing with toys, engaging in conversations, games, and activities, and participating in general routines with Ms. Driver 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 5/23/2023. Verification of Required Information for Operator and Additional Caregivers forms were submitted prior to the visit for the operator. A Verification of Required Information for Operator and Additional Caregivers form was completed for the additional caregiver during the visit. I completed spaces which were left blank or needed revised on the form, and I discussed all information added or changed on the forms with Ms. Driver 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. Child Care Rule 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a)(2) was monitored during the visit. Program records and required postings were monitored. The last fire drill was conducted on 4/29/2024. The most recent lockdown drill was documented on 2/29/2024. The last outdoor inspection was documented on 4/29/2024. There is currently one pet at this facility, and all vaccinations were observed to be current and on file. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. The program does not provide transportation or participate in aquatic activities or off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. The times of arrival were not recorded for two children enrolled at the point of service. .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 board was observed to be detached from the fence, exposing seven nails, sharp to the touch. 10A NCAC 09 .1719 (a) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. At the base of the basketball goal, a sheet of plastic was observed to be torn and accessible to children under three years of age. .1719(a)(18) 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. Health & Safety Training certificates for Topic # 10 (Recognizing and reporting child abuse, child neglect, and child maltreatment) were not observed on file for the operator. .1703(d)(2) 2036 The operator did not review the plan for emergency procedures with additional caregivers and substitutes prior to allowing them to care for children, and when the plan is revised. An Emergency Medical Care Plan review was not observed on file for review for the additional care giver. .1713 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 5/17/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 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: • Health & Safety Training certificates for Topic # 10 (Recognizing and reporting child abuse, child neglect, and child maltreatment) were not observed on file for the operator. The times of arrival for two children in care were not recorded at the point of service. An Emergency Medical Care Plan review was not observed on file for review for the additional care giver. Ms. Driver recorded the times of arrival for the children who had not been signed in and stated she was not aware the other 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. You may consider creating a routine schedule to follow for monitoring all Program, Staff, and Children’s files. • On the playground, a board was observed to be detached from the fence, exposing seven nails, sharp to the touch. At the base of the basketball goal, a sheet of plastic was observed to be torn and accessible to children under three years of age. It is important to monitor the outdoor learning environment daily prior to children using the space to ensure it is free of safety hazards and ready for children to explore safely. Ms. Driver was unaware of these issues. You may consider monitoring outdoor equipment daily to ensure it is in good repair. Consultation provided during today’s visit: The following Child Care Rules were reviewed with Ms. Driver during the visit: 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. Driver confirmed during today’s visit that the email was received and provided information that she enrolled in testing on 2/27/2024. • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please be reminded you must complete 5.5 additional hours of training, and Mr. Brown must complete 18.5 additional hours of on-going training by 5/23/2024. 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 ONES HEAVEN Facility ID: 34000694 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 10/25/2023 Number Present: 3 Completed Date: 10/25/2023 Age: From 3 To 3 Total Minutes: 250 Time In: 08:20 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Kenyetta Driver, Operator, assisted me with the visit. Ms. Driver’s husband, Mr. Cleveland Brown, serves as an additional caregiver, but was not present during the visit. Your program currently operates with a 4-Star license effective 3/14/2018. Restrictions include 1st, 2nd, and 3rd shift care, children on ground level only, maximum of five preschool children at any time; no more than two infants under age one. The program’s compliance history was 97 % 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. Driver stated the only persons living in the home with her are her husband and two sons. Ms. Driver stated one of her sons will celebrate his 16th birthday in May, 2024. Be reminded that you and your husband must have criminal record checks conducted every five (5) years and that all individuals who live in the household who have had their 16th birthday after the initial licensing of a family child care home shall complete and submit the forms listed in Paragraph (a) of this Rule to the Division within five business days of their 16th birthday. 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. On the playground, one ball was observed to be heavily mildewed. One metal pole (not a part of the fencing itself) was observed inside the fenced-in area at the back of the playground, which was observed to be rusting. Two pieces of metal on the wire mesh fencing, accessible to children, on the right side of the outdoor play area (facing away from the home) were observed to be separated from the rest of the fencing and sharp to the touch. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. One child enrolled did not have an arrival time recorded. I observed positive interactions today. I observed children playing in activity centers, engaging in circle time, songs, and activities with Ms. Driver, 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, and Criminal Background Checks. Current certificates for Health and Safety Training Topic #s 1, Prevention and control of infectious diseases, including immunization, 2, Administration of medication, with standards for parental consent, and 10, Recognizing and reporting child abuse, child neglect, and child maltreatment, were not observed to be on file for the operator. Current certificates for Health and Safety Training Topic #s 2, Administration of medication, with standards for parental consent, and 10, Recognizing and reporting child abuse, child neglect, and child maltreatment, were not observed to be on file for the additional caregiver. Six of twenty required on-going training hours from the 2022/2023 compliance year had been completed by the additional caregiver; these hours were due to be completed by 6/02/2023. Ten of 8.5 required on-going training hours from the 2022/2023 compliance year were completed by Ms. Driver; the remaining 1.5 hours of training may be credited to the 2023/2024 compliance year. No medications were observed nor reported. Storage hazardous items was monitored today. One container of Coconut Oil Hair Conditioner labeled Keep Out of Reach of Children with additional warnings was observed in unlocked storage. Ms. Driver placed this item into locked storage during the visit. A playground inspection was recorded 9/29/2023. A fire drill was recorded 9/29/2023. A lock down drill for the facility was recorded 8/31/2023. There is one dog located outside the home in a separate fenced-in area from the playground, and all vaccinations and parent acknowledgement forms were monitored. Child Care Rule .1719 (a)(2) was monitored for compliance. The program does not provide transportation or participate in off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 409 Individuals who provide care for 5 hours or more hours in a week, during planned absences of the family child care home operator, did not meet the requirements as specified in rule. Six of twenty required on-going training hours from the 2022/2023 compliance year had been completed by the additional caregiver; these hours were due to by completed by 6/02/2023. Current certificates for Health and Safety Training Topic #s 2, Administration of medication, with standards for parental consent, and 10, Recognizing and reporting child abuse, child neglect, and child maltreatment, were not observed to be on file for the additional caregiver. 10 A NCAC 09.1701(b) 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. One container of Coconut Oil Hair Conditioner labeled Keep Out of Reach of Children with additional warnings was observed in unlocked storage. .1719 (a)(7) 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 an arrival time recorded. .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, one ball was observed to be heavily mildewed. One metal pole (not a part of the fencing itself) was observed inside the fenced-in outdoor play area at the back of the playground, which was observed to be rusting. Two pieces of metal on the wire mesh fencing, accessible to children, on the right side of the outdoor play area (facing away from the home) were observed to be separated from the rest of the fencing and sharp to the touch. 10A NCAC 09 .1719 (a) 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. Current certificates for Health and Safety Training Topic #s 1, Prevention and control of infectious diseases, including immunization, 2, Administration of medication, with standards for parental consent, and 10, Recognizing and reporting child abuse, child neglect, and child maltreatment, were not observed to be on file for the operator. .1703(d)(2) 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 11/08/2023. 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 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: • It was observed that the parent signed the child into care today with a signature; however, Ms. Driver stated she forgot to record the arrival time for the child. She stated she will review the sign-in/sign-out sheet after parents drop off to ensure all information for records of arrival and departure are current and accurate. • Ms. Driver stated the Health and Safety Training topics not completed for herself and an additional caregiver had been accidentally overlooked. Ms. Driver stated she and Mr. Brown will complete these trainings and maintain all Health & Safety trainings for currency every five years. • Ms. Driver stated she did not realize the Coconut Hair Oil had to be kept in locked storage; I stated that because it was labeled Keep Out of Reach of Children with the additional warning of being flammable that this needed to be kept in locked storage. Ms. Driver corrected this during the visit. • Ms. Driver stated she was unaware there was a specific number of training hours required, per education, for her additional caregiver each year. We discussed Mr. Brown was required to have 20 hours per year of annual training and that training opportunities are available online and in-person via DCDEE Moodle, through Smart Start of Forsyth County, the Southwest Child Care Commission, and the Child Care Resource Center. Ms. Driver stated Mr. Brown will complete the remaining fourteen hours of training required within two weeks from my visit. • Ms. Driver stated she was unaware of the safety issues observed on the playground. We discussed options for correcting the sharp areas of the wire mesh fencing and rusting metal pole. Ms. Driver stated these items will be brought into compliance within two weeks from my visit. Additional Comments: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were thoroughly discussed with Ms. Driver during the visit: 10A NCAC 09 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS (a) An individual who provides care for five hours or more in a week during planned absences of the family child care home operator shall: (8) have completed ITS-SIDS training, if licensed to care for infants; 10A NCAC 09 .1711 SUPERVISION OF CHILDREN IN A FAMILY CHILD CARE HOME (a) Children shall be adequately supervised at all times in a family child care home. "Adequate supervision" shall mean that: (1) For pre-school age children, the family child care home operator shall be positioned in the indoor and outdoor environment to maximize his or her ability to hear and see the children at all times and render immediate assistance 10A NCAC 09 .1724 SAFE SLEEP PRACTICES (c) The operator shall post a copy of the safe sleep policy and poster about safe sleep practices in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. 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: (6) Developmentally appropriate activities as planned on a written schedule and activity plan. The schedule and activity plan may be combined as one document. Materials or equipment shall be available indoors and outdoors to support the activities listed on the written schedule and activity plan. (8) A written activity plan that shall: (A) Include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at https://www.ncchildcare.ncdhhs.gov//pdf_forms/nc_foundations.pdf: (i) emotional and social development; (ii) health and physical development; (iii) approaches to play and learning; (iv) language development and communication; and (iv) cognitive development. (B) Identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (C) Reflect that children have at least four different activities daily, at least one of which is outdoors, if weather conditions permit, as specified in G.S. 110-91(12) as follows: (i) art and other creative play; (ii) children's books; (iii) blocks and block building; (iv) manipulatives; and (v) family living and dramatic play. (D) Provide materials and opportunities at least weekly, indoors or outdoors, for the following: (i) music and rhythm; (ii) science and nature; and (iii) sand and water play. I recommend this plan be updated at least monthly to reflect the current interests, developmental levels, and developmental needs of children enrolled in care. • Please remember to record a date on your Emergency Medical Care Plan that reflects when your plan was last updated each year. • Please remove any protruding nails from the upper portion of the fencing (greater than five feet above the ground) prior to enrolling children who are School Age. • Please update the name and contact information for your Child Care Consultant and your Child Care Health Consultant in your Emergency Preparedness and Response Plan. Keturah Oglesby, Smart Start of Forsyth County, is the current CCHC for Forsyth County. • Please monitor playground equipment for cobwebs prior to use by children enrolled. • Please be reminded the CPR/FA certification for the operator and additional caregiver must be renewed on or before 10/29/2023. • 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 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 ONES HEAVEN Facility ID: 34000694 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 10/25/2023 Number Present: 3 Completed Date: 10/25/2023 Age: From 3 To 3 Total Minutes: 250 Time In: 08:20 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Kenyetta Driver, Operator, assisted me with the visit. Ms. Driver’s husband, Mr. Cleveland Brown, serves as an additional caregiver, but was not present during the visit. Your program currently operates with a 4-Star license effective 3/14/2018. Restrictions include 1st, 2nd, and 3rd shift care, children on ground level only, maximum of five preschool children at any time; no more than two infants under age one. The program’s compliance history was 97 % 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. Driver stated the only persons living in the home with her are her husband and two sons. Ms. Driver stated one of her sons will celebrate his 16th birthday in May, 2024. Be reminded that you and your husband must have criminal record checks conducted every five (5) years and that all individuals who live in the household who have had their 16th birthday after the initial licensing of a family child care home shall complete and submit the forms listed in Paragraph (a) of this Rule to the Division within five business days of their 16th birthday. 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. On the playground, one ball was observed to be heavily mildewed. One metal pole (not a part of the fencing itself) was observed inside the fenced-in area at the back of the playground, which was observed to be rusting. Two pieces of metal on the wire mesh fencing, accessible to children, on the right side of the outdoor play area (facing away from the home) were observed to be separated from the rest of the fencing and sharp to the touch. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. One child enrolled did not have an arrival time recorded. I observed positive interactions today. I observed children playing in activity centers, engaging in circle time, songs, and activities with Ms. Driver, 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, and Criminal Background Checks. Current certificates for Health and Safety Training Topic #s 1, Prevention and control of infectious diseases, including immunization, 2, Administration of medication, with standards for parental consent, and 10, Recognizing and reporting child abuse, child neglect, and child maltreatment, were not observed to be on file for the operator. Current certificates for Health and Safety Training Topic #s 2, Administration of medication, with standards for parental consent, and 10, Recognizing and reporting child abuse, child neglect, and child maltreatment, were not observed to be on file for the additional caregiver. Six of twenty required on-going training hours from the 2022/2023 compliance year had been completed by the additional caregiver; these hours were due to be completed by 6/02/2023. Ten of 8.5 required on-going training hours from the 2022/2023 compliance year were completed by Ms. Driver; the remaining 1.5 hours of training may be credited to the 2023/2024 compliance year. No medications were observed nor reported. Storage hazardous items was monitored today. One container of Coconut Oil Hair Conditioner labeled Keep Out of Reach of Children with additional warnings was observed in unlocked storage. Ms. Driver placed this item into locked storage during the visit. A playground inspection was recorded 9/29/2023. A fire drill was recorded 9/29/2023. A lock down drill for the facility was recorded 8/31/2023. There is one dog located outside the home in a separate fenced-in area from the playground, and all vaccinations and parent acknowledgement forms were monitored. Child Care Rule .1719 (a)(2) was monitored for compliance. The program does not provide transportation or participate in off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 409 Individuals who provide care for 5 hours or more hours in a week, during planned absences of the family child care home operator, did not meet the requirements as specified in rule. Six of twenty required on-going training hours from the 2022/2023 compliance year had been completed by the additional caregiver; these hours were due to by completed by 6/02/2023. Current certificates for Health and Safety Training Topic #s 2, Administration of medication, with standards for parental consent, and 10, Recognizing and reporting child abuse, child neglect, and child maltreatment, were not observed to be on file for the additional caregiver. 10 A NCAC 09.1701(b) 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. One container of Coconut Oil Hair Conditioner labeled Keep Out of Reach of Children with additional warnings was observed in unlocked storage. .1719 (a)(7) 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 an arrival time recorded. .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, one ball was observed to be heavily mildewed. One metal pole (not a part of the fencing itself) was observed inside the fenced-in outdoor play area at the back of the playground, which was observed to be rusting. Two pieces of metal on the wire mesh fencing, accessible to children, on the right side of the outdoor play area (facing away from the home) were observed to be separated from the rest of the fencing and sharp to the touch. 10A NCAC 09 .1719 (a) 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. Current certificates for Health and Safety Training Topic #s 1, Prevention and control of infectious diseases, including immunization, 2, Administration of medication, with standards for parental consent, and 10, Recognizing and reporting child abuse, child neglect, and child maltreatment, were not observed to be on file for the operator. .1703(d)(2) 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 11/08/2023. 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 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: • It was observed that the parent signed the child into care today with a signature; however, Ms. Driver stated she forgot to record the arrival time for the child. She stated she will review the sign-in/sign-out sheet after parents drop off to ensure all information for records of arrival and departure are current and accurate. • Ms. Driver stated the Health and Safety Training topics not completed for herself and an additional caregiver had been accidentally overlooked. Ms. Driver stated she and Mr. Brown will complete these trainings and maintain all Health & Safety trainings for currency every five years. • Ms. Driver stated she did not realize the Coconut Hair Oil had to be kept in locked storage; I stated that because it was labeled Keep Out of Reach of Children with the additional warning of being flammable that this needed to be kept in locked storage. Ms. Driver corrected this during the visit. • Ms. Driver stated she was unaware there was a specific number of training hours required, per education, for her additional caregiver each year. We discussed Mr. Brown was required to have 20 hours per year of annual training and that training opportunities are available online and in-person via DCDEE Moodle, through Smart Start of Forsyth County, the Southwest Child Care Commission, and the Child Care Resource Center. Ms. Driver stated Mr. Brown will complete the remaining fourteen hours of training required within two weeks from my visit. • Ms. Driver stated she was unaware of the safety issues observed on the playground. We discussed options for correcting the sharp areas of the wire mesh fencing and rusting metal pole. Ms. Driver stated these items will be brought into compliance within two weeks from my visit. Additional Comments: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were thoroughly discussed with Ms. Driver during the visit: 10A NCAC 09 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS (a) An individual who provides care for five hours or more in a week during planned absences of the family child care home operator shall: (8) have completed ITS-SIDS training, if licensed to care for infants; 10A NCAC 09 .1711 SUPERVISION OF CHILDREN IN A FAMILY CHILD CARE HOME (a) Children shall be adequately supervised at all times in a family child care home. "Adequate supervision" shall mean that: (1) For pre-school age children, the family child care home operator shall be positioned in the indoor and outdoor environment to maximize his or her ability to hear and see the children at all times and render immediate assistance 10A NCAC 09 .1724 SAFE SLEEP PRACTICES (c) The operator shall post a copy of the safe sleep policy and poster about safe sleep practices in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. 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: (6) Developmentally appropriate activities as planned on a written schedule and activity plan. The schedule and activity plan may be combined as one document. Materials or equipment shall be available indoors and outdoors to support the activities listed on the written schedule and activity plan. (8) A written activity plan that shall: (A) Include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at https://www.ncchildcare.ncdhhs.gov//pdf_forms/nc_foundations.pdf: (i) emotional and social development; (ii) health and physical development; (iii) approaches to play and learning; (iv) language development and communication; and (iv) cognitive development. (B) Identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (C) Reflect that children have at least four different activities daily, at least one of which is outdoors, if weather conditions permit, as specified in G.S. 110-91(12) as follows: (i) art and other creative play; (ii) children's books; (iii) blocks and block building; (iv) manipulatives; and (v) family living and dramatic play. (D) Provide materials and opportunities at least weekly, indoors or outdoors, for the following: (i) music and rhythm; (ii) science and nature; and (iii) sand and water play. I recommend this plan be updated at least monthly to reflect the current interests, developmental levels, and developmental needs of children enrolled in care. • Please remember to record a date on your Emergency Medical Care Plan that reflects when your plan was last updated each year. • Please remove any protruding nails from the upper portion of the fencing (greater than five feet above the ground) prior to enrolling children who are School Age. • Please update the name and contact information for your Child Care Consultant and your Child Care Health Consultant in your Emergency Preparedness and Response Plan. Keturah Oglesby, Smart Start of Forsyth County, is the current CCHC for Forsyth County. • Please monitor playground equipment for cobwebs prior to use by children enrolled. • Please be reminded the CPR/FA certification for the operator and additional caregiver must be renewed on or before 10/29/2023. • 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 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 ONES HEAVEN Facility ID: 34000694 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 10/25/2023 Number Present: 3 Completed Date: 10/25/2023 Age: From 3 To 3 Total Minutes: 250 Time In: 08:20 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Kenyetta Driver, Operator, assisted me with the visit. Ms. Driver’s husband, Mr. Cleveland Brown, serves as an additional caregiver, but was not present during the visit. Your program currently operates with a 4-Star license effective 3/14/2018. Restrictions include 1st, 2nd, and 3rd shift care, children on ground level only, maximum of five preschool children at any time; no more than two infants under age one. The program’s compliance history was 97 % 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. Driver stated the only persons living in the home with her are her husband and two sons. Ms. Driver stated one of her sons will celebrate his 16th birthday in May, 2024. Be reminded that you and your husband must have criminal record checks conducted every five (5) years and that all individuals who live in the household who have had their 16th birthday after the initial licensing of a family child care home shall complete and submit the forms listed in Paragraph (a) of this Rule to the Division within five business days of their 16th birthday. 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. On the playground, one ball was observed to be heavily mildewed. One metal pole (not a part of the fencing itself) was observed inside the fenced-in area at the back of the playground, which was observed to be rusting. Two pieces of metal on the wire mesh fencing, accessible to children, on the right side of the outdoor play area (facing away from the home) were observed to be separated from the rest of the fencing and sharp to the touch. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. One child enrolled did not have an arrival time recorded. I observed positive interactions today. I observed children playing in activity centers, engaging in circle time, songs, and activities with Ms. Driver, 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, and Criminal Background Checks. Current certificates for Health and Safety Training Topic #s 1, Prevention and control of infectious diseases, including immunization, 2, Administration of medication, with standards for parental consent, and 10, Recognizing and reporting child abuse, child neglect, and child maltreatment, were not observed to be on file for the operator. Current certificates for Health and Safety Training Topic #s 2, Administration of medication, with standards for parental consent, and 10, Recognizing and reporting child abuse, child neglect, and child maltreatment, were not observed to be on file for the additional caregiver. Six of twenty required on-going training hours from the 2022/2023 compliance year had been completed by the additional caregiver; these hours were due to be completed by 6/02/2023. Ten of 8.5 required on-going training hours from the 2022/2023 compliance year were completed by Ms. Driver; the remaining 1.5 hours of training may be credited to the 2023/2024 compliance year. No medications were observed nor reported. Storage hazardous items was monitored today. One container of Coconut Oil Hair Conditioner labeled Keep Out of Reach of Children with additional warnings was observed in unlocked storage. Ms. Driver placed this item into locked storage during the visit. A playground inspection was recorded 9/29/2023. A fire drill was recorded 9/29/2023. A lock down drill for the facility was recorded 8/31/2023. There is one dog located outside the home in a separate fenced-in area from the playground, and all vaccinations and parent acknowledgement forms were monitored. Child Care Rule .1719 (a)(2) was monitored for compliance. The program does not provide transportation or participate in off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 409 Individuals who provide care for 5 hours or more hours in a week, during planned absences of the family child care home operator, did not meet the requirements as specified in rule. Six of twenty required on-going training hours from the 2022/2023 compliance year had been completed by the additional caregiver; these hours were due to by completed by 6/02/2023. Current certificates for Health and Safety Training Topic #s 2, Administration of medication, with standards for parental consent, and 10, Recognizing and reporting child abuse, child neglect, and child maltreatment, were not observed to be on file for the additional caregiver. 10 A NCAC 09.1701(b) 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. One container of Coconut Oil Hair Conditioner labeled Keep Out of Reach of Children with additional warnings was observed in unlocked storage. .1719 (a)(7) 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 an arrival time recorded. .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, one ball was observed to be heavily mildewed. One metal pole (not a part of the fencing itself) was observed inside the fenced-in outdoor play area at the back of the playground, which was observed to be rusting. Two pieces of metal on the wire mesh fencing, accessible to children, on the right side of the outdoor play area (facing away from the home) were observed to be separated from the rest of the fencing and sharp to the touch. 10A NCAC 09 .1719 (a) 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. Current certificates for Health and Safety Training Topic #s 1, Prevention and control of infectious diseases, including immunization, 2, Administration of medication, with standards for parental consent, and 10, Recognizing and reporting child abuse, child neglect, and child maltreatment, were not observed to be on file for the operator. .1703(d)(2) 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 11/08/2023. 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 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: • It was observed that the parent signed the child into care today with a signature; however, Ms. Driver stated she forgot to record the arrival time for the child. She stated she will review the sign-in/sign-out sheet after parents drop off to ensure all information for records of arrival and departure are current and accurate. • Ms. Driver stated the Health and Safety Training topics not completed for herself and an additional caregiver had been accidentally overlooked. Ms. Driver stated she and Mr. Brown will complete these trainings and maintain all Health & Safety trainings for currency every five years. • Ms. Driver stated she did not realize the Coconut Hair Oil had to be kept in locked storage; I stated that because it was labeled Keep Out of Reach of Children with the additional warning of being flammable that this needed to be kept in locked storage. Ms. Driver corrected this during the visit. • Ms. Driver stated she was unaware there was a specific number of training hours required, per education, for her additional caregiver each year. We discussed Mr. Brown was required to have 20 hours per year of annual training and that training opportunities are available online and in-person via DCDEE Moodle, through Smart Start of Forsyth County, the Southwest Child Care Commission, and the Child Care Resource Center. Ms. Driver stated Mr. Brown will complete the remaining fourteen hours of training required within two weeks from my visit. • Ms. Driver stated she was unaware of the safety issues observed on the playground. We discussed options for correcting the sharp areas of the wire mesh fencing and rusting metal pole. Ms. Driver stated these items will be brought into compliance within two weeks from my visit. Additional Comments: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were thoroughly discussed with Ms. Driver during the visit: 10A NCAC 09 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS (a) An individual who provides care for five hours or more in a week during planned absences of the family child care home operator shall: (8) have completed ITS-SIDS training, if licensed to care for infants; 10A NCAC 09 .1711 SUPERVISION OF CHILDREN IN A FAMILY CHILD CARE HOME (a) Children shall be adequately supervised at all times in a family child care home. "Adequate supervision" shall mean that: (1) For pre-school age children, the family child care home operator shall be positioned in the indoor and outdoor environment to maximize his or her ability to hear and see the children at all times and render immediate assistance 10A NCAC 09 .1724 SAFE SLEEP PRACTICES (c) The operator shall post a copy of the safe sleep policy and poster about safe sleep practices in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. 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: (6) Developmentally appropriate activities as planned on a written schedule and activity plan. The schedule and activity plan may be combined as one document. Materials or equipment shall be available indoors and outdoors to support the activities listed on the written schedule and activity plan. (8) A written activity plan that shall: (A) Include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at https://www.ncchildcare.ncdhhs.gov//pdf_forms/nc_foundations.pdf: (i) emotional and social development; (ii) health and physical development; (iii) approaches to play and learning; (iv) language development and communication; and (iv) cognitive development. (B) Identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (C) Reflect that children have at least four different activities daily, at least one of which is outdoors, if weather conditions permit, as specified in G.S. 110-91(12) as follows: (i) art and other creative play; (ii) children's books; (iii) blocks and block building; (iv) manipulatives; and (v) family living and dramatic play. (D) Provide materials and opportunities at least weekly, indoors or outdoors, for the following: (i) music and rhythm; (ii) science and nature; and (iii) sand and water play. I recommend this plan be updated at least monthly to reflect the current interests, developmental levels, and developmental needs of children enrolled in care. • Please remember to record a date on your Emergency Medical Care Plan that reflects when your plan was last updated each year. • Please remove any protruding nails from the upper portion of the fencing (greater than five feet above the ground) prior to enrolling children who are School Age. • Please update the name and contact information for your Child Care Consultant and your Child Care Health Consultant in your Emergency Preparedness and Response Plan. Keturah Oglesby, Smart Start of Forsyth County, is the current CCHC for Forsyth County. • Please monitor playground equipment for cobwebs prior to use by children enrolled. • Please be reminded the CPR/FA certification for the operator and additional caregiver must be renewed on or before 10/29/2023. • 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 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 .1724 · Violation

Name of Operation: LITTLE ONES HEAVEN Facility ID: 34000694 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 10/25/2023 Number Present: 3 Completed Date: 10/25/2023 Age: From 3 To 3 Total Minutes: 250 Time In: 08:20 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Kenyetta Driver, Operator, assisted me with the visit. Ms. Driver’s husband, Mr. Cleveland Brown, serves as an additional caregiver, but was not present during the visit. Your program currently operates with a 4-Star license effective 3/14/2018. Restrictions include 1st, 2nd, and 3rd shift care, children on ground level only, maximum of five preschool children at any time; no more than two infants under age one. The program’s compliance history was 97 % 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. Driver stated the only persons living in the home with her are her husband and two sons. Ms. Driver stated one of her sons will celebrate his 16th birthday in May, 2024. Be reminded that you and your husband must have criminal record checks conducted every five (5) years and that all individuals who live in the household who have had their 16th birthday after the initial licensing of a family child care home shall complete and submit the forms listed in Paragraph (a) of this Rule to the Division within five business days of their 16th birthday. 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. On the playground, one ball was observed to be heavily mildewed. One metal pole (not a part of the fencing itself) was observed inside the fenced-in area at the back of the playground, which was observed to be rusting. Two pieces of metal on the wire mesh fencing, accessible to children, on the right side of the outdoor play area (facing away from the home) were observed to be separated from the rest of the fencing and sharp to the touch. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. One child enrolled did not have an arrival time recorded. I observed positive interactions today. I observed children playing in activity centers, engaging in circle time, songs, and activities with Ms. Driver, 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, and Criminal Background Checks. Current certificates for Health and Safety Training Topic #s 1, Prevention and control of infectious diseases, including immunization, 2, Administration of medication, with standards for parental consent, and 10, Recognizing and reporting child abuse, child neglect, and child maltreatment, were not observed to be on file for the operator. Current certificates for Health and Safety Training Topic #s 2, Administration of medication, with standards for parental consent, and 10, Recognizing and reporting child abuse, child neglect, and child maltreatment, were not observed to be on file for the additional caregiver. Six of twenty required on-going training hours from the 2022/2023 compliance year had been completed by the additional caregiver; these hours were due to be completed by 6/02/2023. Ten of 8.5 required on-going training hours from the 2022/2023 compliance year were completed by Ms. Driver; the remaining 1.5 hours of training may be credited to the 2023/2024 compliance year. No medications were observed nor reported. Storage hazardous items was monitored today. One container of Coconut Oil Hair Conditioner labeled Keep Out of Reach of Children with additional warnings was observed in unlocked storage. Ms. Driver placed this item into locked storage during the visit. A playground inspection was recorded 9/29/2023. A fire drill was recorded 9/29/2023. A lock down drill for the facility was recorded 8/31/2023. There is one dog located outside the home in a separate fenced-in area from the playground, and all vaccinations and parent acknowledgement forms were monitored. Child Care Rule .1719 (a)(2) was monitored for compliance. The program does not provide transportation or participate in off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 409 Individuals who provide care for 5 hours or more hours in a week, during planned absences of the family child care home operator, did not meet the requirements as specified in rule. Six of twenty required on-going training hours from the 2022/2023 compliance year had been completed by the additional caregiver; these hours were due to by completed by 6/02/2023. Current certificates for Health and Safety Training Topic #s 2, Administration of medication, with standards for parental consent, and 10, Recognizing and reporting child abuse, child neglect, and child maltreatment, were not observed to be on file for the additional caregiver. 10 A NCAC 09.1701(b) 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. One container of Coconut Oil Hair Conditioner labeled Keep Out of Reach of Children with additional warnings was observed in unlocked storage. .1719 (a)(7) 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 an arrival time recorded. .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, one ball was observed to be heavily mildewed. One metal pole (not a part of the fencing itself) was observed inside the fenced-in outdoor play area at the back of the playground, which was observed to be rusting. Two pieces of metal on the wire mesh fencing, accessible to children, on the right side of the outdoor play area (facing away from the home) were observed to be separated from the rest of the fencing and sharp to the touch. 10A NCAC 09 .1719 (a) 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. Current certificates for Health and Safety Training Topic #s 1, Prevention and control of infectious diseases, including immunization, 2, Administration of medication, with standards for parental consent, and 10, Recognizing and reporting child abuse, child neglect, and child maltreatment, were not observed to be on file for the operator. .1703(d)(2) 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 11/08/2023. 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 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: • It was observed that the parent signed the child into care today with a signature; however, Ms. Driver stated she forgot to record the arrival time for the child. She stated she will review the sign-in/sign-out sheet after parents drop off to ensure all information for records of arrival and departure are current and accurate. • Ms. Driver stated the Health and Safety Training topics not completed for herself and an additional caregiver had been accidentally overlooked. Ms. Driver stated she and Mr. Brown will complete these trainings and maintain all Health & Safety trainings for currency every five years. • Ms. Driver stated she did not realize the Coconut Hair Oil had to be kept in locked storage; I stated that because it was labeled Keep Out of Reach of Children with the additional warning of being flammable that this needed to be kept in locked storage. Ms. Driver corrected this during the visit. • Ms. Driver stated she was unaware there was a specific number of training hours required, per education, for her additional caregiver each year. We discussed Mr. Brown was required to have 20 hours per year of annual training and that training opportunities are available online and in-person via DCDEE Moodle, through Smart Start of Forsyth County, the Southwest Child Care Commission, and the Child Care Resource Center. Ms. Driver stated Mr. Brown will complete the remaining fourteen hours of training required within two weeks from my visit. • Ms. Driver stated she was unaware of the safety issues observed on the playground. We discussed options for correcting the sharp areas of the wire mesh fencing and rusting metal pole. Ms. Driver stated these items will be brought into compliance within two weeks from my visit. Additional Comments: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were thoroughly discussed with Ms. Driver during the visit: 10A NCAC 09 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS (a) An individual who provides care for five hours or more in a week during planned absences of the family child care home operator shall: (8) have completed ITS-SIDS training, if licensed to care for infants; 10A NCAC 09 .1711 SUPERVISION OF CHILDREN IN A FAMILY CHILD CARE HOME (a) Children shall be adequately supervised at all times in a family child care home. "Adequate supervision" shall mean that: (1) For pre-school age children, the family child care home operator shall be positioned in the indoor and outdoor environment to maximize his or her ability to hear and see the children at all times and render immediate assistance 10A NCAC 09 .1724 SAFE SLEEP PRACTICES (c) The operator shall post a copy of the safe sleep policy and poster about safe sleep practices in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. 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: (6) Developmentally appropriate activities as planned on a written schedule and activity plan. The schedule and activity plan may be combined as one document. Materials or equipment shall be available indoors and outdoors to support the activities listed on the written schedule and activity plan. (8) A written activity plan that shall: (A) Include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at https://www.ncchildcare.ncdhhs.gov//pdf_forms/nc_foundations.pdf: (i) emotional and social development; (ii) health and physical development; (iii) approaches to play and learning; (iv) language development and communication; and (iv) cognitive development. (B) Identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (C) Reflect that children have at least four different activities daily, at least one of which is outdoors, if weather conditions permit, as specified in G.S. 110-91(12) as follows: (i) art and other creative play; (ii) children's books; (iii) blocks and block building; (iv) manipulatives; and (v) family living and dramatic play. (D) Provide materials and opportunities at least weekly, indoors or outdoors, for the following: (i) music and rhythm; (ii) science and nature; and (iii) sand and water play. I recommend this plan be updated at least monthly to reflect the current interests, developmental levels, and developmental needs of children enrolled in care. • Please remember to record a date on your Emergency Medical Care Plan that reflects when your plan was last updated each year. • Please remove any protruding nails from the upper portion of the fencing (greater than five feet above the ground) prior to enrolling children who are School Age. • Please update the name and contact information for your Child Care Consultant and your Child Care Health Consultant in your Emergency Preparedness and Response Plan. Keturah Oglesby, Smart Start of Forsyth County, is the current CCHC for Forsyth County. • Please monitor playground equipment for cobwebs prior to use by children enrolled. • Please be reminded the CPR/FA certification for the operator and additional caregiver must be renewed on or before 10/29/2023. • 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 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 .1729 · Violation

Name of Operation: LITTLE ONES HEAVEN Facility ID: 34000694 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 10/25/2023 Number Present: 3 Completed Date: 10/25/2023 Age: From 3 To 3 Total Minutes: 250 Time In: 08:20 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Kenyetta Driver, Operator, assisted me with the visit. Ms. Driver’s husband, Mr. Cleveland Brown, serves as an additional caregiver, but was not present during the visit. Your program currently operates with a 4-Star license effective 3/14/2018. Restrictions include 1st, 2nd, and 3rd shift care, children on ground level only, maximum of five preschool children at any time; no more than two infants under age one. The program’s compliance history was 97 % 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. Driver stated the only persons living in the home with her are her husband and two sons. Ms. Driver stated one of her sons will celebrate his 16th birthday in May, 2024. Be reminded that you and your husband must have criminal record checks conducted every five (5) years and that all individuals who live in the household who have had their 16th birthday after the initial licensing of a family child care home shall complete and submit the forms listed in Paragraph (a) of this Rule to the Division within five business days of their 16th birthday. 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. On the playground, one ball was observed to be heavily mildewed. One metal pole (not a part of the fencing itself) was observed inside the fenced-in area at the back of the playground, which was observed to be rusting. Two pieces of metal on the wire mesh fencing, accessible to children, on the right side of the outdoor play area (facing away from the home) were observed to be separated from the rest of the fencing and sharp to the touch. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. One child enrolled did not have an arrival time recorded. I observed positive interactions today. I observed children playing in activity centers, engaging in circle time, songs, and activities with Ms. Driver, 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, and Criminal Background Checks. Current certificates for Health and Safety Training Topic #s 1, Prevention and control of infectious diseases, including immunization, 2, Administration of medication, with standards for parental consent, and 10, Recognizing and reporting child abuse, child neglect, and child maltreatment, were not observed to be on file for the operator. Current certificates for Health and Safety Training Topic #s 2, Administration of medication, with standards for parental consent, and 10, Recognizing and reporting child abuse, child neglect, and child maltreatment, were not observed to be on file for the additional caregiver. Six of twenty required on-going training hours from the 2022/2023 compliance year had been completed by the additional caregiver; these hours were due to be completed by 6/02/2023. Ten of 8.5 required on-going training hours from the 2022/2023 compliance year were completed by Ms. Driver; the remaining 1.5 hours of training may be credited to the 2023/2024 compliance year. No medications were observed nor reported. Storage hazardous items was monitored today. One container of Coconut Oil Hair Conditioner labeled Keep Out of Reach of Children with additional warnings was observed in unlocked storage. Ms. Driver placed this item into locked storage during the visit. A playground inspection was recorded 9/29/2023. A fire drill was recorded 9/29/2023. A lock down drill for the facility was recorded 8/31/2023. There is one dog located outside the home in a separate fenced-in area from the playground, and all vaccinations and parent acknowledgement forms were monitored. Child Care Rule .1719 (a)(2) was monitored for compliance. The program does not provide transportation or participate in off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 409 Individuals who provide care for 5 hours or more hours in a week, during planned absences of the family child care home operator, did not meet the requirements as specified in rule. Six of twenty required on-going training hours from the 2022/2023 compliance year had been completed by the additional caregiver; these hours were due to by completed by 6/02/2023. Current certificates for Health and Safety Training Topic #s 2, Administration of medication, with standards for parental consent, and 10, Recognizing and reporting child abuse, child neglect, and child maltreatment, were not observed to be on file for the additional caregiver. 10 A NCAC 09.1701(b) 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. One container of Coconut Oil Hair Conditioner labeled Keep Out of Reach of Children with additional warnings was observed in unlocked storage. .1719 (a)(7) 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 an arrival time recorded. .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, one ball was observed to be heavily mildewed. One metal pole (not a part of the fencing itself) was observed inside the fenced-in outdoor play area at the back of the playground, which was observed to be rusting. Two pieces of metal on the wire mesh fencing, accessible to children, on the right side of the outdoor play area (facing away from the home) were observed to be separated from the rest of the fencing and sharp to the touch. 10A NCAC 09 .1719 (a) 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. Current certificates for Health and Safety Training Topic #s 1, Prevention and control of infectious diseases, including immunization, 2, Administration of medication, with standards for parental consent, and 10, Recognizing and reporting child abuse, child neglect, and child maltreatment, were not observed to be on file for the operator. .1703(d)(2) 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 11/08/2023. 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 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: • It was observed that the parent signed the child into care today with a signature; however, Ms. Driver stated she forgot to record the arrival time for the child. She stated she will review the sign-in/sign-out sheet after parents drop off to ensure all information for records of arrival and departure are current and accurate. • Ms. Driver stated the Health and Safety Training topics not completed for herself and an additional caregiver had been accidentally overlooked. Ms. Driver stated she and Mr. Brown will complete these trainings and maintain all Health & Safety trainings for currency every five years. • Ms. Driver stated she did not realize the Coconut Hair Oil had to be kept in locked storage; I stated that because it was labeled Keep Out of Reach of Children with the additional warning of being flammable that this needed to be kept in locked storage. Ms. Driver corrected this during the visit. • Ms. Driver stated she was unaware there was a specific number of training hours required, per education, for her additional caregiver each year. We discussed Mr. Brown was required to have 20 hours per year of annual training and that training opportunities are available online and in-person via DCDEE Moodle, through Smart Start of Forsyth County, the Southwest Child Care Commission, and the Child Care Resource Center. Ms. Driver stated Mr. Brown will complete the remaining fourteen hours of training required within two weeks from my visit. • Ms. Driver stated she was unaware of the safety issues observed on the playground. We discussed options for correcting the sharp areas of the wire mesh fencing and rusting metal pole. Ms. Driver stated these items will be brought into compliance within two weeks from my visit. Additional Comments: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were thoroughly discussed with Ms. Driver during the visit: 10A NCAC 09 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS (a) An individual who provides care for five hours or more in a week during planned absences of the family child care home operator shall: (8) have completed ITS-SIDS training, if licensed to care for infants; 10A NCAC 09 .1711 SUPERVISION OF CHILDREN IN A FAMILY CHILD CARE HOME (a) Children shall be adequately supervised at all times in a family child care home. "Adequate supervision" shall mean that: (1) For pre-school age children, the family child care home operator shall be positioned in the indoor and outdoor environment to maximize his or her ability to hear and see the children at all times and render immediate assistance 10A NCAC 09 .1724 SAFE SLEEP PRACTICES (c) The operator shall post a copy of the safe sleep policy and poster about safe sleep practices in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. 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: (6) Developmentally appropriate activities as planned on a written schedule and activity plan. The schedule and activity plan may be combined as one document. Materials or equipment shall be available indoors and outdoors to support the activities listed on the written schedule and activity plan. (8) A written activity plan that shall: (A) Include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at https://www.ncchildcare.ncdhhs.gov//pdf_forms/nc_foundations.pdf: (i) emotional and social development; (ii) health and physical development; (iii) approaches to play and learning; (iv) language development and communication; and (iv) cognitive development. (B) Identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (C) Reflect that children have at least four different activities daily, at least one of which is outdoors, if weather conditions permit, as specified in G.S. 110-91(12) as follows: (i) art and other creative play; (ii) children's books; (iii) blocks and block building; (iv) manipulatives; and (v) family living and dramatic play. (D) Provide materials and opportunities at least weekly, indoors or outdoors, for the following: (i) music and rhythm; (ii) science and nature; and (iii) sand and water play. I recommend this plan be updated at least monthly to reflect the current interests, developmental levels, and developmental needs of children enrolled in care. • Please remember to record a date on your Emergency Medical Care Plan that reflects when your plan was last updated each year. • Please remove any protruding nails from the upper portion of the fencing (greater than five feet above the ground) prior to enrolling children who are School Age. • Please update the name and contact information for your Child Care Consultant and your Child Care Health Consultant in your Emergency Preparedness and Response Plan. Keturah Oglesby, Smart Start of Forsyth County, is the current CCHC for Forsyth County. • Please monitor playground equipment for cobwebs prior to use by children enrolled. • Please be reminded the CPR/FA certification for the operator and additional caregiver must be renewed on or before 10/29/2023. • 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 At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: LITTLE ONES HEAVEN Facility ID: 34000694 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 10/25/2023 Number Present: 3 Completed Date: 10/25/2023 Age: From 3 To 3 Total Minutes: 250 Time In: 08:20 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Kenyetta Driver, Operator, assisted me with the visit. Ms. Driver’s husband, Mr. Cleveland Brown, serves as an additional caregiver, but was not present during the visit. Your program currently operates with a 4-Star license effective 3/14/2018. Restrictions include 1st, 2nd, and 3rd shift care, children on ground level only, maximum of five preschool children at any time; no more than two infants under age one. The program’s compliance history was 97 % 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. Driver stated the only persons living in the home with her are her husband and two sons. Ms. Driver stated one of her sons will celebrate his 16th birthday in May, 2024. Be reminded that you and your husband must have criminal record checks conducted every five (5) years and that all individuals who live in the household who have had their 16th birthday after the initial licensing of a family child care home shall complete and submit the forms listed in Paragraph (a) of this Rule to the Division within five business days of their 16th birthday. 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. On the playground, one ball was observed to be heavily mildewed. One metal pole (not a part of the fencing itself) was observed inside the fenced-in area at the back of the playground, which was observed to be rusting. Two pieces of metal on the wire mesh fencing, accessible to children, on the right side of the outdoor play area (facing away from the home) were observed to be separated from the rest of the fencing and sharp to the touch. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. One child enrolled did not have an arrival time recorded. I observed positive interactions today. I observed children playing in activity centers, engaging in circle time, songs, and activities with Ms. Driver, 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, and Criminal Background Checks. Current certificates for Health and Safety Training Topic #s 1, Prevention and control of infectious diseases, including immunization, 2, Administration of medication, with standards for parental consent, and 10, Recognizing and reporting child abuse, child neglect, and child maltreatment, were not observed to be on file for the operator. Current certificates for Health and Safety Training Topic #s 2, Administration of medication, with standards for parental consent, and 10, Recognizing and reporting child abuse, child neglect, and child maltreatment, were not observed to be on file for the additional caregiver. Six of twenty required on-going training hours from the 2022/2023 compliance year had been completed by the additional caregiver; these hours were due to be completed by 6/02/2023. Ten of 8.5 required on-going training hours from the 2022/2023 compliance year were completed by Ms. Driver; the remaining 1.5 hours of training may be credited to the 2023/2024 compliance year. No medications were observed nor reported. Storage hazardous items was monitored today. One container of Coconut Oil Hair Conditioner labeled Keep Out of Reach of Children with additional warnings was observed in unlocked storage. Ms. Driver placed this item into locked storage during the visit. A playground inspection was recorded 9/29/2023. A fire drill was recorded 9/29/2023. A lock down drill for the facility was recorded 8/31/2023. There is one dog located outside the home in a separate fenced-in area from the playground, and all vaccinations and parent acknowledgement forms were monitored. Child Care Rule .1719 (a)(2) was monitored for compliance. The program does not provide transportation or participate in off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 409 Individuals who provide care for 5 hours or more hours in a week, during planned absences of the family child care home operator, did not meet the requirements as specified in rule. Six of twenty required on-going training hours from the 2022/2023 compliance year had been completed by the additional caregiver; these hours were due to by completed by 6/02/2023. Current certificates for Health and Safety Training Topic #s 2, Administration of medication, with standards for parental consent, and 10, Recognizing and reporting child abuse, child neglect, and child maltreatment, were not observed to be on file for the additional caregiver. 10 A NCAC 09.1701(b) 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. One container of Coconut Oil Hair Conditioner labeled Keep Out of Reach of Children with additional warnings was observed in unlocked storage. .1719 (a)(7) 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 an arrival time recorded. .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, one ball was observed to be heavily mildewed. One metal pole (not a part of the fencing itself) was observed inside the fenced-in outdoor play area at the back of the playground, which was observed to be rusting. Two pieces of metal on the wire mesh fencing, accessible to children, on the right side of the outdoor play area (facing away from the home) were observed to be separated from the rest of the fencing and sharp to the touch. 10A NCAC 09 .1719 (a) 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. Current certificates for Health and Safety Training Topic #s 1, Prevention and control of infectious diseases, including immunization, 2, Administration of medication, with standards for parental consent, and 10, Recognizing and reporting child abuse, child neglect, and child maltreatment, were not observed to be on file for the operator. .1703(d)(2) 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 11/08/2023. 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 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: • It was observed that the parent signed the child into care today with a signature; however, Ms. Driver stated she forgot to record the arrival time for the child. She stated she will review the sign-in/sign-out sheet after parents drop off to ensure all information for records of arrival and departure are current and accurate. • Ms. Driver stated the Health and Safety Training topics not completed for herself and an additional caregiver had been accidentally overlooked. Ms. Driver stated she and Mr. Brown will complete these trainings and maintain all Health & Safety trainings for currency every five years. • Ms. Driver stated she did not realize the Coconut Hair Oil had to be kept in locked storage; I stated that because it was labeled Keep Out of Reach of Children with the additional warning of being flammable that this needed to be kept in locked storage. Ms. Driver corrected this during the visit. • Ms. Driver stated she was unaware there was a specific number of training hours required, per education, for her additional caregiver each year. We discussed Mr. Brown was required to have 20 hours per year of annual training and that training opportunities are available online and in-person via DCDEE Moodle, through Smart Start of Forsyth County, the Southwest Child Care Commission, and the Child Care Resource Center. Ms. Driver stated Mr. Brown will complete the remaining fourteen hours of training required within two weeks from my visit. • Ms. Driver stated she was unaware of the safety issues observed on the playground. We discussed options for correcting the sharp areas of the wire mesh fencing and rusting metal pole. Ms. Driver stated these items will be brought into compliance within two weeks from my visit. Additional Comments: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were thoroughly discussed with Ms. Driver during the visit: 10A NCAC 09 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS (a) An individual who provides care for five hours or more in a week during planned absences of the family child care home operator shall: (8) have completed ITS-SIDS training, if licensed to care for infants; 10A NCAC 09 .1711 SUPERVISION OF CHILDREN IN A FAMILY CHILD CARE HOME (a) Children shall be adequately supervised at all times in a family child care home. "Adequate supervision" shall mean that: (1) For pre-school age children, the family child care home operator shall be positioned in the indoor and outdoor environment to maximize his or her ability to hear and see the children at all times and render immediate assistance 10A NCAC 09 .1724 SAFE SLEEP PRACTICES (c) The operator shall post a copy of the safe sleep policy and poster about safe sleep practices in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. 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: (6) Developmentally appropriate activities as planned on a written schedule and activity plan. The schedule and activity plan may be combined as one document. Materials or equipment shall be available indoors and outdoors to support the activities listed on the written schedule and activity plan. (8) A written activity plan that shall: (A) Include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at https://www.ncchildcare.ncdhhs.gov//pdf_forms/nc_foundations.pdf: (i) emotional and social development; (ii) health and physical development; (iii) approaches to play and learning; (iv) language development and communication; and (iv) cognitive development. (B) Identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (C) Reflect that children have at least four different activities daily, at least one of which is outdoors, if weather conditions permit, as specified in G.S. 110-91(12) as follows: (i) art and other creative play; (ii) children's books; (iii) blocks and block building; (iv) manipulatives; and (v) family living and dramatic play. (D) Provide materials and opportunities at least weekly, indoors or outdoors, for the following: (i) music and rhythm; (ii) science and nature; and (iii) sand and water play. I recommend this plan be updated at least monthly to reflect the current interests, developmental levels, and developmental needs of children enrolled in care. • Please remember to record a date on your Emergency Medical Care Plan that reflects when your plan was last updated each year. • Please remove any protruding nails from the upper portion of the fencing (greater than five feet above the ground) prior to enrolling children who are School Age. • Please update the name and contact information for your Child Care Consultant and your Child Care Health Consultant in your Emergency Preparedness and Response Plan. Keturah Oglesby, Smart Start of Forsyth County, is the current CCHC for Forsyth County. • Please monitor playground equipment for cobwebs prior to use by children enrolled. • Please be reminded the CPR/FA certification for the operator and additional caregiver must be renewed on or before 10/29/2023. • 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 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 ONES HEAVEN Facility ID: 34000694 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 10/25/2023 Number Present: 3 Completed Date: 10/25/2023 Age: From 3 To 3 Total Minutes: 250 Time In: 08:20 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Kenyetta Driver, Operator, assisted me with the visit. Ms. Driver’s husband, Mr. Cleveland Brown, serves as an additional caregiver, but was not present during the visit. Your program currently operates with a 4-Star license effective 3/14/2018. Restrictions include 1st, 2nd, and 3rd shift care, children on ground level only, maximum of five preschool children at any time; no more than two infants under age one. The program’s compliance history was 97 % 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. Driver stated the only persons living in the home with her are her husband and two sons. Ms. Driver stated one of her sons will celebrate his 16th birthday in May, 2024. Be reminded that you and your husband must have criminal record checks conducted every five (5) years and that all individuals who live in the household who have had their 16th birthday after the initial licensing of a family child care home shall complete and submit the forms listed in Paragraph (a) of this Rule to the Division within five business days of their 16th birthday. 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. On the playground, one ball was observed to be heavily mildewed. One metal pole (not a part of the fencing itself) was observed inside the fenced-in area at the back of the playground, which was observed to be rusting. Two pieces of metal on the wire mesh fencing, accessible to children, on the right side of the outdoor play area (facing away from the home) were observed to be separated from the rest of the fencing and sharp to the touch. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. One child enrolled did not have an arrival time recorded. I observed positive interactions today. I observed children playing in activity centers, engaging in circle time, songs, and activities with Ms. Driver, 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, and Criminal Background Checks. Current certificates for Health and Safety Training Topic #s 1, Prevention and control of infectious diseases, including immunization, 2, Administration of medication, with standards for parental consent, and 10, Recognizing and reporting child abuse, child neglect, and child maltreatment, were not observed to be on file for the operator. Current certificates for Health and Safety Training Topic #s 2, Administration of medication, with standards for parental consent, and 10, Recognizing and reporting child abuse, child neglect, and child maltreatment, were not observed to be on file for the additional caregiver. Six of twenty required on-going training hours from the 2022/2023 compliance year had been completed by the additional caregiver; these hours were due to be completed by 6/02/2023. Ten of 8.5 required on-going training hours from the 2022/2023 compliance year were completed by Ms. Driver; the remaining 1.5 hours of training may be credited to the 2023/2024 compliance year. No medications were observed nor reported. Storage hazardous items was monitored today. One container of Coconut Oil Hair Conditioner labeled Keep Out of Reach of Children with additional warnings was observed in unlocked storage. Ms. Driver placed this item into locked storage during the visit. A playground inspection was recorded 9/29/2023. A fire drill was recorded 9/29/2023. A lock down drill for the facility was recorded 8/31/2023. There is one dog located outside the home in a separate fenced-in area from the playground, and all vaccinations and parent acknowledgement forms were monitored. Child Care Rule .1719 (a)(2) was monitored for compliance. The program does not provide transportation or participate in off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 409 Individuals who provide care for 5 hours or more hours in a week, during planned absences of the family child care home operator, did not meet the requirements as specified in rule. Six of twenty required on-going training hours from the 2022/2023 compliance year had been completed by the additional caregiver; these hours were due to by completed by 6/02/2023. Current certificates for Health and Safety Training Topic #s 2, Administration of medication, with standards for parental consent, and 10, Recognizing and reporting child abuse, child neglect, and child maltreatment, were not observed to be on file for the additional caregiver. 10 A NCAC 09.1701(b) 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. One container of Coconut Oil Hair Conditioner labeled Keep Out of Reach of Children with additional warnings was observed in unlocked storage. .1719 (a)(7) 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 an arrival time recorded. .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, one ball was observed to be heavily mildewed. One metal pole (not a part of the fencing itself) was observed inside the fenced-in outdoor play area at the back of the playground, which was observed to be rusting. Two pieces of metal on the wire mesh fencing, accessible to children, on the right side of the outdoor play area (facing away from the home) were observed to be separated from the rest of the fencing and sharp to the touch. 10A NCAC 09 .1719 (a) 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. Current certificates for Health and Safety Training Topic #s 1, Prevention and control of infectious diseases, including immunization, 2, Administration of medication, with standards for parental consent, and 10, Recognizing and reporting child abuse, child neglect, and child maltreatment, were not observed to be on file for the operator. .1703(d)(2) 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 11/08/2023. 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 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: • It was observed that the parent signed the child into care today with a signature; however, Ms. Driver stated she forgot to record the arrival time for the child. She stated she will review the sign-in/sign-out sheet after parents drop off to ensure all information for records of arrival and departure are current and accurate. • Ms. Driver stated the Health and Safety Training topics not completed for herself and an additional caregiver had been accidentally overlooked. Ms. Driver stated she and Mr. Brown will complete these trainings and maintain all Health & Safety trainings for currency every five years. • Ms. Driver stated she did not realize the Coconut Hair Oil had to be kept in locked storage; I stated that because it was labeled Keep Out of Reach of Children with the additional warning of being flammable that this needed to be kept in locked storage. Ms. Driver corrected this during the visit. • Ms. Driver stated she was unaware there was a specific number of training hours required, per education, for her additional caregiver each year. We discussed Mr. Brown was required to have 20 hours per year of annual training and that training opportunities are available online and in-person via DCDEE Moodle, through Smart Start of Forsyth County, the Southwest Child Care Commission, and the Child Care Resource Center. Ms. Driver stated Mr. Brown will complete the remaining fourteen hours of training required within two weeks from my visit. • Ms. Driver stated she was unaware of the safety issues observed on the playground. We discussed options for correcting the sharp areas of the wire mesh fencing and rusting metal pole. Ms. Driver stated these items will be brought into compliance within two weeks from my visit. Additional Comments: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were thoroughly discussed with Ms. Driver during the visit: 10A NCAC 09 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS (a) An individual who provides care for five hours or more in a week during planned absences of the family child care home operator shall: (8) have completed ITS-SIDS training, if licensed to care for infants; 10A NCAC 09 .1711 SUPERVISION OF CHILDREN IN A FAMILY CHILD CARE HOME (a) Children shall be adequately supervised at all times in a family child care home. "Adequate supervision" shall mean that: (1) For pre-school age children, the family child care home operator shall be positioned in the indoor and outdoor environment to maximize his or her ability to hear and see the children at all times and render immediate assistance 10A NCAC 09 .1724 SAFE SLEEP PRACTICES (c) The operator shall post a copy of the safe sleep policy and poster about safe sleep practices in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. 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: (6) Developmentally appropriate activities as planned on a written schedule and activity plan. The schedule and activity plan may be combined as one document. Materials or equipment shall be available indoors and outdoors to support the activities listed on the written schedule and activity plan. (8) A written activity plan that shall: (A) Include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at https://www.ncchildcare.ncdhhs.gov//pdf_forms/nc_foundations.pdf: (i) emotional and social development; (ii) health and physical development; (iii) approaches to play and learning; (iv) language development and communication; and (iv) cognitive development. (B) Identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (C) Reflect that children have at least four different activities daily, at least one of which is outdoors, if weather conditions permit, as specified in G.S. 110-91(12) as follows: (i) art and other creative play; (ii) children's books; (iii) blocks and block building; (iv) manipulatives; and (v) family living and dramatic play. (D) Provide materials and opportunities at least weekly, indoors or outdoors, for the following: (i) music and rhythm; (ii) science and nature; and (iii) sand and water play. I recommend this plan be updated at least monthly to reflect the current interests, developmental levels, and developmental needs of children enrolled in care. • Please remember to record a date on your Emergency Medical Care Plan that reflects when your plan was last updated each year. • Please remove any protruding nails from the upper portion of the fencing (greater than five feet above the ground) prior to enrolling children who are School Age. • Please update the name and contact information for your Child Care Consultant and your Child Care Health Consultant in your Emergency Preparedness and Response Plan. Keturah Oglesby, Smart Start of Forsyth County, is the current CCHC for Forsyth County. • Please monitor playground equipment for cobwebs prior to use by children enrolled. • Please be reminded the CPR/FA certification for the operator and additional caregiver must be renewed on or before 10/29/2023. • 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 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