Omega Wilcox Child Care Home

10A NCAC 09 .1718 · Violation

Name of Operation: OMEGA WILCOX CHILD CARE HOME Facility ID: 34000538 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 1/15/2026 Number Present: 5 Completed Date: 1/15/2026 Age: From 3 To 4 Total Minutes: 130 Time In: 09:35 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Omega Wilcox, Operator, assisted me with the visit. Your program currently operates with a 4-Star license effective 9/19/2019. Restrictions include 1st and 2nd shift care, a maximum of five preschool children at any time, and serves no more than three children less than one year of age. The program’s compliance history was 83% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Mrs. Wilcox stated she and her husband are the only people living in the home. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed the children in care playing with toys, engaging in conversations, playing with play dough, reading, general routines and other activities with Ms. Wilcox during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, ITS-SIDS, and Criminal Background Checks. No medications were observed nor reported. Storage of hazardous items was monitored today. A playground inspection was recorded 1/13/2026. A fire drill was last observed recorded 1/08/2026. A lockdown drill for the facility was recorded on 1/08/2026. There are currently no pets in the home. The program does not provide transportation or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 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 lens wipe labeled Keep Out of Reach of Children with additional warnings was observed stored in an unlocked desk drawer less than five feet from the ground in space designated for child care. One tube of Boudreaux’s Butt Paste was observed inside an unlocked plastic drawer accessible to children in the bathroom used by children enrolled. A Swiffer Wet Jet with the solution installed was observed unlocked and accessible to children in a space designated for child care. .1719 (a)(7) 802 Sanitary toilet, diaper changing and hand-washing facilities were not provided. Soiled materials from changing a recent bowel movement involving a cloth diaper were observed left on the changing table. One soiled diaper was observed wrapped and inside a plastic drawer located less than five feet from the ground accessible to children. .1725(a)(5)(A-F) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. The metal window trim of the outside windows located at ground level on the playground used by children was observed to have rust exposed. 10A NCAC 09 .1719 (a) 1831 A valid qualification letter was not on file and available for review at the facility. A Criminal Background Check qualification letter was not observed on file for the operator’s husband; however, a valid CBC qualification letter was observed in ABCMS for Mr. Wilcox which will not expire until 10/15/2026. G.S. 110-90.2 (b) & (d) & .2703(e) .1702(b)(1) 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The Emergency Preparedness and Response Plan for the facility was last updated on 8/18/2024. .1714(e ) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Five small plastic hair bands and two peppermint candies wrapped in plastic were also observed in an unlocked desk drawer less than five feet from the ground in space designated for child care and accessible to children under three years of age. .1719(a)(18) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 10-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 1/29/2026. 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-stewart@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 during today’s visit: A Criminal Background Check qualification letter was not observed on file for the operator’s husband; however, a valid CBC qualification letter was observed in ABCMS for Mr. Wilcox which will not expire until 10/15/2026. The Emergency Preparedness and Response Plan for the facility was last updated on 8/18/2024. It is imperative that all required records are current and on file for review to ensure the health, safety, and quality of care for children enrolled. Mrs. Wilcox stated she is sure she has her husband’s CBC Qualification letter printed, but was just unable to locate it during the visit. You may consider creating a routine system for reviewing Operator, Program, and other files to ensure all required paperwork is on file and available for review. The metal window trim of the outside windows located at ground level on the playground used by children was observed to have rust exposed. It is important for the outdoor learning environment to be a safe place for children to explore and engage with at all times. You may consider adding this item for monitoring during your monthly playground inspection, as weather erosion may cause this over time. Consultation provided during today’s visit: The following Child Care Rules were reviewed with Ms. Wilcox during the visit: 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a) (6)(8) regarding written activity plans Remember to renew the following qualifications and certifications: • CBC Qualification Letter for O. Wilcox before 6/14/2026 • CBC Qualification Letter for J. Wilcox before 10/15/2026 • ITS SIDS Certification prior to 5/16/2026 Please ensure fire drill logs are completed fully each month with all pertinent information, inclusive of the date the drill was completed. 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. Ms. Wilcox stated she is currently working with the Family Child Care Enrichment Foundation (FCCEF) with a group of individuals she says is preparing to navigate the accreditation process together. She stated she does not know at this time when she will formally apply for the Accreditation process, but she will update me as she receives additional information. 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 you, and you were given the opportunity to ask questions. 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: OMEGA WILCOX CHILD CARE HOME Facility ID: 34000538 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 1/15/2026 Number Present: 5 Completed Date: 1/15/2026 Age: From 3 To 4 Total Minutes: 130 Time In: 09:35 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Omega Wilcox, Operator, assisted me with the visit. Your program currently operates with a 4-Star license effective 9/19/2019. Restrictions include 1st and 2nd shift care, a maximum of five preschool children at any time, and serves no more than three children less than one year of age. The program’s compliance history was 83% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Mrs. Wilcox stated she and her husband are the only people living in the home. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed the children in care playing with toys, engaging in conversations, playing with play dough, reading, general routines and other activities with Ms. Wilcox during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, ITS-SIDS, and Criminal Background Checks. No medications were observed nor reported. Storage of hazardous items was monitored today. A playground inspection was recorded 1/13/2026. A fire drill was last observed recorded 1/08/2026. A lockdown drill for the facility was recorded on 1/08/2026. There are currently no pets in the home. The program does not provide transportation or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 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 lens wipe labeled Keep Out of Reach of Children with additional warnings was observed stored in an unlocked desk drawer less than five feet from the ground in space designated for child care. One tube of Boudreaux’s Butt Paste was observed inside an unlocked plastic drawer accessible to children in the bathroom used by children enrolled. A Swiffer Wet Jet with the solution installed was observed unlocked and accessible to children in a space designated for child care. .1719 (a)(7) 802 Sanitary toilet, diaper changing and hand-washing facilities were not provided. Soiled materials from changing a recent bowel movement involving a cloth diaper were observed left on the changing table. One soiled diaper was observed wrapped and inside a plastic drawer located less than five feet from the ground accessible to children. .1725(a)(5)(A-F) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. The metal window trim of the outside windows located at ground level on the playground used by children was observed to have rust exposed. 10A NCAC 09 .1719 (a) 1831 A valid qualification letter was not on file and available for review at the facility. A Criminal Background Check qualification letter was not observed on file for the operator’s husband; however, a valid CBC qualification letter was observed in ABCMS for Mr. Wilcox which will not expire until 10/15/2026. G.S. 110-90.2 (b) & (d) & .2703(e) .1702(b)(1) 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The Emergency Preparedness and Response Plan for the facility was last updated on 8/18/2024. .1714(e ) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Five small plastic hair bands and two peppermint candies wrapped in plastic were also observed in an unlocked desk drawer less than five feet from the ground in space designated for child care and accessible to children under three years of age. .1719(a)(18) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 10-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 1/29/2026. 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-stewart@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 during today’s visit: A Criminal Background Check qualification letter was not observed on file for the operator’s husband; however, a valid CBC qualification letter was observed in ABCMS for Mr. Wilcox which will not expire until 10/15/2026. The Emergency Preparedness and Response Plan for the facility was last updated on 8/18/2024. It is imperative that all required records are current and on file for review to ensure the health, safety, and quality of care for children enrolled. Mrs. Wilcox stated she is sure she has her husband’s CBC Qualification letter printed, but was just unable to locate it during the visit. You may consider creating a routine system for reviewing Operator, Program, and other files to ensure all required paperwork is on file and available for review. The metal window trim of the outside windows located at ground level on the playground used by children was observed to have rust exposed. It is important for the outdoor learning environment to be a safe place for children to explore and engage with at all times. You may consider adding this item for monitoring during your monthly playground inspection, as weather erosion may cause this over time. Consultation provided during today’s visit: The following Child Care Rules were reviewed with Ms. Wilcox during the visit: 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a) (6)(8) regarding written activity plans Remember to renew the following qualifications and certifications: • CBC Qualification Letter for O. Wilcox before 6/14/2026 • CBC Qualification Letter for J. Wilcox before 10/15/2026 • ITS SIDS Certification prior to 5/16/2026 Please ensure fire drill logs are completed fully each month with all pertinent information, inclusive of the date the drill was completed. 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. Ms. Wilcox stated she is currently working with the Family Child Care Enrichment Foundation (FCCEF) with a group of individuals she says is preparing to navigate the accreditation process together. She stated she does not know at this time when she will formally apply for the Accreditation process, but she will update me as she receives additional information. 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 you, and you were given the opportunity to ask questions. 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: OMEGA WILCOX CHILD CARE HOME Facility ID: 34000538 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 1/15/2026 Number Present: 5 Completed Date: 1/15/2026 Age: From 3 To 4 Total Minutes: 130 Time In: 09:35 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Omega Wilcox, Operator, assisted me with the visit. Your program currently operates with a 4-Star license effective 9/19/2019. Restrictions include 1st and 2nd shift care, a maximum of five preschool children at any time, and serves no more than three children less than one year of age. The program’s compliance history was 83% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Mrs. Wilcox stated she and her husband are the only people living in the home. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed the children in care playing with toys, engaging in conversations, playing with play dough, reading, general routines and other activities with Ms. Wilcox during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, ITS-SIDS, and Criminal Background Checks. No medications were observed nor reported. Storage of hazardous items was monitored today. A playground inspection was recorded 1/13/2026. A fire drill was last observed recorded 1/08/2026. A lockdown drill for the facility was recorded on 1/08/2026. There are currently no pets in the home. The program does not provide transportation or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 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 lens wipe labeled Keep Out of Reach of Children with additional warnings was observed stored in an unlocked desk drawer less than five feet from the ground in space designated for child care. One tube of Boudreaux’s Butt Paste was observed inside an unlocked plastic drawer accessible to children in the bathroom used by children enrolled. A Swiffer Wet Jet with the solution installed was observed unlocked and accessible to children in a space designated for child care. .1719 (a)(7) 802 Sanitary toilet, diaper changing and hand-washing facilities were not provided. Soiled materials from changing a recent bowel movement involving a cloth diaper were observed left on the changing table. One soiled diaper was observed wrapped and inside a plastic drawer located less than five feet from the ground accessible to children. .1725(a)(5)(A-F) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. The metal window trim of the outside windows located at ground level on the playground used by children was observed to have rust exposed. 10A NCAC 09 .1719 (a) 1831 A valid qualification letter was not on file and available for review at the facility. A Criminal Background Check qualification letter was not observed on file for the operator’s husband; however, a valid CBC qualification letter was observed in ABCMS for Mr. Wilcox which will not expire until 10/15/2026. G.S. 110-90.2 (b) & (d) & .2703(e) .1702(b)(1) 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The Emergency Preparedness and Response Plan for the facility was last updated on 8/18/2024. .1714(e ) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Five small plastic hair bands and two peppermint candies wrapped in plastic were also observed in an unlocked desk drawer less than five feet from the ground in space designated for child care and accessible to children under three years of age. .1719(a)(18) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 10-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 1/29/2026. 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-stewart@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 during today’s visit: A Criminal Background Check qualification letter was not observed on file for the operator’s husband; however, a valid CBC qualification letter was observed in ABCMS for Mr. Wilcox which will not expire until 10/15/2026. The Emergency Preparedness and Response Plan for the facility was last updated on 8/18/2024. It is imperative that all required records are current and on file for review to ensure the health, safety, and quality of care for children enrolled. Mrs. Wilcox stated she is sure she has her husband’s CBC Qualification letter printed, but was just unable to locate it during the visit. You may consider creating a routine system for reviewing Operator, Program, and other files to ensure all required paperwork is on file and available for review. The metal window trim of the outside windows located at ground level on the playground used by children was observed to have rust exposed. It is important for the outdoor learning environment to be a safe place for children to explore and engage with at all times. You may consider adding this item for monitoring during your monthly playground inspection, as weather erosion may cause this over time. Consultation provided during today’s visit: The following Child Care Rules were reviewed with Ms. Wilcox during the visit: 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a) (6)(8) regarding written activity plans Remember to renew the following qualifications and certifications: • CBC Qualification Letter for O. Wilcox before 6/14/2026 • CBC Qualification Letter for J. Wilcox before 10/15/2026 • ITS SIDS Certification prior to 5/16/2026 Please ensure fire drill logs are completed fully each month with all pertinent information, inclusive of the date the drill was completed. 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. Ms. Wilcox stated she is currently working with the Family Child Care Enrichment Foundation (FCCEF) with a group of individuals she says is preparing to navigate the accreditation process together. She stated she does not know at this time when she will formally apply for the Accreditation process, but she will update me as she receives additional information. 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 you, and you were given the opportunity to ask questions. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.1721 · Violation

Name of Operation: OMEGA WILCOX CHILD CARE HOME Facility ID: 34000538 Consultant: JENNIFER DAVIS Operation Type: Family CC Home Case Number: Visit Date: 8/4/2025 Number Present: 4 Completed Date: 8/4/2025 Age: From 1 To 4 Total Minutes: 150 Time In: 09:15 AM Time Out: 11:45 AM 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 Omega Wilcox, Operator. Your program currently operates with a 4-Star license. Restrictions include 1st and 2nd shift care, a maximum of five preschoolers at any time, and serves no more than two infants. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 78% 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, engaging in conversations and activities with Ms. Wilcox, free play, eating snack, 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 8/05/2024. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator during the visit. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The most recent fire drill was documented on 7/7/2025. The most recent shelter-in-place drill was documented on 6/5/2025. The last outdoor inspection was documented on 7/11/2025. There are no pets reported at the home. 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 transport children or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification. The operator's first aid training had expired 6/3/2025. .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. .1703(a)(3) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. Three(3) enrolled children did not have a health assessment on file. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. One(1) enrolled child did not have an immunization on file. GS 110-91(1); .1721(a)(2) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The operator and additional caregiver CBCs were not yet linked to the facility profile in the criminal background portal. 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 8/18/2025. 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: • A facility profile for Criminal Background Checks had not been created; hence, the operator’s and her husband’s CBCs were also not yet linked to this profile. It is necessary for all staff members and residents of the home who are 16 years of age or older 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. Wilcox stated she has the instructions Child Care Consultant, Cara McKeown-Stewart sent via email to complete this process. I also stated I would resend all ABCMS emails to Ms. Wilcox for easier reference following my visit. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. • Ms. Wilcox stated she has signed up for CPR/First Aid training on Saturday. CPR/First aid training should be completed prior to expiration. -Child Medical assessments and immunizations should be on file within 30 days of enrollment. Consultation provided following today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • We discussed the QRIS during the visit and Ms. Wilcox stated she will be in a pilot program to become accredited. The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition will begin soon with the following informational opportunities: In August, we’ll provide a rule roll out module in the DCDEE e-learning Moodle platform and host webinars on the following dates and times: • August 18th at 1:00pm (child care centers and centers located in a residence) and 6:30pm (family child care homes) • August 20th at 1:00pm (family child care homes) and 6:30pm (child care centers and centers located in a residence) In September, child care consultants will host in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within 12 months based on the pathway chosen. At the completion of the visit, this visit summary was reviewed with and provided to you, and you were provided the opportunity to ask questions during and at the conclusion of the visit. Thank you for your time and assistance with this visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Jennifer Davis @ jennifer.davis@dhhs.nc.gov or 336-317-5041. or your consultant: Cara McKeown-Stewart (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: OMEGA WILCOX CHILD CARE HOME Facility ID: 34000538 Consultant: JENNIFER DAVIS Operation Type: Family CC Home Case Number: Visit Date: 8/4/2025 Number Present: 4 Completed Date: 8/4/2025 Age: From 1 To 4 Total Minutes: 150 Time In: 09:15 AM Time Out: 11:45 AM 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 Omega Wilcox, Operator. Your program currently operates with a 4-Star license. Restrictions include 1st and 2nd shift care, a maximum of five preschoolers at any time, and serves no more than two infants. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 78% 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, engaging in conversations and activities with Ms. Wilcox, free play, eating snack, 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 8/05/2024. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator during the visit. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The most recent fire drill was documented on 7/7/2025. The most recent shelter-in-place drill was documented on 6/5/2025. The last outdoor inspection was documented on 7/11/2025. There are no pets reported at the home. 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 transport children or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification. The operator's first aid training had expired 6/3/2025. .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. .1703(a)(3) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. Three(3) enrolled children did not have a health assessment on file. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. One(1) enrolled child did not have an immunization on file. GS 110-91(1); .1721(a)(2) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The operator and additional caregiver CBCs were not yet linked to the facility profile in the criminal background portal. 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 8/18/2025. 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: • A facility profile for Criminal Background Checks had not been created; hence, the operator’s and her husband’s CBCs were also not yet linked to this profile. It is necessary for all staff members and residents of the home who are 16 years of age or older 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. Wilcox stated she has the instructions Child Care Consultant, Cara McKeown-Stewart sent via email to complete this process. I also stated I would resend all ABCMS emails to Ms. Wilcox for easier reference following my visit. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. • Ms. Wilcox stated she has signed up for CPR/First Aid training on Saturday. CPR/First aid training should be completed prior to expiration. -Child Medical assessments and immunizations should be on file within 30 days of enrollment. Consultation provided following today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • We discussed the QRIS during the visit and Ms. Wilcox stated she will be in a pilot program to become accredited. The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition will begin soon with the following informational opportunities: In August, we’ll provide a rule roll out module in the DCDEE e-learning Moodle platform and host webinars on the following dates and times: • August 18th at 1:00pm (child care centers and centers located in a residence) and 6:30pm (family child care homes) • August 20th at 1:00pm (family child care homes) and 6:30pm (child care centers and centers located in a residence) In September, child care consultants will host in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within 12 months based on the pathway chosen. At the completion of the visit, this visit summary was reviewed with and provided to you, and you were provided the opportunity to ask questions during and at the conclusion of the visit. Thank you for your time and assistance with this visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Jennifer Davis @ jennifer.davis@dhhs.nc.gov or 336-317-5041. or your consultant: Cara McKeown-Stewart (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: OMEGA WILCOX CHILD CARE HOME Facility ID: 34000538 Consultant: JENNIFER DAVIS Operation Type: Family CC Home Case Number: Visit Date: 8/4/2025 Number Present: 4 Completed Date: 8/4/2025 Age: From 1 To 4 Total Minutes: 150 Time In: 09:15 AM Time Out: 11:45 AM 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 Omega Wilcox, Operator. Your program currently operates with a 4-Star license. Restrictions include 1st and 2nd shift care, a maximum of five preschoolers at any time, and serves no more than two infants. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 78% 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, engaging in conversations and activities with Ms. Wilcox, free play, eating snack, 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 8/05/2024. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator during the visit. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The most recent fire drill was documented on 7/7/2025. The most recent shelter-in-place drill was documented on 6/5/2025. The last outdoor inspection was documented on 7/11/2025. There are no pets reported at the home. 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 transport children or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification. The operator's first aid training had expired 6/3/2025. .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. .1703(a)(3) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. Three(3) enrolled children did not have a health assessment on file. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. One(1) enrolled child did not have an immunization on file. GS 110-91(1); .1721(a)(2) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The operator and additional caregiver CBCs were not yet linked to the facility profile in the criminal background portal. 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 8/18/2025. 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: • A facility profile for Criminal Background Checks had not been created; hence, the operator’s and her husband’s CBCs were also not yet linked to this profile. It is necessary for all staff members and residents of the home who are 16 years of age or older 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. Wilcox stated she has the instructions Child Care Consultant, Cara McKeown-Stewart sent via email to complete this process. I also stated I would resend all ABCMS emails to Ms. Wilcox for easier reference following my visit. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. • Ms. Wilcox stated she has signed up for CPR/First Aid training on Saturday. CPR/First aid training should be completed prior to expiration. -Child Medical assessments and immunizations should be on file within 30 days of enrollment. Consultation provided following today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • We discussed the QRIS during the visit and Ms. Wilcox stated she will be in a pilot program to become accredited. The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition will begin soon with the following informational opportunities: In August, we’ll provide a rule roll out module in the DCDEE e-learning Moodle platform and host webinars on the following dates and times: • August 18th at 1:00pm (child care centers and centers located in a residence) and 6:30pm (family child care homes) • August 20th at 1:00pm (family child care homes) and 6:30pm (child care centers and centers located in a residence) In September, child care consultants will host in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within 12 months based on the pathway chosen. At the completion of the visit, this visit summary was reviewed with and provided to you, and you were provided the opportunity to ask questions during and at the conclusion of the visit. Thank you for your time and assistance with this visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Jennifer Davis @ jennifer.davis@dhhs.nc.gov or 336-317-5041. or your consultant: Cara McKeown-Stewart (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: OMEGA WILCOX CHILD CARE HOME Facility ID: 34000538 Consultant: JENNIFER DAVIS Operation Type: Family CC Home Case Number: Visit Date: 8/4/2025 Number Present: 4 Completed Date: 8/4/2025 Age: From 1 To 4 Total Minutes: 150 Time In: 09:15 AM Time Out: 11:45 AM 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 Omega Wilcox, Operator. Your program currently operates with a 4-Star license. Restrictions include 1st and 2nd shift care, a maximum of five preschoolers at any time, and serves no more than two infants. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 78% 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, engaging in conversations and activities with Ms. Wilcox, free play, eating snack, 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 8/05/2024. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator during the visit. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The most recent fire drill was documented on 7/7/2025. The most recent shelter-in-place drill was documented on 6/5/2025. The last outdoor inspection was documented on 7/11/2025. There are no pets reported at the home. 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 transport children or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification. The operator's first aid training had expired 6/3/2025. .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. .1703(a)(3) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. Three(3) enrolled children did not have a health assessment on file. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. One(1) enrolled child did not have an immunization on file. GS 110-91(1); .1721(a)(2) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The operator and additional caregiver CBCs were not yet linked to the facility profile in the criminal background portal. 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 8/18/2025. 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: • A facility profile for Criminal Background Checks had not been created; hence, the operator’s and her husband’s CBCs were also not yet linked to this profile. It is necessary for all staff members and residents of the home who are 16 years of age or older 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. Wilcox stated she has the instructions Child Care Consultant, Cara McKeown-Stewart sent via email to complete this process. I also stated I would resend all ABCMS emails to Ms. Wilcox for easier reference following my visit. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. • Ms. Wilcox stated she has signed up for CPR/First Aid training on Saturday. CPR/First aid training should be completed prior to expiration. -Child Medical assessments and immunizations should be on file within 30 days of enrollment. Consultation provided following today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • We discussed the QRIS during the visit and Ms. Wilcox stated she will be in a pilot program to become accredited. The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition will begin soon with the following informational opportunities: In August, we’ll provide a rule roll out module in the DCDEE e-learning Moodle platform and host webinars on the following dates and times: • August 18th at 1:00pm (child care centers and centers located in a residence) and 6:30pm (family child care homes) • August 20th at 1:00pm (family child care homes) and 6:30pm (child care centers and centers located in a residence) In September, child care consultants will host in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within 12 months based on the pathway chosen. At the completion of the visit, this visit summary was reviewed with and provided to you, and you were provided the opportunity to ask questions during and at the conclusion of the visit. Thank you for your time and assistance with this visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Jennifer Davis @ jennifer.davis@dhhs.nc.gov or 336-317-5041. or your consultant: Cara McKeown-Stewart (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 .1724 · Violation

Name of Operation: OMEGA WILCOX CHILD CARE HOME Facility ID: 34000538 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 2/7/2025 Number Present: 4 Completed Date: 2/7/2025 Age: From 1 To 3 Total Minutes: 140 Time In: 10:10 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, Omega Wilcox, Operator, assisted me with the visit. Your program currently operates with a 4-Star license effective 9/19/2019. Restrictions include 1st and 2nd shift care, a maximum of five preschool children at any time, and serves no more than three children less than one year of age. The program’s compliance history was 84% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Mrs. Wilcox stated she and her husband are the only people living in the home. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed the children in care playing with toys, engaging in conversations, singing, dancing, general routines and other activities with Ms. Wilcox during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, ITS-SIDS, and Criminal Background Checks. No medications were observed nor reported. Storage of hazardous items was monitored today. A playground inspection was recorded 1/01/2025. A fire drill was last observed recorded 6/13/2024. A lockdown and shelter in place drill for the facility was recorded on 8/07/24. There are currently no pets in the home. The program does not provide transportation or participate in off-premise or aquatic activities at this time. The following violation was cited during today’s visit: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. One canister of Clorox wipes labeled Keep Out of Reach of Children with additional warnings was observed stored greater than five feet from the ground on top of a cabinet in the child care space, but in unlocked storage. An open tube of Aquaphor was observed stored less than five feet from the ground in a plastic drawer located in the bathroom used by children. .1719 (a)(7) 905 Record of monthly fire drills, giving the date, time of day and length of time to evacuate, and operator's signature, were not available. The last recorded fire drill was observed to be on 6/13/2024. .1721 (e )(2) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. The times of arrival were not observed to be recorded for four children enrolled and present in care. .1721(e)(6) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. The last recorded lockdown/shelter-in-place drill was observed to be recorded on 8/07/2024. .1719(a )(16) & .1721(e )(7) 2019 Operator did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within the required time frame. The most recent training certificate observed on file for the operator for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment was dated 1/24/2017. .1703(a)(5) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 10-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 2/21/2025. 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-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided during today’s visit: The last recorded fire drill was observed to be on 6/13/2024. The last recorded lockdown/shelter-in-place drill was observed to be recorded on 8/07/2024. The most recent training certificate observed on file for the operator for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment was dated 1/24/2017. It is imperative that all required records are current and on file for review to ensure the health, safety, and quality of care for children enrolled. Ms. Wilcox stated she believes she has already completed and updated her Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training, but has to located her training certificate. Ms. Wilcox also stated she believes she has completed all required fire and emergency drills, but has misplaced the written documentation that these were completed. You may consider maintaining a separate clipboard of emergency drills and monthly inspections solely for the current compliance year. The times of arrival were not observed to be recorded for four children enrolled and present in care. Ms. Wilcox recorded these times of arrvial during the visit. One canister of Clorox wipes labeled Keep Out of Reach of Children with additional warnings was observed stored greater than five feet from the ground on top of a cabinet in the child care space, but in unlocked storage. An open tube of Aquaphor was observed stored less than five feet from the ground in a plastic drawer located in the bathroom used by children. Ms. Wilcox disposed of the Aquaphor and placed the canister of Clorox wipes in locked storage during the visit. Consultation provided during today’s visit: The following Child Care Rules were reviewed with Ms. Wilcox during the visit: 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES 10A NCAC 09 .1724 SAFE SLEEP PRACTICES (b) North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. At the completion of the visit, this visit summary was reviewed with you. Due to technical issues, the visit and enrollment worksheet could not be printed and signed during the visit. I stated to Ms. Wilcox I would email her a copy of each document with my signature to her following the visit. I asked Ms. Wilcox to sign the first page of each of these documents, and scan/email them to me, once received. 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: OMEGA WILCOX CHILD CARE HOME Facility ID: 34000538 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 2/7/2025 Number Present: 4 Completed Date: 2/7/2025 Age: From 1 To 3 Total Minutes: 140 Time In: 10:10 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, Omega Wilcox, Operator, assisted me with the visit. Your program currently operates with a 4-Star license effective 9/19/2019. Restrictions include 1st and 2nd shift care, a maximum of five preschool children at any time, and serves no more than three children less than one year of age. The program’s compliance history was 84% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Mrs. Wilcox stated she and her husband are the only people living in the home. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed the children in care playing with toys, engaging in conversations, singing, dancing, general routines and other activities with Ms. Wilcox during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, ITS-SIDS, and Criminal Background Checks. No medications were observed nor reported. Storage of hazardous items was monitored today. A playground inspection was recorded 1/01/2025. A fire drill was last observed recorded 6/13/2024. A lockdown and shelter in place drill for the facility was recorded on 8/07/24. There are currently no pets in the home. The program does not provide transportation or participate in off-premise or aquatic activities at this time. The following violation was cited during today’s visit: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. One canister of Clorox wipes labeled Keep Out of Reach of Children with additional warnings was observed stored greater than five feet from the ground on top of a cabinet in the child care space, but in unlocked storage. An open tube of Aquaphor was observed stored less than five feet from the ground in a plastic drawer located in the bathroom used by children. .1719 (a)(7) 905 Record of monthly fire drills, giving the date, time of day and length of time to evacuate, and operator's signature, were not available. The last recorded fire drill was observed to be on 6/13/2024. .1721 (e )(2) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. The times of arrival were not observed to be recorded for four children enrolled and present in care. .1721(e)(6) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. The last recorded lockdown/shelter-in-place drill was observed to be recorded on 8/07/2024. .1719(a )(16) & .1721(e )(7) 2019 Operator did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within the required time frame. The most recent training certificate observed on file for the operator for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment was dated 1/24/2017. .1703(a)(5) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 10-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 2/21/2025. 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-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided during today’s visit: The last recorded fire drill was observed to be on 6/13/2024. The last recorded lockdown/shelter-in-place drill was observed to be recorded on 8/07/2024. The most recent training certificate observed on file for the operator for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment was dated 1/24/2017. It is imperative that all required records are current and on file for review to ensure the health, safety, and quality of care for children enrolled. Ms. Wilcox stated she believes she has already completed and updated her Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training, but has to located her training certificate. Ms. Wilcox also stated she believes she has completed all required fire and emergency drills, but has misplaced the written documentation that these were completed. You may consider maintaining a separate clipboard of emergency drills and monthly inspections solely for the current compliance year. The times of arrival were not observed to be recorded for four children enrolled and present in care. Ms. Wilcox recorded these times of arrvial during the visit. One canister of Clorox wipes labeled Keep Out of Reach of Children with additional warnings was observed stored greater than five feet from the ground on top of a cabinet in the child care space, but in unlocked storage. An open tube of Aquaphor was observed stored less than five feet from the ground in a plastic drawer located in the bathroom used by children. Ms. Wilcox disposed of the Aquaphor and placed the canister of Clorox wipes in locked storage during the visit. Consultation provided during today’s visit: The following Child Care Rules were reviewed with Ms. Wilcox during the visit: 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES 10A NCAC 09 .1724 SAFE SLEEP PRACTICES (b) North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. At the completion of the visit, this visit summary was reviewed with you. Due to technical issues, the visit and enrollment worksheet could not be printed and signed during the visit. I stated to Ms. Wilcox I would email her a copy of each document with my signature to her following the visit. I asked Ms. Wilcox to sign the first page of each of these documents, and scan/email them to me, once received. 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 .1726 · Violation

Name of Operation: OMEGA WILCOX CHILD CARE HOME Facility ID: 34000538 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 2/7/2025 Number Present: 4 Completed Date: 2/7/2025 Age: From 1 To 3 Total Minutes: 140 Time In: 10:10 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, Omega Wilcox, Operator, assisted me with the visit. Your program currently operates with a 4-Star license effective 9/19/2019. Restrictions include 1st and 2nd shift care, a maximum of five preschool children at any time, and serves no more than three children less than one year of age. The program’s compliance history was 84% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Mrs. Wilcox stated she and her husband are the only people living in the home. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed the children in care playing with toys, engaging in conversations, singing, dancing, general routines and other activities with Ms. Wilcox during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, ITS-SIDS, and Criminal Background Checks. No medications were observed nor reported. Storage of hazardous items was monitored today. A playground inspection was recorded 1/01/2025. A fire drill was last observed recorded 6/13/2024. A lockdown and shelter in place drill for the facility was recorded on 8/07/24. There are currently no pets in the home. The program does not provide transportation or participate in off-premise or aquatic activities at this time. The following violation was cited during today’s visit: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. One canister of Clorox wipes labeled Keep Out of Reach of Children with additional warnings was observed stored greater than five feet from the ground on top of a cabinet in the child care space, but in unlocked storage. An open tube of Aquaphor was observed stored less than five feet from the ground in a plastic drawer located in the bathroom used by children. .1719 (a)(7) 905 Record of monthly fire drills, giving the date, time of day and length of time to evacuate, and operator's signature, were not available. The last recorded fire drill was observed to be on 6/13/2024. .1721 (e )(2) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. The times of arrival were not observed to be recorded for four children enrolled and present in care. .1721(e)(6) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. The last recorded lockdown/shelter-in-place drill was observed to be recorded on 8/07/2024. .1719(a )(16) & .1721(e )(7) 2019 Operator did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within the required time frame. The most recent training certificate observed on file for the operator for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment was dated 1/24/2017. .1703(a)(5) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 10-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 2/21/2025. 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-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided during today’s visit: The last recorded fire drill was observed to be on 6/13/2024. The last recorded lockdown/shelter-in-place drill was observed to be recorded on 8/07/2024. The most recent training certificate observed on file for the operator for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment was dated 1/24/2017. It is imperative that all required records are current and on file for review to ensure the health, safety, and quality of care for children enrolled. Ms. Wilcox stated she believes she has already completed and updated her Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training, but has to located her training certificate. Ms. Wilcox also stated she believes she has completed all required fire and emergency drills, but has misplaced the written documentation that these were completed. You may consider maintaining a separate clipboard of emergency drills and monthly inspections solely for the current compliance year. The times of arrival were not observed to be recorded for four children enrolled and present in care. Ms. Wilcox recorded these times of arrvial during the visit. One canister of Clorox wipes labeled Keep Out of Reach of Children with additional warnings was observed stored greater than five feet from the ground on top of a cabinet in the child care space, but in unlocked storage. An open tube of Aquaphor was observed stored less than five feet from the ground in a plastic drawer located in the bathroom used by children. Ms. Wilcox disposed of the Aquaphor and placed the canister of Clorox wipes in locked storage during the visit. Consultation provided during today’s visit: The following Child Care Rules were reviewed with Ms. Wilcox during the visit: 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES 10A NCAC 09 .1724 SAFE SLEEP PRACTICES (b) North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. At the completion of the visit, this visit summary was reviewed with you. Due to technical issues, the visit and enrollment worksheet could not be printed and signed during the visit. I stated to Ms. Wilcox I would email her a copy of each document with my signature to her following the visit. I asked Ms. Wilcox to sign the first page of each of these documents, and scan/email them to me, once received. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1712 · Violation

Name of Operation: OMEGA WILCOX CHILD CARE HOME Facility ID: 34000538 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 8/5/2024 Number Present: 5 Completed Date: 8/5/2024 Age: From 0 To 6 Total Minutes: 405 Time In: 08:45 AM Time Out: 03:30 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 Omega Wilcox, Operator. Volunteer, Yvonne Dixon, was present during the visit as well. Ms. Wilcox stated Ms. Dixon volunteers approximately one day per week, for two to three hours per day. Your program currently operates with a 4-Star license. Restrictions include 1st and 2nd shift care; a maximum of five preschoolers at any time; and serves no more than two infants under age one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. I observed five children in care playing with toys, engaging in conversations, participating in general routines, and eating lunch with Ms. Wilcox 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 8/28/2023. A Verification of Required Information for Operator and Additional Caregivers form was completed during the visit for the operator. 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 6/13/2024. The most recent lockdown drill was documented on 8/02/2024; the most recent lockdown drill recorded prior to this one was on 1/16/2024. The last outdoor inspection was documented on 7/22/2024. There are currently no pets at this facility. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. The program does not transport children enrolled or participate in aquatic or off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 904 Documentation of the operator’s emergency medical care plan to follow in the event of a child medical emergency, was not on file and available for review. The Emergency Medical Care Plan was not observed on file for review during the visit. .1713 908 Health questionnaire was not completed annually. The most recent health questionnaire for the operator was completed on 5/20/2023. .1703(a)(1) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. The medical reports for two children enrolled were not observed on file during the visit. The medical report for one child enrolled in early January, 2024 was not received and on file within 30 days of enrollment. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. The immunization record for one child enrolled was not observed on file during the visit. GS 110-91(1); .1721(a)(2) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. A record of attendance and arrival and departure was not available for review during today’s visit. .1721(e)(6) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. Signed documentation of the receipt of the Discipline Policy was not observed during on file during the visit for one child enrolled. G.S.110-91(10); .1727(a)&(b) 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 in care, a portion of the right handle (facing the bench) of one wrought iron bench was observed to be cracked, with rust exposed. 10A NCAC 09 .1719 (a) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. Signed documentation of receipt of the NC Summary of Child Care Law was not observed on file during the visit for two children enrolled. GS 110-102 1735 The daily schedule, activity plan, infant feeding plan, allergy posting, SIDS Sleep Chart/visual check were not maintained on file for a minimum of 30 days from the revision or replacement date. An activity plan was not observed on file for review. .1721((f)(4)(A) 1739 All records required shall be available during operating hours, for review by a representative of the Division. The file for one child enrolled was not available for review. .1721(f)(7) 1853 The operator did not conduct a monthly fire drill. A fire drill for the month of July, 2024 was not observed to be recorded. .1719(a)(15) & .1721( e)(2) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. The most recent lockdown drill was documented on 8/02/2024; the most recent lockdown drill recorded prior to this one was on 1/16/2024. .1719(a )(16) & .1721(e )(7) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The Ready to Go file did not contain copies of blank incident reports. .1714(d)(10) 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The Emergency Preparedness and Response Plan was last updated on 5/30/2023. .1714(e ) 1891 Individuals providing care to children did not receive 16 hours of orientation prior to beginning caregiving activities. A volunteer present during the visit today did not have a record of orientation on file for review. .1729( c) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Inside an unlatched drawer less than five feet from the ground in the space where infants enrolled sleep, assorted loose small plastic hair bands were observed. Inside one fabric storage bin located to the left of the base of the stairs of the child care space, a plastic bag was observed less than five feet from the ground and accessible to children under three years of age. In the bathroom accessed by children in care, an open plastic package of diapers was observed less than five feet from the ground, accessible to children under three years of age. .1719(a)(18) 1933 Operator was not positioned in a manner that would maximize his/her ability to hear and see the preschool age children in care, at all times to render immediate assistance. The operator momentarily left the primary child care room to get a roll of paper towels from another area children access and took the infant in care with her, but was unable to see the other children in care until she returned to the space. .1711(a)(1) 1990 Infant feeding plans did not include the required information, including but not limited to the type and amount of milk, formula and food, and the frequency of feedings, and/or was not available for reference. The feeding plan for one newly enrolled infant was not on file for review. .1706(i) 2018 The operator did not inform substitute providers and volunteers of the EPR plan and its location and/or did not document, and have available for review, they were informed. The signed notice of the EPR plan and its location was not on file for one volunteer. .1714(g) 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. The Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training for the operator was last completed on 1/24/207. Health & Safety Training topic #8 (Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment) was not observed to be on file for the operator. .1703(d)(2) 2025 Operator and/or staff members did not complete a professional development plan within one year of employment. The date the operator's professional development plan was last updated was 5/01/2019. .1703(i) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. The notification of tobacco restriction policy was not signed by a parent for three children enrolled. .1719(a)(11) 2033 Signed discipline statement did not include the required information, as outlined in rule. The Discipline Policies for two children enrolled did not include a date of enrollment. .1727(c )(1-3) 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. Inside an unlatched drawer less than five feet from the ground in the space where infants enrolled sleep, a bag of ThroatCoat lozenges labeled Keep Out of Reach of Children with additional warnings was observed. In the bathroom used by children enrolled, one bottle of Tide Simply Free laundry detergent labeled Keep Out of Reach of Children with Additional Warnings was observed sitting on the diaper table less than five feet from the ground, accessible to children. One pump bottle of hand sanitizer was observed less than five feet from the ground during the visit. 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 8/19/2024. 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. Due to the number and nature of violations during today’s visit, and unannounced follow-up visit will be made to monitor supervision and the correction of violations cited. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided following today’s visit: • The most recent Professional Development Plan on file for review for the operator was completed on 5/01/2019. The Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training for the operator was last completed on 1/24/207. Health & Safety Training topic #8 (Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment) was not observed to be on file for the operator. Signed documentation of the receipt of the Discipline Policy was not observed during on file during the visit for one child enrolled; the Discipline Policies for two children enrolled did not include a date of enrollment. Signed documentation of receipt of the NC Summary of Child Care Law was not observed on file during the visit for two children enrolled. The medical reports for two children enrolled were not observed on file during the visit. The medical report for one child enrolled in early January, 2024 was not received and on file within 30 days of enrollment. The immunization record for one child enrolled was not observed on file during the visit. The notification of tobacco restriction policy was not signed by a parent for three children enrolled. The feeding plan for one newly enrolled infant was not on file for review. The child file for one child enrolled was not available for review during the visit. A record of attendance and arrival and departure was not available for review during today’s visit. The Emergency Medical Care Plan was not observed on file for review during the visit. The operator’s health questionnaire was last updated on 5/20/2023. The Emergency Preparedness and Response Plan was last updated on 5/30/2023. The Ready to Go file did not contain copies of blank incident reports. The most recent lockdown drill was documented on 8/02/2024; the most recent lockdown drill recorded prior to this one was on 1/16/2024. A completed fire drill for July, 2024 was not on file for review. An activity plan was not observed on file for review. Ms. Wilcox stated she had run out of ink this morning and was unable to print off an attendance/ arrival and departure log. She also stated she was either not aware information was missing from certain documents or that certain documents were required to be maintained on file. It is essential to maintain accurate and complete records for children in care to ensure all health, safety, and educational requirements are current and being followed. I shared with Ms. Wilcox that if she is unable to print arrival/departure/attendance logs, she can create a written copy of this record for the day.I recommended Ms. Wilcox use the Program, Operator, and Children’s File Checklists located on the Division website for each individual file to review each of her files for accuracy. I also recommended Ms. Wilcox create a routine and ongoing system for checking each file for accuracy during the year. • Inside an unlatched drawer less than five feet from the ground in the space where infants enrolled sleep, a bag of ThroatCoat lozenges labeled Keep Out of Reach of Children with additional warnings and loose small plastic hair bands were observed; Ms. Wilcox removed these from the drawers and made them inaccessible to children during the visit. Inside one fabric storage bin located to the left of the base of the stairs of the child care space, a plastic bag was observed less than five feet from the ground and accessible to children under three years of age; Ms. Wilcox made this bag inaccessible to children during the visit. In the bathroom accessed by children in care, an open plastic package of diapers was observed less than five feet from the ground, accessible to children under three years of age; this wrapper was made inaccessible to children during the visit. Also in the bathroom used by children enrolled, one bottle of Tide Simply Free laundry detergent labeled Keep Out of Reach of Children with Additional Warnings was observed sitting on the diaper table less than five feet from the ground, accessible to children; this was removed from the child care space during the visit. One pump bottle of hand sanitizer was observed less than five feet from the ground during the visit; this was placed greater than five feet from the ground during the visit. On the playground used by children in care, a portion of the right handle (facing the bench) of one wrought iron bench was observed to be cracked, with rust exposed. It is important for all areas accessed by children to be safe. I recommended Ms. Wilcox create a routine schedule for lawn maintenance to remove any of these vines. • The operator momentarily left the child care space to get a roll of paper towels and took the infant in care with her, but was unable to see the other children in care until she returned to the space. It is essential for you to be able to hear and see children of preschool age at all times. Ms. Wilcox stated she will ensure her children who are preschool age will remain where she can see and hear them at all times, regardless of where she is in the spaces designated for child care. Consultation provided following today’s visit: The following Child Care Rules were reviewed with Ms. Wilcox following the visit: 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (d) (7) 10A NCAC 09 .1712 WRITTEN PLAN OF CARE (f) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mrs. Wilcox confirmed during today’s visit that the email was received and provided information that she will enroll in testing within the next two weeks. For next steps as to how to complete this webinar and enroll in testing, please contact RTI/ Clean Classrooms for Carolina Kids directly at: https://www.cleanwaterforuskids.org/carolina/contact/ or place a call, voicemail, or text to 1-888-997-9290. • You can access the training for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment at the following link: https://www.preventchildabusenc.org/online-trainings/ • You must notify your consultant 30 days prior to changing the ownership status of your facility. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1714 · Violation

Name of Operation: OMEGA WILCOX CHILD CARE HOME Facility ID: 34000538 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 8/5/2024 Number Present: 5 Completed Date: 8/5/2024 Age: From 0 To 6 Total Minutes: 405 Time In: 08:45 AM Time Out: 03:30 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 Omega Wilcox, Operator. Volunteer, Yvonne Dixon, was present during the visit as well. Ms. Wilcox stated Ms. Dixon volunteers approximately one day per week, for two to three hours per day. Your program currently operates with a 4-Star license. Restrictions include 1st and 2nd shift care; a maximum of five preschoolers at any time; and serves no more than two infants under age one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. I observed five children in care playing with toys, engaging in conversations, participating in general routines, and eating lunch with Ms. Wilcox 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 8/28/2023. A Verification of Required Information for Operator and Additional Caregivers form was completed during the visit for the operator. 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 6/13/2024. The most recent lockdown drill was documented on 8/02/2024; the most recent lockdown drill recorded prior to this one was on 1/16/2024. The last outdoor inspection was documented on 7/22/2024. There are currently no pets at this facility. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. The program does not transport children enrolled or participate in aquatic or off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 904 Documentation of the operator’s emergency medical care plan to follow in the event of a child medical emergency, was not on file and available for review. The Emergency Medical Care Plan was not observed on file for review during the visit. .1713 908 Health questionnaire was not completed annually. The most recent health questionnaire for the operator was completed on 5/20/2023. .1703(a)(1) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. The medical reports for two children enrolled were not observed on file during the visit. The medical report for one child enrolled in early January, 2024 was not received and on file within 30 days of enrollment. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. The immunization record for one child enrolled was not observed on file during the visit. GS 110-91(1); .1721(a)(2) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. A record of attendance and arrival and departure was not available for review during today’s visit. .1721(e)(6) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. Signed documentation of the receipt of the Discipline Policy was not observed during on file during the visit for one child enrolled. G.S.110-91(10); .1727(a)&(b) 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 in care, a portion of the right handle (facing the bench) of one wrought iron bench was observed to be cracked, with rust exposed. 10A NCAC 09 .1719 (a) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. Signed documentation of receipt of the NC Summary of Child Care Law was not observed on file during the visit for two children enrolled. GS 110-102 1735 The daily schedule, activity plan, infant feeding plan, allergy posting, SIDS Sleep Chart/visual check were not maintained on file for a minimum of 30 days from the revision or replacement date. An activity plan was not observed on file for review. .1721((f)(4)(A) 1739 All records required shall be available during operating hours, for review by a representative of the Division. The file for one child enrolled was not available for review. .1721(f)(7) 1853 The operator did not conduct a monthly fire drill. A fire drill for the month of July, 2024 was not observed to be recorded. .1719(a)(15) & .1721( e)(2) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. The most recent lockdown drill was documented on 8/02/2024; the most recent lockdown drill recorded prior to this one was on 1/16/2024. .1719(a )(16) & .1721(e )(7) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The Ready to Go file did not contain copies of blank incident reports. .1714(d)(10) 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The Emergency Preparedness and Response Plan was last updated on 5/30/2023. .1714(e ) 1891 Individuals providing care to children did not receive 16 hours of orientation prior to beginning caregiving activities. A volunteer present during the visit today did not have a record of orientation on file for review. .1729( c) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Inside an unlatched drawer less than five feet from the ground in the space where infants enrolled sleep, assorted loose small plastic hair bands were observed. Inside one fabric storage bin located to the left of the base of the stairs of the child care space, a plastic bag was observed less than five feet from the ground and accessible to children under three years of age. In the bathroom accessed by children in care, an open plastic package of diapers was observed less than five feet from the ground, accessible to children under three years of age. .1719(a)(18) 1933 Operator was not positioned in a manner that would maximize his/her ability to hear and see the preschool age children in care, at all times to render immediate assistance. The operator momentarily left the primary child care room to get a roll of paper towels from another area children access and took the infant in care with her, but was unable to see the other children in care until she returned to the space. .1711(a)(1) 1990 Infant feeding plans did not include the required information, including but not limited to the type and amount of milk, formula and food, and the frequency of feedings, and/or was not available for reference. The feeding plan for one newly enrolled infant was not on file for review. .1706(i) 2018 The operator did not inform substitute providers and volunteers of the EPR plan and its location and/or did not document, and have available for review, they were informed. The signed notice of the EPR plan and its location was not on file for one volunteer. .1714(g) 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. The Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training for the operator was last completed on 1/24/207. Health & Safety Training topic #8 (Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment) was not observed to be on file for the operator. .1703(d)(2) 2025 Operator and/or staff members did not complete a professional development plan within one year of employment. The date the operator's professional development plan was last updated was 5/01/2019. .1703(i) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. The notification of tobacco restriction policy was not signed by a parent for three children enrolled. .1719(a)(11) 2033 Signed discipline statement did not include the required information, as outlined in rule. The Discipline Policies for two children enrolled did not include a date of enrollment. .1727(c )(1-3) 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. Inside an unlatched drawer less than five feet from the ground in the space where infants enrolled sleep, a bag of ThroatCoat lozenges labeled Keep Out of Reach of Children with additional warnings was observed. In the bathroom used by children enrolled, one bottle of Tide Simply Free laundry detergent labeled Keep Out of Reach of Children with Additional Warnings was observed sitting on the diaper table less than five feet from the ground, accessible to children. One pump bottle of hand sanitizer was observed less than five feet from the ground during the visit. 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 8/19/2024. 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. Due to the number and nature of violations during today’s visit, and unannounced follow-up visit will be made to monitor supervision and the correction of violations cited. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided following today’s visit: • The most recent Professional Development Plan on file for review for the operator was completed on 5/01/2019. The Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training for the operator was last completed on 1/24/207. Health & Safety Training topic #8 (Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment) was not observed to be on file for the operator. Signed documentation of the receipt of the Discipline Policy was not observed during on file during the visit for one child enrolled; the Discipline Policies for two children enrolled did not include a date of enrollment. Signed documentation of receipt of the NC Summary of Child Care Law was not observed on file during the visit for two children enrolled. The medical reports for two children enrolled were not observed on file during the visit. The medical report for one child enrolled in early January, 2024 was not received and on file within 30 days of enrollment. The immunization record for one child enrolled was not observed on file during the visit. The notification of tobacco restriction policy was not signed by a parent for three children enrolled. The feeding plan for one newly enrolled infant was not on file for review. The child file for one child enrolled was not available for review during the visit. A record of attendance and arrival and departure was not available for review during today’s visit. The Emergency Medical Care Plan was not observed on file for review during the visit. The operator’s health questionnaire was last updated on 5/20/2023. The Emergency Preparedness and Response Plan was last updated on 5/30/2023. The Ready to Go file did not contain copies of blank incident reports. The most recent lockdown drill was documented on 8/02/2024; the most recent lockdown drill recorded prior to this one was on 1/16/2024. A completed fire drill for July, 2024 was not on file for review. An activity plan was not observed on file for review. Ms. Wilcox stated she had run out of ink this morning and was unable to print off an attendance/ arrival and departure log. She also stated she was either not aware information was missing from certain documents or that certain documents were required to be maintained on file. It is essential to maintain accurate and complete records for children in care to ensure all health, safety, and educational requirements are current and being followed. I shared with Ms. Wilcox that if she is unable to print arrival/departure/attendance logs, she can create a written copy of this record for the day.I recommended Ms. Wilcox use the Program, Operator, and Children’s File Checklists located on the Division website for each individual file to review each of her files for accuracy. I also recommended Ms. Wilcox create a routine and ongoing system for checking each file for accuracy during the year. • Inside an unlatched drawer less than five feet from the ground in the space where infants enrolled sleep, a bag of ThroatCoat lozenges labeled Keep Out of Reach of Children with additional warnings and loose small plastic hair bands were observed; Ms. Wilcox removed these from the drawers and made them inaccessible to children during the visit. Inside one fabric storage bin located to the left of the base of the stairs of the child care space, a plastic bag was observed less than five feet from the ground and accessible to children under three years of age; Ms. Wilcox made this bag inaccessible to children during the visit. In the bathroom accessed by children in care, an open plastic package of diapers was observed less than five feet from the ground, accessible to children under three years of age; this wrapper was made inaccessible to children during the visit. Also in the bathroom used by children enrolled, one bottle of Tide Simply Free laundry detergent labeled Keep Out of Reach of Children with Additional Warnings was observed sitting on the diaper table less than five feet from the ground, accessible to children; this was removed from the child care space during the visit. One pump bottle of hand sanitizer was observed less than five feet from the ground during the visit; this was placed greater than five feet from the ground during the visit. On the playground used by children in care, a portion of the right handle (facing the bench) of one wrought iron bench was observed to be cracked, with rust exposed. It is important for all areas accessed by children to be safe. I recommended Ms. Wilcox create a routine schedule for lawn maintenance to remove any of these vines. • The operator momentarily left the child care space to get a roll of paper towels and took the infant in care with her, but was unable to see the other children in care until she returned to the space. It is essential for you to be able to hear and see children of preschool age at all times. Ms. Wilcox stated she will ensure her children who are preschool age will remain where she can see and hear them at all times, regardless of where she is in the spaces designated for child care. Consultation provided following today’s visit: The following Child Care Rules were reviewed with Ms. Wilcox following the visit: 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (d) (7) 10A NCAC 09 .1712 WRITTEN PLAN OF CARE (f) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mrs. Wilcox confirmed during today’s visit that the email was received and provided information that she will enroll in testing within the next two weeks. For next steps as to how to complete this webinar and enroll in testing, please contact RTI/ Clean Classrooms for Carolina Kids directly at: https://www.cleanwaterforuskids.org/carolina/contact/ or place a call, voicemail, or text to 1-888-997-9290. • You can access the training for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment at the following link: https://www.preventchildabusenc.org/online-trainings/ • You must notify your consultant 30 days prior to changing the ownership status of your facility. 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: OMEGA WILCOX CHILD CARE HOME Facility ID: 34000538 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 8/5/2024 Number Present: 5 Completed Date: 8/5/2024 Age: From 0 To 6 Total Minutes: 405 Time In: 08:45 AM Time Out: 03:30 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 Omega Wilcox, Operator. Volunteer, Yvonne Dixon, was present during the visit as well. Ms. Wilcox stated Ms. Dixon volunteers approximately one day per week, for two to three hours per day. Your program currently operates with a 4-Star license. Restrictions include 1st and 2nd shift care; a maximum of five preschoolers at any time; and serves no more than two infants under age one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. I observed five children in care playing with toys, engaging in conversations, participating in general routines, and eating lunch with Ms. Wilcox 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 8/28/2023. A Verification of Required Information for Operator and Additional Caregivers form was completed during the visit for the operator. 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 6/13/2024. The most recent lockdown drill was documented on 8/02/2024; the most recent lockdown drill recorded prior to this one was on 1/16/2024. The last outdoor inspection was documented on 7/22/2024. There are currently no pets at this facility. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. The program does not transport children enrolled or participate in aquatic or off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 904 Documentation of the operator’s emergency medical care plan to follow in the event of a child medical emergency, was not on file and available for review. The Emergency Medical Care Plan was not observed on file for review during the visit. .1713 908 Health questionnaire was not completed annually. The most recent health questionnaire for the operator was completed on 5/20/2023. .1703(a)(1) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. The medical reports for two children enrolled were not observed on file during the visit. The medical report for one child enrolled in early January, 2024 was not received and on file within 30 days of enrollment. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. The immunization record for one child enrolled was not observed on file during the visit. GS 110-91(1); .1721(a)(2) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. A record of attendance and arrival and departure was not available for review during today’s visit. .1721(e)(6) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. Signed documentation of the receipt of the Discipline Policy was not observed during on file during the visit for one child enrolled. G.S.110-91(10); .1727(a)&(b) 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 in care, a portion of the right handle (facing the bench) of one wrought iron bench was observed to be cracked, with rust exposed. 10A NCAC 09 .1719 (a) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. Signed documentation of receipt of the NC Summary of Child Care Law was not observed on file during the visit for two children enrolled. GS 110-102 1735 The daily schedule, activity plan, infant feeding plan, allergy posting, SIDS Sleep Chart/visual check were not maintained on file for a minimum of 30 days from the revision or replacement date. An activity plan was not observed on file for review. .1721((f)(4)(A) 1739 All records required shall be available during operating hours, for review by a representative of the Division. The file for one child enrolled was not available for review. .1721(f)(7) 1853 The operator did not conduct a monthly fire drill. A fire drill for the month of July, 2024 was not observed to be recorded. .1719(a)(15) & .1721( e)(2) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. The most recent lockdown drill was documented on 8/02/2024; the most recent lockdown drill recorded prior to this one was on 1/16/2024. .1719(a )(16) & .1721(e )(7) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The Ready to Go file did not contain copies of blank incident reports. .1714(d)(10) 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The Emergency Preparedness and Response Plan was last updated on 5/30/2023. .1714(e ) 1891 Individuals providing care to children did not receive 16 hours of orientation prior to beginning caregiving activities. A volunteer present during the visit today did not have a record of orientation on file for review. .1729( c) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Inside an unlatched drawer less than five feet from the ground in the space where infants enrolled sleep, assorted loose small plastic hair bands were observed. Inside one fabric storage bin located to the left of the base of the stairs of the child care space, a plastic bag was observed less than five feet from the ground and accessible to children under three years of age. In the bathroom accessed by children in care, an open plastic package of diapers was observed less than five feet from the ground, accessible to children under three years of age. .1719(a)(18) 1933 Operator was not positioned in a manner that would maximize his/her ability to hear and see the preschool age children in care, at all times to render immediate assistance. The operator momentarily left the primary child care room to get a roll of paper towels from another area children access and took the infant in care with her, but was unable to see the other children in care until she returned to the space. .1711(a)(1) 1990 Infant feeding plans did not include the required information, including but not limited to the type and amount of milk, formula and food, and the frequency of feedings, and/or was not available for reference. The feeding plan for one newly enrolled infant was not on file for review. .1706(i) 2018 The operator did not inform substitute providers and volunteers of the EPR plan and its location and/or did not document, and have available for review, they were informed. The signed notice of the EPR plan and its location was not on file for one volunteer. .1714(g) 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. The Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training for the operator was last completed on 1/24/207. Health & Safety Training topic #8 (Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment) was not observed to be on file for the operator. .1703(d)(2) 2025 Operator and/or staff members did not complete a professional development plan within one year of employment. The date the operator's professional development plan was last updated was 5/01/2019. .1703(i) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. The notification of tobacco restriction policy was not signed by a parent for three children enrolled. .1719(a)(11) 2033 Signed discipline statement did not include the required information, as outlined in rule. The Discipline Policies for two children enrolled did not include a date of enrollment. .1727(c )(1-3) 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. Inside an unlatched drawer less than five feet from the ground in the space where infants enrolled sleep, a bag of ThroatCoat lozenges labeled Keep Out of Reach of Children with additional warnings was observed. In the bathroom used by children enrolled, one bottle of Tide Simply Free laundry detergent labeled Keep Out of Reach of Children with Additional Warnings was observed sitting on the diaper table less than five feet from the ground, accessible to children. One pump bottle of hand sanitizer was observed less than five feet from the ground during the visit. 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 8/19/2024. 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. Due to the number and nature of violations during today’s visit, and unannounced follow-up visit will be made to monitor supervision and the correction of violations cited. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided following today’s visit: • The most recent Professional Development Plan on file for review for the operator was completed on 5/01/2019. The Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training for the operator was last completed on 1/24/207. Health & Safety Training topic #8 (Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment) was not observed to be on file for the operator. Signed documentation of the receipt of the Discipline Policy was not observed during on file during the visit for one child enrolled; the Discipline Policies for two children enrolled did not include a date of enrollment. Signed documentation of receipt of the NC Summary of Child Care Law was not observed on file during the visit for two children enrolled. The medical reports for two children enrolled were not observed on file during the visit. The medical report for one child enrolled in early January, 2024 was not received and on file within 30 days of enrollment. The immunization record for one child enrolled was not observed on file during the visit. The notification of tobacco restriction policy was not signed by a parent for three children enrolled. The feeding plan for one newly enrolled infant was not on file for review. The child file for one child enrolled was not available for review during the visit. A record of attendance and arrival and departure was not available for review during today’s visit. The Emergency Medical Care Plan was not observed on file for review during the visit. The operator’s health questionnaire was last updated on 5/20/2023. The Emergency Preparedness and Response Plan was last updated on 5/30/2023. The Ready to Go file did not contain copies of blank incident reports. The most recent lockdown drill was documented on 8/02/2024; the most recent lockdown drill recorded prior to this one was on 1/16/2024. A completed fire drill for July, 2024 was not on file for review. An activity plan was not observed on file for review. Ms. Wilcox stated she had run out of ink this morning and was unable to print off an attendance/ arrival and departure log. She also stated she was either not aware information was missing from certain documents or that certain documents were required to be maintained on file. It is essential to maintain accurate and complete records for children in care to ensure all health, safety, and educational requirements are current and being followed. I shared with Ms. Wilcox that if she is unable to print arrival/departure/attendance logs, she can create a written copy of this record for the day.I recommended Ms. Wilcox use the Program, Operator, and Children’s File Checklists located on the Division website for each individual file to review each of her files for accuracy. I also recommended Ms. Wilcox create a routine and ongoing system for checking each file for accuracy during the year. • Inside an unlatched drawer less than five feet from the ground in the space where infants enrolled sleep, a bag of ThroatCoat lozenges labeled Keep Out of Reach of Children with additional warnings and loose small plastic hair bands were observed; Ms. Wilcox removed these from the drawers and made them inaccessible to children during the visit. Inside one fabric storage bin located to the left of the base of the stairs of the child care space, a plastic bag was observed less than five feet from the ground and accessible to children under three years of age; Ms. Wilcox made this bag inaccessible to children during the visit. In the bathroom accessed by children in care, an open plastic package of diapers was observed less than five feet from the ground, accessible to children under three years of age; this wrapper was made inaccessible to children during the visit. Also in the bathroom used by children enrolled, one bottle of Tide Simply Free laundry detergent labeled Keep Out of Reach of Children with Additional Warnings was observed sitting on the diaper table less than five feet from the ground, accessible to children; this was removed from the child care space during the visit. One pump bottle of hand sanitizer was observed less than five feet from the ground during the visit; this was placed greater than five feet from the ground during the visit. On the playground used by children in care, a portion of the right handle (facing the bench) of one wrought iron bench was observed to be cracked, with rust exposed. It is important for all areas accessed by children to be safe. I recommended Ms. Wilcox create a routine schedule for lawn maintenance to remove any of these vines. • The operator momentarily left the child care space to get a roll of paper towels and took the infant in care with her, but was unable to see the other children in care until she returned to the space. It is essential for you to be able to hear and see children of preschool age at all times. Ms. Wilcox stated she will ensure her children who are preschool age will remain where she can see and hear them at all times, regardless of where she is in the spaces designated for child care. Consultation provided following today’s visit: The following Child Care Rules were reviewed with Ms. Wilcox following the visit: 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (d) (7) 10A NCAC 09 .1712 WRITTEN PLAN OF CARE (f) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mrs. Wilcox confirmed during today’s visit that the email was received and provided information that she will enroll in testing within the next two weeks. For next steps as to how to complete this webinar and enroll in testing, please contact RTI/ Clean Classrooms for Carolina Kids directly at: https://www.cleanwaterforuskids.org/carolina/contact/ or place a call, voicemail, or text to 1-888-997-9290. • You can access the training for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment at the following link: https://www.preventchildabusenc.org/online-trainings/ • You must notify your consultant 30 days prior to changing the ownership status of your facility. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.1721 · Violation

Name of Operation: OMEGA WILCOX CHILD CARE HOME Facility ID: 34000538 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 8/5/2024 Number Present: 5 Completed Date: 8/5/2024 Age: From 0 To 6 Total Minutes: 405 Time In: 08:45 AM Time Out: 03:30 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 Omega Wilcox, Operator. Volunteer, Yvonne Dixon, was present during the visit as well. Ms. Wilcox stated Ms. Dixon volunteers approximately one day per week, for two to three hours per day. Your program currently operates with a 4-Star license. Restrictions include 1st and 2nd shift care; a maximum of five preschoolers at any time; and serves no more than two infants under age one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. I observed five children in care playing with toys, engaging in conversations, participating in general routines, and eating lunch with Ms. Wilcox 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 8/28/2023. A Verification of Required Information for Operator and Additional Caregivers form was completed during the visit for the operator. 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 6/13/2024. The most recent lockdown drill was documented on 8/02/2024; the most recent lockdown drill recorded prior to this one was on 1/16/2024. The last outdoor inspection was documented on 7/22/2024. There are currently no pets at this facility. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. The program does not transport children enrolled or participate in aquatic or off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 904 Documentation of the operator’s emergency medical care plan to follow in the event of a child medical emergency, was not on file and available for review. The Emergency Medical Care Plan was not observed on file for review during the visit. .1713 908 Health questionnaire was not completed annually. The most recent health questionnaire for the operator was completed on 5/20/2023. .1703(a)(1) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. The medical reports for two children enrolled were not observed on file during the visit. The medical report for one child enrolled in early January, 2024 was not received and on file within 30 days of enrollment. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. The immunization record for one child enrolled was not observed on file during the visit. GS 110-91(1); .1721(a)(2) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. A record of attendance and arrival and departure was not available for review during today’s visit. .1721(e)(6) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. Signed documentation of the receipt of the Discipline Policy was not observed during on file during the visit for one child enrolled. G.S.110-91(10); .1727(a)&(b) 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 in care, a portion of the right handle (facing the bench) of one wrought iron bench was observed to be cracked, with rust exposed. 10A NCAC 09 .1719 (a) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. Signed documentation of receipt of the NC Summary of Child Care Law was not observed on file during the visit for two children enrolled. GS 110-102 1735 The daily schedule, activity plan, infant feeding plan, allergy posting, SIDS Sleep Chart/visual check were not maintained on file for a minimum of 30 days from the revision or replacement date. An activity plan was not observed on file for review. .1721((f)(4)(A) 1739 All records required shall be available during operating hours, for review by a representative of the Division. The file for one child enrolled was not available for review. .1721(f)(7) 1853 The operator did not conduct a monthly fire drill. A fire drill for the month of July, 2024 was not observed to be recorded. .1719(a)(15) & .1721( e)(2) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. The most recent lockdown drill was documented on 8/02/2024; the most recent lockdown drill recorded prior to this one was on 1/16/2024. .1719(a )(16) & .1721(e )(7) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The Ready to Go file did not contain copies of blank incident reports. .1714(d)(10) 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The Emergency Preparedness and Response Plan was last updated on 5/30/2023. .1714(e ) 1891 Individuals providing care to children did not receive 16 hours of orientation prior to beginning caregiving activities. A volunteer present during the visit today did not have a record of orientation on file for review. .1729( c) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Inside an unlatched drawer less than five feet from the ground in the space where infants enrolled sleep, assorted loose small plastic hair bands were observed. Inside one fabric storage bin located to the left of the base of the stairs of the child care space, a plastic bag was observed less than five feet from the ground and accessible to children under three years of age. In the bathroom accessed by children in care, an open plastic package of diapers was observed less than five feet from the ground, accessible to children under three years of age. .1719(a)(18) 1933 Operator was not positioned in a manner that would maximize his/her ability to hear and see the preschool age children in care, at all times to render immediate assistance. The operator momentarily left the primary child care room to get a roll of paper towels from another area children access and took the infant in care with her, but was unable to see the other children in care until she returned to the space. .1711(a)(1) 1990 Infant feeding plans did not include the required information, including but not limited to the type and amount of milk, formula and food, and the frequency of feedings, and/or was not available for reference. The feeding plan for one newly enrolled infant was not on file for review. .1706(i) 2018 The operator did not inform substitute providers and volunteers of the EPR plan and its location and/or did not document, and have available for review, they were informed. The signed notice of the EPR plan and its location was not on file for one volunteer. .1714(g) 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. The Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training for the operator was last completed on 1/24/207. Health & Safety Training topic #8 (Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment) was not observed to be on file for the operator. .1703(d)(2) 2025 Operator and/or staff members did not complete a professional development plan within one year of employment. The date the operator's professional development plan was last updated was 5/01/2019. .1703(i) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. The notification of tobacco restriction policy was not signed by a parent for three children enrolled. .1719(a)(11) 2033 Signed discipline statement did not include the required information, as outlined in rule. The Discipline Policies for two children enrolled did not include a date of enrollment. .1727(c )(1-3) 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. Inside an unlatched drawer less than five feet from the ground in the space where infants enrolled sleep, a bag of ThroatCoat lozenges labeled Keep Out of Reach of Children with additional warnings was observed. In the bathroom used by children enrolled, one bottle of Tide Simply Free laundry detergent labeled Keep Out of Reach of Children with Additional Warnings was observed sitting on the diaper table less than five feet from the ground, accessible to children. One pump bottle of hand sanitizer was observed less than five feet from the ground during the visit. 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 8/19/2024. 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. Due to the number and nature of violations during today’s visit, and unannounced follow-up visit will be made to monitor supervision and the correction of violations cited. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided following today’s visit: • The most recent Professional Development Plan on file for review for the operator was completed on 5/01/2019. The Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training for the operator was last completed on 1/24/207. Health & Safety Training topic #8 (Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment) was not observed to be on file for the operator. Signed documentation of the receipt of the Discipline Policy was not observed during on file during the visit for one child enrolled; the Discipline Policies for two children enrolled did not include a date of enrollment. Signed documentation of receipt of the NC Summary of Child Care Law was not observed on file during the visit for two children enrolled. The medical reports for two children enrolled were not observed on file during the visit. The medical report for one child enrolled in early January, 2024 was not received and on file within 30 days of enrollment. The immunization record for one child enrolled was not observed on file during the visit. The notification of tobacco restriction policy was not signed by a parent for three children enrolled. The feeding plan for one newly enrolled infant was not on file for review. The child file for one child enrolled was not available for review during the visit. A record of attendance and arrival and departure was not available for review during today’s visit. The Emergency Medical Care Plan was not observed on file for review during the visit. The operator’s health questionnaire was last updated on 5/20/2023. The Emergency Preparedness and Response Plan was last updated on 5/30/2023. The Ready to Go file did not contain copies of blank incident reports. The most recent lockdown drill was documented on 8/02/2024; the most recent lockdown drill recorded prior to this one was on 1/16/2024. A completed fire drill for July, 2024 was not on file for review. An activity plan was not observed on file for review. Ms. Wilcox stated she had run out of ink this morning and was unable to print off an attendance/ arrival and departure log. She also stated she was either not aware information was missing from certain documents or that certain documents were required to be maintained on file. It is essential to maintain accurate and complete records for children in care to ensure all health, safety, and educational requirements are current and being followed. I shared with Ms. Wilcox that if she is unable to print arrival/departure/attendance logs, she can create a written copy of this record for the day.I recommended Ms. Wilcox use the Program, Operator, and Children’s File Checklists located on the Division website for each individual file to review each of her files for accuracy. I also recommended Ms. Wilcox create a routine and ongoing system for checking each file for accuracy during the year. • Inside an unlatched drawer less than five feet from the ground in the space where infants enrolled sleep, a bag of ThroatCoat lozenges labeled Keep Out of Reach of Children with additional warnings and loose small plastic hair bands were observed; Ms. Wilcox removed these from the drawers and made them inaccessible to children during the visit. Inside one fabric storage bin located to the left of the base of the stairs of the child care space, a plastic bag was observed less than five feet from the ground and accessible to children under three years of age; Ms. Wilcox made this bag inaccessible to children during the visit. In the bathroom accessed by children in care, an open plastic package of diapers was observed less than five feet from the ground, accessible to children under three years of age; this wrapper was made inaccessible to children during the visit. Also in the bathroom used by children enrolled, one bottle of Tide Simply Free laundry detergent labeled Keep Out of Reach of Children with Additional Warnings was observed sitting on the diaper table less than five feet from the ground, accessible to children; this was removed from the child care space during the visit. One pump bottle of hand sanitizer was observed less than five feet from the ground during the visit; this was placed greater than five feet from the ground during the visit. On the playground used by children in care, a portion of the right handle (facing the bench) of one wrought iron bench was observed to be cracked, with rust exposed. It is important for all areas accessed by children to be safe. I recommended Ms. Wilcox create a routine schedule for lawn maintenance to remove any of these vines. • The operator momentarily left the child care space to get a roll of paper towels and took the infant in care with her, but was unable to see the other children in care until she returned to the space. It is essential for you to be able to hear and see children of preschool age at all times. Ms. Wilcox stated she will ensure her children who are preschool age will remain where she can see and hear them at all times, regardless of where she is in the spaces designated for child care. Consultation provided following today’s visit: The following Child Care Rules were reviewed with Ms. Wilcox following the visit: 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (d) (7) 10A NCAC 09 .1712 WRITTEN PLAN OF CARE (f) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mrs. Wilcox confirmed during today’s visit that the email was received and provided information that she will enroll in testing within the next two weeks. For next steps as to how to complete this webinar and enroll in testing, please contact RTI/ Clean Classrooms for Carolina Kids directly at: https://www.cleanwaterforuskids.org/carolina/contact/ or place a call, voicemail, or text to 1-888-997-9290. • You can access the training for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment at the following link: https://www.preventchildabusenc.org/online-trainings/ • You must notify your consultant 30 days prior to changing the ownership status of your facility. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S.110-91 · Violation

Name of Operation: OMEGA WILCOX CHILD CARE HOME Facility ID: 34000538 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 8/5/2024 Number Present: 5 Completed Date: 8/5/2024 Age: From 0 To 6 Total Minutes: 405 Time In: 08:45 AM Time Out: 03:30 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 Omega Wilcox, Operator. Volunteer, Yvonne Dixon, was present during the visit as well. Ms. Wilcox stated Ms. Dixon volunteers approximately one day per week, for two to three hours per day. Your program currently operates with a 4-Star license. Restrictions include 1st and 2nd shift care; a maximum of five preschoolers at any time; and serves no more than two infants under age one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. I observed five children in care playing with toys, engaging in conversations, participating in general routines, and eating lunch with Ms. Wilcox 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 8/28/2023. A Verification of Required Information for Operator and Additional Caregivers form was completed during the visit for the operator. 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 6/13/2024. The most recent lockdown drill was documented on 8/02/2024; the most recent lockdown drill recorded prior to this one was on 1/16/2024. The last outdoor inspection was documented on 7/22/2024. There are currently no pets at this facility. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. The program does not transport children enrolled or participate in aquatic or off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 904 Documentation of the operator’s emergency medical care plan to follow in the event of a child medical emergency, was not on file and available for review. The Emergency Medical Care Plan was not observed on file for review during the visit. .1713 908 Health questionnaire was not completed annually. The most recent health questionnaire for the operator was completed on 5/20/2023. .1703(a)(1) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. The medical reports for two children enrolled were not observed on file during the visit. The medical report for one child enrolled in early January, 2024 was not received and on file within 30 days of enrollment. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. The immunization record for one child enrolled was not observed on file during the visit. GS 110-91(1); .1721(a)(2) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. A record of attendance and arrival and departure was not available for review during today’s visit. .1721(e)(6) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. Signed documentation of the receipt of the Discipline Policy was not observed during on file during the visit for one child enrolled. G.S.110-91(10); .1727(a)&(b) 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 in care, a portion of the right handle (facing the bench) of one wrought iron bench was observed to be cracked, with rust exposed. 10A NCAC 09 .1719 (a) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. Signed documentation of receipt of the NC Summary of Child Care Law was not observed on file during the visit for two children enrolled. GS 110-102 1735 The daily schedule, activity plan, infant feeding plan, allergy posting, SIDS Sleep Chart/visual check were not maintained on file for a minimum of 30 days from the revision or replacement date. An activity plan was not observed on file for review. .1721((f)(4)(A) 1739 All records required shall be available during operating hours, for review by a representative of the Division. The file for one child enrolled was not available for review. .1721(f)(7) 1853 The operator did not conduct a monthly fire drill. A fire drill for the month of July, 2024 was not observed to be recorded. .1719(a)(15) & .1721( e)(2) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. The most recent lockdown drill was documented on 8/02/2024; the most recent lockdown drill recorded prior to this one was on 1/16/2024. .1719(a )(16) & .1721(e )(7) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The Ready to Go file did not contain copies of blank incident reports. .1714(d)(10) 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The Emergency Preparedness and Response Plan was last updated on 5/30/2023. .1714(e ) 1891 Individuals providing care to children did not receive 16 hours of orientation prior to beginning caregiving activities. A volunteer present during the visit today did not have a record of orientation on file for review. .1729( c) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Inside an unlatched drawer less than five feet from the ground in the space where infants enrolled sleep, assorted loose small plastic hair bands were observed. Inside one fabric storage bin located to the left of the base of the stairs of the child care space, a plastic bag was observed less than five feet from the ground and accessible to children under three years of age. In the bathroom accessed by children in care, an open plastic package of diapers was observed less than five feet from the ground, accessible to children under three years of age. .1719(a)(18) 1933 Operator was not positioned in a manner that would maximize his/her ability to hear and see the preschool age children in care, at all times to render immediate assistance. The operator momentarily left the primary child care room to get a roll of paper towels from another area children access and took the infant in care with her, but was unable to see the other children in care until she returned to the space. .1711(a)(1) 1990 Infant feeding plans did not include the required information, including but not limited to the type and amount of milk, formula and food, and the frequency of feedings, and/or was not available for reference. The feeding plan for one newly enrolled infant was not on file for review. .1706(i) 2018 The operator did not inform substitute providers and volunteers of the EPR plan and its location and/or did not document, and have available for review, they were informed. The signed notice of the EPR plan and its location was not on file for one volunteer. .1714(g) 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. The Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training for the operator was last completed on 1/24/207. Health & Safety Training topic #8 (Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment) was not observed to be on file for the operator. .1703(d)(2) 2025 Operator and/or staff members did not complete a professional development plan within one year of employment. The date the operator's professional development plan was last updated was 5/01/2019. .1703(i) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. The notification of tobacco restriction policy was not signed by a parent for three children enrolled. .1719(a)(11) 2033 Signed discipline statement did not include the required information, as outlined in rule. The Discipline Policies for two children enrolled did not include a date of enrollment. .1727(c )(1-3) 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. Inside an unlatched drawer less than five feet from the ground in the space where infants enrolled sleep, a bag of ThroatCoat lozenges labeled Keep Out of Reach of Children with additional warnings was observed. In the bathroom used by children enrolled, one bottle of Tide Simply Free laundry detergent labeled Keep Out of Reach of Children with Additional Warnings was observed sitting on the diaper table less than five feet from the ground, accessible to children. One pump bottle of hand sanitizer was observed less than five feet from the ground during the visit. 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 8/19/2024. 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. Due to the number and nature of violations during today’s visit, and unannounced follow-up visit will be made to monitor supervision and the correction of violations cited. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided following today’s visit: • The most recent Professional Development Plan on file for review for the operator was completed on 5/01/2019. The Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training for the operator was last completed on 1/24/207. Health & Safety Training topic #8 (Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment) was not observed to be on file for the operator. Signed documentation of the receipt of the Discipline Policy was not observed during on file during the visit for one child enrolled; the Discipline Policies for two children enrolled did not include a date of enrollment. Signed documentation of receipt of the NC Summary of Child Care Law was not observed on file during the visit for two children enrolled. The medical reports for two children enrolled were not observed on file during the visit. The medical report for one child enrolled in early January, 2024 was not received and on file within 30 days of enrollment. The immunization record for one child enrolled was not observed on file during the visit. The notification of tobacco restriction policy was not signed by a parent for three children enrolled. The feeding plan for one newly enrolled infant was not on file for review. The child file for one child enrolled was not available for review during the visit. A record of attendance and arrival and departure was not available for review during today’s visit. The Emergency Medical Care Plan was not observed on file for review during the visit. The operator’s health questionnaire was last updated on 5/20/2023. The Emergency Preparedness and Response Plan was last updated on 5/30/2023. The Ready to Go file did not contain copies of blank incident reports. The most recent lockdown drill was documented on 8/02/2024; the most recent lockdown drill recorded prior to this one was on 1/16/2024. A completed fire drill for July, 2024 was not on file for review. An activity plan was not observed on file for review. Ms. Wilcox stated she had run out of ink this morning and was unable to print off an attendance/ arrival and departure log. She also stated she was either not aware information was missing from certain documents or that certain documents were required to be maintained on file. It is essential to maintain accurate and complete records for children in care to ensure all health, safety, and educational requirements are current and being followed. I shared with Ms. Wilcox that if she is unable to print arrival/departure/attendance logs, she can create a written copy of this record for the day.I recommended Ms. Wilcox use the Program, Operator, and Children’s File Checklists located on the Division website for each individual file to review each of her files for accuracy. I also recommended Ms. Wilcox create a routine and ongoing system for checking each file for accuracy during the year. • Inside an unlatched drawer less than five feet from the ground in the space where infants enrolled sleep, a bag of ThroatCoat lozenges labeled Keep Out of Reach of Children with additional warnings and loose small plastic hair bands were observed; Ms. Wilcox removed these from the drawers and made them inaccessible to children during the visit. Inside one fabric storage bin located to the left of the base of the stairs of the child care space, a plastic bag was observed less than five feet from the ground and accessible to children under three years of age; Ms. Wilcox made this bag inaccessible to children during the visit. In the bathroom accessed by children in care, an open plastic package of diapers was observed less than five feet from the ground, accessible to children under three years of age; this wrapper was made inaccessible to children during the visit. Also in the bathroom used by children enrolled, one bottle of Tide Simply Free laundry detergent labeled Keep Out of Reach of Children with Additional Warnings was observed sitting on the diaper table less than five feet from the ground, accessible to children; this was removed from the child care space during the visit. One pump bottle of hand sanitizer was observed less than five feet from the ground during the visit; this was placed greater than five feet from the ground during the visit. On the playground used by children in care, a portion of the right handle (facing the bench) of one wrought iron bench was observed to be cracked, with rust exposed. It is important for all areas accessed by children to be safe. I recommended Ms. Wilcox create a routine schedule for lawn maintenance to remove any of these vines. • The operator momentarily left the child care space to get a roll of paper towels and took the infant in care with her, but was unable to see the other children in care until she returned to the space. It is essential for you to be able to hear and see children of preschool age at all times. Ms. Wilcox stated she will ensure her children who are preschool age will remain where she can see and hear them at all times, regardless of where she is in the spaces designated for child care. Consultation provided following today’s visit: The following Child Care Rules were reviewed with Ms. Wilcox following the visit: 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (d) (7) 10A NCAC 09 .1712 WRITTEN PLAN OF CARE (f) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mrs. Wilcox confirmed during today’s visit that the email was received and provided information that she will enroll in testing within the next two weeks. For next steps as to how to complete this webinar and enroll in testing, please contact RTI/ Clean Classrooms for Carolina Kids directly at: https://www.cleanwaterforuskids.org/carolina/contact/ or place a call, voicemail, or text to 1-888-997-9290. • You can access the training for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment at the following link: https://www.preventchildabusenc.org/online-trainings/ • You must notify your consultant 30 days prior to changing the ownership status of your facility. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-102 · Violation

Name of Operation: OMEGA WILCOX CHILD CARE HOME Facility ID: 34000538 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 8/5/2024 Number Present: 5 Completed Date: 8/5/2024 Age: From 0 To 6 Total Minutes: 405 Time In: 08:45 AM Time Out: 03:30 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 Omega Wilcox, Operator. Volunteer, Yvonne Dixon, was present during the visit as well. Ms. Wilcox stated Ms. Dixon volunteers approximately one day per week, for two to three hours per day. Your program currently operates with a 4-Star license. Restrictions include 1st and 2nd shift care; a maximum of five preschoolers at any time; and serves no more than two infants under age one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. I observed five children in care playing with toys, engaging in conversations, participating in general routines, and eating lunch with Ms. Wilcox 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 8/28/2023. A Verification of Required Information for Operator and Additional Caregivers form was completed during the visit for the operator. 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 6/13/2024. The most recent lockdown drill was documented on 8/02/2024; the most recent lockdown drill recorded prior to this one was on 1/16/2024. The last outdoor inspection was documented on 7/22/2024. There are currently no pets at this facility. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. The program does not transport children enrolled or participate in aquatic or off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 904 Documentation of the operator’s emergency medical care plan to follow in the event of a child medical emergency, was not on file and available for review. The Emergency Medical Care Plan was not observed on file for review during the visit. .1713 908 Health questionnaire was not completed annually. The most recent health questionnaire for the operator was completed on 5/20/2023. .1703(a)(1) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. The medical reports for two children enrolled were not observed on file during the visit. The medical report for one child enrolled in early January, 2024 was not received and on file within 30 days of enrollment. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. The immunization record for one child enrolled was not observed on file during the visit. GS 110-91(1); .1721(a)(2) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. A record of attendance and arrival and departure was not available for review during today’s visit. .1721(e)(6) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. Signed documentation of the receipt of the Discipline Policy was not observed during on file during the visit for one child enrolled. G.S.110-91(10); .1727(a)&(b) 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 in care, a portion of the right handle (facing the bench) of one wrought iron bench was observed to be cracked, with rust exposed. 10A NCAC 09 .1719 (a) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. Signed documentation of receipt of the NC Summary of Child Care Law was not observed on file during the visit for two children enrolled. GS 110-102 1735 The daily schedule, activity plan, infant feeding plan, allergy posting, SIDS Sleep Chart/visual check were not maintained on file for a minimum of 30 days from the revision or replacement date. An activity plan was not observed on file for review. .1721((f)(4)(A) 1739 All records required shall be available during operating hours, for review by a representative of the Division. The file for one child enrolled was not available for review. .1721(f)(7) 1853 The operator did not conduct a monthly fire drill. A fire drill for the month of July, 2024 was not observed to be recorded. .1719(a)(15) & .1721( e)(2) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. The most recent lockdown drill was documented on 8/02/2024; the most recent lockdown drill recorded prior to this one was on 1/16/2024. .1719(a )(16) & .1721(e )(7) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The Ready to Go file did not contain copies of blank incident reports. .1714(d)(10) 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The Emergency Preparedness and Response Plan was last updated on 5/30/2023. .1714(e ) 1891 Individuals providing care to children did not receive 16 hours of orientation prior to beginning caregiving activities. A volunteer present during the visit today did not have a record of orientation on file for review. .1729( c) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Inside an unlatched drawer less than five feet from the ground in the space where infants enrolled sleep, assorted loose small plastic hair bands were observed. Inside one fabric storage bin located to the left of the base of the stairs of the child care space, a plastic bag was observed less than five feet from the ground and accessible to children under three years of age. In the bathroom accessed by children in care, an open plastic package of diapers was observed less than five feet from the ground, accessible to children under three years of age. .1719(a)(18) 1933 Operator was not positioned in a manner that would maximize his/her ability to hear and see the preschool age children in care, at all times to render immediate assistance. The operator momentarily left the primary child care room to get a roll of paper towels from another area children access and took the infant in care with her, but was unable to see the other children in care until she returned to the space. .1711(a)(1) 1990 Infant feeding plans did not include the required information, including but not limited to the type and amount of milk, formula and food, and the frequency of feedings, and/or was not available for reference. The feeding plan for one newly enrolled infant was not on file for review. .1706(i) 2018 The operator did not inform substitute providers and volunteers of the EPR plan and its location and/or did not document, and have available for review, they were informed. The signed notice of the EPR plan and its location was not on file for one volunteer. .1714(g) 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. The Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training for the operator was last completed on 1/24/207. Health & Safety Training topic #8 (Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment) was not observed to be on file for the operator. .1703(d)(2) 2025 Operator and/or staff members did not complete a professional development plan within one year of employment. The date the operator's professional development plan was last updated was 5/01/2019. .1703(i) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. The notification of tobacco restriction policy was not signed by a parent for three children enrolled. .1719(a)(11) 2033 Signed discipline statement did not include the required information, as outlined in rule. The Discipline Policies for two children enrolled did not include a date of enrollment. .1727(c )(1-3) 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. Inside an unlatched drawer less than five feet from the ground in the space where infants enrolled sleep, a bag of ThroatCoat lozenges labeled Keep Out of Reach of Children with additional warnings was observed. In the bathroom used by children enrolled, one bottle of Tide Simply Free laundry detergent labeled Keep Out of Reach of Children with Additional Warnings was observed sitting on the diaper table less than five feet from the ground, accessible to children. One pump bottle of hand sanitizer was observed less than five feet from the ground during the visit. 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 8/19/2024. 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. Due to the number and nature of violations during today’s visit, and unannounced follow-up visit will be made to monitor supervision and the correction of violations cited. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided following today’s visit: • The most recent Professional Development Plan on file for review for the operator was completed on 5/01/2019. The Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training for the operator was last completed on 1/24/207. Health & Safety Training topic #8 (Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment) was not observed to be on file for the operator. Signed documentation of the receipt of the Discipline Policy was not observed during on file during the visit for one child enrolled; the Discipline Policies for two children enrolled did not include a date of enrollment. Signed documentation of receipt of the NC Summary of Child Care Law was not observed on file during the visit for two children enrolled. The medical reports for two children enrolled were not observed on file during the visit. The medical report for one child enrolled in early January, 2024 was not received and on file within 30 days of enrollment. The immunization record for one child enrolled was not observed on file during the visit. The notification of tobacco restriction policy was not signed by a parent for three children enrolled. The feeding plan for one newly enrolled infant was not on file for review. The child file for one child enrolled was not available for review during the visit. A record of attendance and arrival and departure was not available for review during today’s visit. The Emergency Medical Care Plan was not observed on file for review during the visit. The operator’s health questionnaire was last updated on 5/20/2023. The Emergency Preparedness and Response Plan was last updated on 5/30/2023. The Ready to Go file did not contain copies of blank incident reports. The most recent lockdown drill was documented on 8/02/2024; the most recent lockdown drill recorded prior to this one was on 1/16/2024. A completed fire drill for July, 2024 was not on file for review. An activity plan was not observed on file for review. Ms. Wilcox stated she had run out of ink this morning and was unable to print off an attendance/ arrival and departure log. She also stated she was either not aware information was missing from certain documents or that certain documents were required to be maintained on file. It is essential to maintain accurate and complete records for children in care to ensure all health, safety, and educational requirements are current and being followed. I shared with Ms. Wilcox that if she is unable to print arrival/departure/attendance logs, she can create a written copy of this record for the day.I recommended Ms. Wilcox use the Program, Operator, and Children’s File Checklists located on the Division website for each individual file to review each of her files for accuracy. I also recommended Ms. Wilcox create a routine and ongoing system for checking each file for accuracy during the year. • Inside an unlatched drawer less than five feet from the ground in the space where infants enrolled sleep, a bag of ThroatCoat lozenges labeled Keep Out of Reach of Children with additional warnings and loose small plastic hair bands were observed; Ms. Wilcox removed these from the drawers and made them inaccessible to children during the visit. Inside one fabric storage bin located to the left of the base of the stairs of the child care space, a plastic bag was observed less than five feet from the ground and accessible to children under three years of age; Ms. Wilcox made this bag inaccessible to children during the visit. In the bathroom accessed by children in care, an open plastic package of diapers was observed less than five feet from the ground, accessible to children under three years of age; this wrapper was made inaccessible to children during the visit. Also in the bathroom used by children enrolled, one bottle of Tide Simply Free laundry detergent labeled Keep Out of Reach of Children with Additional Warnings was observed sitting on the diaper table less than five feet from the ground, accessible to children; this was removed from the child care space during the visit. One pump bottle of hand sanitizer was observed less than five feet from the ground during the visit; this was placed greater than five feet from the ground during the visit. On the playground used by children in care, a portion of the right handle (facing the bench) of one wrought iron bench was observed to be cracked, with rust exposed. It is important for all areas accessed by children to be safe. I recommended Ms. Wilcox create a routine schedule for lawn maintenance to remove any of these vines. • The operator momentarily left the child care space to get a roll of paper towels and took the infant in care with her, but was unable to see the other children in care until she returned to the space. It is essential for you to be able to hear and see children of preschool age at all times. Ms. Wilcox stated she will ensure her children who are preschool age will remain where she can see and hear them at all times, regardless of where she is in the spaces designated for child care. Consultation provided following today’s visit: The following Child Care Rules were reviewed with Ms. Wilcox following the visit: 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (d) (7) 10A NCAC 09 .1712 WRITTEN PLAN OF CARE (f) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mrs. Wilcox confirmed during today’s visit that the email was received and provided information that she will enroll in testing within the next two weeks. For next steps as to how to complete this webinar and enroll in testing, please contact RTI/ Clean Classrooms for Carolina Kids directly at: https://www.cleanwaterforuskids.org/carolina/contact/ or place a call, voicemail, or text to 1-888-997-9290. • You can access the training for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment at the following link: https://www.preventchildabusenc.org/online-trainings/ • You must notify your consultant 30 days prior to changing the ownership status of your facility. 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: OMEGA WILCOX CHILD CARE HOME Facility ID: 34000538 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 8/5/2024 Number Present: 5 Completed Date: 8/5/2024 Age: From 0 To 6 Total Minutes: 405 Time In: 08:45 AM Time Out: 03:30 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 Omega Wilcox, Operator. Volunteer, Yvonne Dixon, was present during the visit as well. Ms. Wilcox stated Ms. Dixon volunteers approximately one day per week, for two to three hours per day. Your program currently operates with a 4-Star license. Restrictions include 1st and 2nd shift care; a maximum of five preschoolers at any time; and serves no more than two infants under age one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. I observed five children in care playing with toys, engaging in conversations, participating in general routines, and eating lunch with Ms. Wilcox 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 8/28/2023. A Verification of Required Information for Operator and Additional Caregivers form was completed during the visit for the operator. 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 6/13/2024. The most recent lockdown drill was documented on 8/02/2024; the most recent lockdown drill recorded prior to this one was on 1/16/2024. The last outdoor inspection was documented on 7/22/2024. There are currently no pets at this facility. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. The program does not transport children enrolled or participate in aquatic or off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 904 Documentation of the operator’s emergency medical care plan to follow in the event of a child medical emergency, was not on file and available for review. The Emergency Medical Care Plan was not observed on file for review during the visit. .1713 908 Health questionnaire was not completed annually. The most recent health questionnaire for the operator was completed on 5/20/2023. .1703(a)(1) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. The medical reports for two children enrolled were not observed on file during the visit. The medical report for one child enrolled in early January, 2024 was not received and on file within 30 days of enrollment. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. The immunization record for one child enrolled was not observed on file during the visit. GS 110-91(1); .1721(a)(2) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. A record of attendance and arrival and departure was not available for review during today’s visit. .1721(e)(6) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. Signed documentation of the receipt of the Discipline Policy was not observed during on file during the visit for one child enrolled. G.S.110-91(10); .1727(a)&(b) 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 in care, a portion of the right handle (facing the bench) of one wrought iron bench was observed to be cracked, with rust exposed. 10A NCAC 09 .1719 (a) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. Signed documentation of receipt of the NC Summary of Child Care Law was not observed on file during the visit for two children enrolled. GS 110-102 1735 The daily schedule, activity plan, infant feeding plan, allergy posting, SIDS Sleep Chart/visual check were not maintained on file for a minimum of 30 days from the revision or replacement date. An activity plan was not observed on file for review. .1721((f)(4)(A) 1739 All records required shall be available during operating hours, for review by a representative of the Division. The file for one child enrolled was not available for review. .1721(f)(7) 1853 The operator did not conduct a monthly fire drill. A fire drill for the month of July, 2024 was not observed to be recorded. .1719(a)(15) & .1721( e)(2) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. The most recent lockdown drill was documented on 8/02/2024; the most recent lockdown drill recorded prior to this one was on 1/16/2024. .1719(a )(16) & .1721(e )(7) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The Ready to Go file did not contain copies of blank incident reports. .1714(d)(10) 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The Emergency Preparedness and Response Plan was last updated on 5/30/2023. .1714(e ) 1891 Individuals providing care to children did not receive 16 hours of orientation prior to beginning caregiving activities. A volunteer present during the visit today did not have a record of orientation on file for review. .1729( c) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Inside an unlatched drawer less than five feet from the ground in the space where infants enrolled sleep, assorted loose small plastic hair bands were observed. Inside one fabric storage bin located to the left of the base of the stairs of the child care space, a plastic bag was observed less than five feet from the ground and accessible to children under three years of age. In the bathroom accessed by children in care, an open plastic package of diapers was observed less than five feet from the ground, accessible to children under three years of age. .1719(a)(18) 1933 Operator was not positioned in a manner that would maximize his/her ability to hear and see the preschool age children in care, at all times to render immediate assistance. The operator momentarily left the primary child care room to get a roll of paper towels from another area children access and took the infant in care with her, but was unable to see the other children in care until she returned to the space. .1711(a)(1) 1990 Infant feeding plans did not include the required information, including but not limited to the type and amount of milk, formula and food, and the frequency of feedings, and/or was not available for reference. The feeding plan for one newly enrolled infant was not on file for review. .1706(i) 2018 The operator did not inform substitute providers and volunteers of the EPR plan and its location and/or did not document, and have available for review, they were informed. The signed notice of the EPR plan and its location was not on file for one volunteer. .1714(g) 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. The Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training for the operator was last completed on 1/24/207. Health & Safety Training topic #8 (Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment) was not observed to be on file for the operator. .1703(d)(2) 2025 Operator and/or staff members did not complete a professional development plan within one year of employment. The date the operator's professional development plan was last updated was 5/01/2019. .1703(i) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. The notification of tobacco restriction policy was not signed by a parent for three children enrolled. .1719(a)(11) 2033 Signed discipline statement did not include the required information, as outlined in rule. The Discipline Policies for two children enrolled did not include a date of enrollment. .1727(c )(1-3) 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. Inside an unlatched drawer less than five feet from the ground in the space where infants enrolled sleep, a bag of ThroatCoat lozenges labeled Keep Out of Reach of Children with additional warnings was observed. In the bathroom used by children enrolled, one bottle of Tide Simply Free laundry detergent labeled Keep Out of Reach of Children with Additional Warnings was observed sitting on the diaper table less than five feet from the ground, accessible to children. One pump bottle of hand sanitizer was observed less than five feet from the ground during the visit. 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 8/19/2024. 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. Due to the number and nature of violations during today’s visit, and unannounced follow-up visit will be made to monitor supervision and the correction of violations cited. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided following today’s visit: • The most recent Professional Development Plan on file for review for the operator was completed on 5/01/2019. The Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training for the operator was last completed on 1/24/207. Health & Safety Training topic #8 (Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment) was not observed to be on file for the operator. Signed documentation of the receipt of the Discipline Policy was not observed during on file during the visit for one child enrolled; the Discipline Policies for two children enrolled did not include a date of enrollment. Signed documentation of receipt of the NC Summary of Child Care Law was not observed on file during the visit for two children enrolled. The medical reports for two children enrolled were not observed on file during the visit. The medical report for one child enrolled in early January, 2024 was not received and on file within 30 days of enrollment. The immunization record for one child enrolled was not observed on file during the visit. The notification of tobacco restriction policy was not signed by a parent for three children enrolled. The feeding plan for one newly enrolled infant was not on file for review. The child file for one child enrolled was not available for review during the visit. A record of attendance and arrival and departure was not available for review during today’s visit. The Emergency Medical Care Plan was not observed on file for review during the visit. The operator’s health questionnaire was last updated on 5/20/2023. The Emergency Preparedness and Response Plan was last updated on 5/30/2023. The Ready to Go file did not contain copies of blank incident reports. The most recent lockdown drill was documented on 8/02/2024; the most recent lockdown drill recorded prior to this one was on 1/16/2024. A completed fire drill for July, 2024 was not on file for review. An activity plan was not observed on file for review. Ms. Wilcox stated she had run out of ink this morning and was unable to print off an attendance/ arrival and departure log. She also stated she was either not aware information was missing from certain documents or that certain documents were required to be maintained on file. It is essential to maintain accurate and complete records for children in care to ensure all health, safety, and educational requirements are current and being followed. I shared with Ms. Wilcox that if she is unable to print arrival/departure/attendance logs, she can create a written copy of this record for the day.I recommended Ms. Wilcox use the Program, Operator, and Children’s File Checklists located on the Division website for each individual file to review each of her files for accuracy. I also recommended Ms. Wilcox create a routine and ongoing system for checking each file for accuracy during the year. • Inside an unlatched drawer less than five feet from the ground in the space where infants enrolled sleep, a bag of ThroatCoat lozenges labeled Keep Out of Reach of Children with additional warnings and loose small plastic hair bands were observed; Ms. Wilcox removed these from the drawers and made them inaccessible to children during the visit. Inside one fabric storage bin located to the left of the base of the stairs of the child care space, a plastic bag was observed less than five feet from the ground and accessible to children under three years of age; Ms. Wilcox made this bag inaccessible to children during the visit. In the bathroom accessed by children in care, an open plastic package of diapers was observed less than five feet from the ground, accessible to children under three years of age; this wrapper was made inaccessible to children during the visit. Also in the bathroom used by children enrolled, one bottle of Tide Simply Free laundry detergent labeled Keep Out of Reach of Children with Additional Warnings was observed sitting on the diaper table less than five feet from the ground, accessible to children; this was removed from the child care space during the visit. One pump bottle of hand sanitizer was observed less than five feet from the ground during the visit; this was placed greater than five feet from the ground during the visit. On the playground used by children in care, a portion of the right handle (facing the bench) of one wrought iron bench was observed to be cracked, with rust exposed. It is important for all areas accessed by children to be safe. I recommended Ms. Wilcox create a routine schedule for lawn maintenance to remove any of these vines. • The operator momentarily left the child care space to get a roll of paper towels and took the infant in care with her, but was unable to see the other children in care until she returned to the space. It is essential for you to be able to hear and see children of preschool age at all times. Ms. Wilcox stated she will ensure her children who are preschool age will remain where she can see and hear them at all times, regardless of where she is in the spaces designated for child care. Consultation provided following today’s visit: The following Child Care Rules were reviewed with Ms. Wilcox following the visit: 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (d) (7) 10A NCAC 09 .1712 WRITTEN PLAN OF CARE (f) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mrs. Wilcox confirmed during today’s visit that the email was received and provided information that she will enroll in testing within the next two weeks. For next steps as to how to complete this webinar and enroll in testing, please contact RTI/ Clean Classrooms for Carolina Kids directly at: https://www.cleanwaterforuskids.org/carolina/contact/ or place a call, voicemail, or text to 1-888-997-9290. • You can access the training for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment at the following link: https://www.preventchildabusenc.org/online-trainings/ • You must notify your consultant 30 days prior to changing the ownership status of your facility. 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: OMEGA WILCOX CHILD CARE HOME Facility ID: 34000538 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 8/5/2024 Number Present: 5 Completed Date: 8/5/2024 Age: From 0 To 6 Total Minutes: 405 Time In: 08:45 AM Time Out: 03:30 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 Omega Wilcox, Operator. Volunteer, Yvonne Dixon, was present during the visit as well. Ms. Wilcox stated Ms. Dixon volunteers approximately one day per week, for two to three hours per day. Your program currently operates with a 4-Star license. Restrictions include 1st and 2nd shift care; a maximum of five preschoolers at any time; and serves no more than two infants under age one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. I observed five children in care playing with toys, engaging in conversations, participating in general routines, and eating lunch with Ms. Wilcox 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 8/28/2023. A Verification of Required Information for Operator and Additional Caregivers form was completed during the visit for the operator. 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 6/13/2024. The most recent lockdown drill was documented on 8/02/2024; the most recent lockdown drill recorded prior to this one was on 1/16/2024. The last outdoor inspection was documented on 7/22/2024. There are currently no pets at this facility. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. The program does not transport children enrolled or participate in aquatic or off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 904 Documentation of the operator’s emergency medical care plan to follow in the event of a child medical emergency, was not on file and available for review. The Emergency Medical Care Plan was not observed on file for review during the visit. .1713 908 Health questionnaire was not completed annually. The most recent health questionnaire for the operator was completed on 5/20/2023. .1703(a)(1) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. The medical reports for two children enrolled were not observed on file during the visit. The medical report for one child enrolled in early January, 2024 was not received and on file within 30 days of enrollment. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. The immunization record for one child enrolled was not observed on file during the visit. GS 110-91(1); .1721(a)(2) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. A record of attendance and arrival and departure was not available for review during today’s visit. .1721(e)(6) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. Signed documentation of the receipt of the Discipline Policy was not observed during on file during the visit for one child enrolled. G.S.110-91(10); .1727(a)&(b) 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 in care, a portion of the right handle (facing the bench) of one wrought iron bench was observed to be cracked, with rust exposed. 10A NCAC 09 .1719 (a) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. Signed documentation of receipt of the NC Summary of Child Care Law was not observed on file during the visit for two children enrolled. GS 110-102 1735 The daily schedule, activity plan, infant feeding plan, allergy posting, SIDS Sleep Chart/visual check were not maintained on file for a minimum of 30 days from the revision or replacement date. An activity plan was not observed on file for review. .1721((f)(4)(A) 1739 All records required shall be available during operating hours, for review by a representative of the Division. The file for one child enrolled was not available for review. .1721(f)(7) 1853 The operator did not conduct a monthly fire drill. A fire drill for the month of July, 2024 was not observed to be recorded. .1719(a)(15) & .1721( e)(2) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. The most recent lockdown drill was documented on 8/02/2024; the most recent lockdown drill recorded prior to this one was on 1/16/2024. .1719(a )(16) & .1721(e )(7) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The Ready to Go file did not contain copies of blank incident reports. .1714(d)(10) 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The Emergency Preparedness and Response Plan was last updated on 5/30/2023. .1714(e ) 1891 Individuals providing care to children did not receive 16 hours of orientation prior to beginning caregiving activities. A volunteer present during the visit today did not have a record of orientation on file for review. .1729( c) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Inside an unlatched drawer less than five feet from the ground in the space where infants enrolled sleep, assorted loose small plastic hair bands were observed. Inside one fabric storage bin located to the left of the base of the stairs of the child care space, a plastic bag was observed less than five feet from the ground and accessible to children under three years of age. In the bathroom accessed by children in care, an open plastic package of diapers was observed less than five feet from the ground, accessible to children under three years of age. .1719(a)(18) 1933 Operator was not positioned in a manner that would maximize his/her ability to hear and see the preschool age children in care, at all times to render immediate assistance. The operator momentarily left the primary child care room to get a roll of paper towels from another area children access and took the infant in care with her, but was unable to see the other children in care until she returned to the space. .1711(a)(1) 1990 Infant feeding plans did not include the required information, including but not limited to the type and amount of milk, formula and food, and the frequency of feedings, and/or was not available for reference. The feeding plan for one newly enrolled infant was not on file for review. .1706(i) 2018 The operator did not inform substitute providers and volunteers of the EPR plan and its location and/or did not document, and have available for review, they were informed. The signed notice of the EPR plan and its location was not on file for one volunteer. .1714(g) 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. The Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training for the operator was last completed on 1/24/207. Health & Safety Training topic #8 (Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment) was not observed to be on file for the operator. .1703(d)(2) 2025 Operator and/or staff members did not complete a professional development plan within one year of employment. The date the operator's professional development plan was last updated was 5/01/2019. .1703(i) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. The notification of tobacco restriction policy was not signed by a parent for three children enrolled. .1719(a)(11) 2033 Signed discipline statement did not include the required information, as outlined in rule. The Discipline Policies for two children enrolled did not include a date of enrollment. .1727(c )(1-3) 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. Inside an unlatched drawer less than five feet from the ground in the space where infants enrolled sleep, a bag of ThroatCoat lozenges labeled Keep Out of Reach of Children with additional warnings was observed. In the bathroom used by children enrolled, one bottle of Tide Simply Free laundry detergent labeled Keep Out of Reach of Children with Additional Warnings was observed sitting on the diaper table less than five feet from the ground, accessible to children. One pump bottle of hand sanitizer was observed less than five feet from the ground during the visit. 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 8/19/2024. 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. Due to the number and nature of violations during today’s visit, and unannounced follow-up visit will be made to monitor supervision and the correction of violations cited. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided following today’s visit: • The most recent Professional Development Plan on file for review for the operator was completed on 5/01/2019. The Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training for the operator was last completed on 1/24/207. Health & Safety Training topic #8 (Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment) was not observed to be on file for the operator. Signed documentation of the receipt of the Discipline Policy was not observed during on file during the visit for one child enrolled; the Discipline Policies for two children enrolled did not include a date of enrollment. Signed documentation of receipt of the NC Summary of Child Care Law was not observed on file during the visit for two children enrolled. The medical reports for two children enrolled were not observed on file during the visit. The medical report for one child enrolled in early January, 2024 was not received and on file within 30 days of enrollment. The immunization record for one child enrolled was not observed on file during the visit. The notification of tobacco restriction policy was not signed by a parent for three children enrolled. The feeding plan for one newly enrolled infant was not on file for review. The child file for one child enrolled was not available for review during the visit. A record of attendance and arrival and departure was not available for review during today’s visit. The Emergency Medical Care Plan was not observed on file for review during the visit. The operator’s health questionnaire was last updated on 5/20/2023. The Emergency Preparedness and Response Plan was last updated on 5/30/2023. The Ready to Go file did not contain copies of blank incident reports. The most recent lockdown drill was documented on 8/02/2024; the most recent lockdown drill recorded prior to this one was on 1/16/2024. A completed fire drill for July, 2024 was not on file for review. An activity plan was not observed on file for review. Ms. Wilcox stated she had run out of ink this morning and was unable to print off an attendance/ arrival and departure log. She also stated she was either not aware information was missing from certain documents or that certain documents were required to be maintained on file. It is essential to maintain accurate and complete records for children in care to ensure all health, safety, and educational requirements are current and being followed. I shared with Ms. Wilcox that if she is unable to print arrival/departure/attendance logs, she can create a written copy of this record for the day.I recommended Ms. Wilcox use the Program, Operator, and Children’s File Checklists located on the Division website for each individual file to review each of her files for accuracy. I also recommended Ms. Wilcox create a routine and ongoing system for checking each file for accuracy during the year. • Inside an unlatched drawer less than five feet from the ground in the space where infants enrolled sleep, a bag of ThroatCoat lozenges labeled Keep Out of Reach of Children with additional warnings and loose small plastic hair bands were observed; Ms. Wilcox removed these from the drawers and made them inaccessible to children during the visit. Inside one fabric storage bin located to the left of the base of the stairs of the child care space, a plastic bag was observed less than five feet from the ground and accessible to children under three years of age; Ms. Wilcox made this bag inaccessible to children during the visit. In the bathroom accessed by children in care, an open plastic package of diapers was observed less than five feet from the ground, accessible to children under three years of age; this wrapper was made inaccessible to children during the visit. Also in the bathroom used by children enrolled, one bottle of Tide Simply Free laundry detergent labeled Keep Out of Reach of Children with Additional Warnings was observed sitting on the diaper table less than five feet from the ground, accessible to children; this was removed from the child care space during the visit. One pump bottle of hand sanitizer was observed less than five feet from the ground during the visit; this was placed greater than five feet from the ground during the visit. On the playground used by children in care, a portion of the right handle (facing the bench) of one wrought iron bench was observed to be cracked, with rust exposed. It is important for all areas accessed by children to be safe. I recommended Ms. Wilcox create a routine schedule for lawn maintenance to remove any of these vines. • The operator momentarily left the child care space to get a roll of paper towels and took the infant in care with her, but was unable to see the other children in care until she returned to the space. It is essential for you to be able to hear and see children of preschool age at all times. Ms. Wilcox stated she will ensure her children who are preschool age will remain where she can see and hear them at all times, regardless of where she is in the spaces designated for child care. Consultation provided following today’s visit: The following Child Care Rules were reviewed with Ms. Wilcox following the visit: 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (d) (7) 10A NCAC 09 .1712 WRITTEN PLAN OF CARE (f) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mrs. Wilcox confirmed during today’s visit that the email was received and provided information that she will enroll in testing within the next two weeks. For next steps as to how to complete this webinar and enroll in testing, please contact RTI/ Clean Classrooms for Carolina Kids directly at: https://www.cleanwaterforuskids.org/carolina/contact/ or place a call, voicemail, or text to 1-888-997-9290. • You can access the training for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment at the following link: https://www.preventchildabusenc.org/online-trainings/ • You must notify your consultant 30 days prior to changing the ownership status of your facility. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1714 · Violation

Name of Operation: OMEGA WILCOX CHILD CARE HOME Facility ID: 34000538 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/5/2024 Number Present: 4 Completed Date: 3/5/2024 Age: From 0 To 4 Total Minutes: 235 Time In: 09:10 AM Time Out: 01:05 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, Omega Wilcox, Operator, assisted me with the visit. Your program currently operates with a 4-Star license effective 9/09/19. Restrictions include 1st and 2nd shift care, a maximum of five preschool children at any time, and serves no more than two infants. 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. Wilcox stated she and her husband are the only people living in the home. Be reminded that you and your husband 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. Two plastic bags were observed inside a storage cube on shelves accessible to children under three years of age located to the right of the main entrance. Greater than five plastic bags were observed inside a tall, unlatched, double-sided cupboard to the right of the children’s activity table and to the left of the bathroom. Ms. Wilcox placed each of these items into approved storage during the visit. 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, songs, activities, and reading books with Ms. Wilcox, and preparing for lunch during the visit. Ms. Wilcox stated children enrolled play only in the yard inside the fenced-in area. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, ITS-SIDS, and Criminal Background Checks. No medications were observed nor reported. Storage of hazardous items was monitored today. One bag of Throat Coat cough drops and one bottle of hand sanitizer were observed on a desk less than five feet from the ground and in unlocked storage in the space used for napping. Three tubes of diaper cream were observed in a plastic drawer in the bathroom used by children 43 inches from the ground. Two unlocked desk drawers in the space used for children to nap were observed to have Cetaphil, Aquaphor and other items labeled Keep Out of Reach of Children with additional warnings. Ms. Wilcox placed these items into approved storage during the visit. A playground inspection was recorded 3/03/2024. A fire drill was recorded 2/15/2024. A lockdown drill for the facility was recorded 1/16/2024. There are currently no pets at the facility. 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 904 Documentation of the operator’s emergency medical care plan to follow in the event of a child medical emergency, was not on file and available for review. An Emergency Medical Care Plan was not observed on file for review. .1713 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. A time of arrival was not recorded for three enrolled children. .1721(e)(6) 1544 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. The first two sections of fencing on the right, entering the playground measured 45 inches and 47 inches in height, respectively. GS 110-91 1831 A valid qualification letter was not on file and available for review at the facility. A valid CBC Qualification Letter was verified in the Regulatory System for Mr. Wilcox, but a copy of this letter was not observed on file. G.S. 110-90.2 (b) & (d) & .2703(e) .1702(b)(1) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The Ready to Go file did not contain copies of blank incident reports. .1714(d)(10) 1919 A First Aid Information sheet, complete with required information, was not posted for quick referral by staff. A First Aid poster was observed posted at the facility, but the poster did not include First Aid guidance regarding fractures, sprains, head injuries, skin wounds, stings and bites. .1719(a )(14) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Two plastic bags were observed inside a storage cube on shelves accessible to children under three years of age located to the right of the main entrance. Greater than five plastic bags were observed inside a tall, unlatched, double-sided cupboard to the right of the children’s activity table and to the left of the bathroom. .1719(a)(18) 2048 Products that are labeled “keep out of reach of children” with an additional warning(s) on the label, were not kept in locked storage while children were in care. One bag of Throat Coat cough drops and one bottle of hand sanitizer were observed on a desk less than five feet from the ground and in unlocked storage in the space used for napping. Three tubes of diaper cream were observed in a plastic drawer in the bathroom used by children 43 inches from the ground. Two unlocked desk drawers in the space used for children to nap were observed to have Cetaphil, Aquaphor and other items labeled Keep Out of Reach of Children with additional warnings. 10A NCAC 09 .1719(a)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 3/19/2024. 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: The first two sections of fencing on the right, entering the playground measured 45 inches and 47 inches in height, respectively. It is important the required 48 inches of fencing height is maintained for all sections of fencing to ensure the safety of children in care. Ms. Wilcox was not aware the fencing did not measure 48 inches in all areas. I recommended Ms. Wilcox measure the fencing in different areas at different times throughout the year to ensure the fencing was not settling into the ground over time and remains at the required height in all areas. A time of arrival was not recorded for three enrolled children. An Emergency Medical Care Plan was not observed on file for review. Blank incident report forms were not observed in the Ready to Go file. It is essential to maintain accurate and complete records for children in care to ensure all health and safety requirements are current and being followed. A valid CBC Qualification Letter was verified in the Regulatory System for Mr. Wilcox, but a copy of this letter was not observed on file. I emailed Ms. Wilcox the link from ABCMS to access this letter during the visit. I recommended Ms. Wilcox double-check her attendance/arrival/departure times for completion and accuracy as each child arrives and departs each day. I also recommended Ms. Wilcox create a routine schedule to monitor her files to ensure all required documents are present and current. A First Aid poster was observed posted at the facility, but the poster did not include First Aid guidance regarding fractures, sprains, head injuries, skin wounds, stings and bites. It is important for you to have access to guidance for each of these situations in the case of a First Aid emergency. Ms. Wilcox stated she has a First Aid poster she can post with these components. I shared with Ms. Wilcox a child care operator may request a First Aid information sheet from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229; I also shared with Ms. Wilcox the link to the NC Child Care Health and Safety Resource Center at which she may order the poster. Consultation provided during today’s visit: The following Child Care Rules were thoroughly reviewed with Ms. Wilcox during the visit: • 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (11) (27) • 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a) (6-8) • 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (d) (7) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Ms. Wilcox confirmed during today’s visit that the email was received and provided information that she had testing completed prior to my last visit. I stated I will follow-up with Ms. Wilcox following my visit if additional steps are required. Please complete Recognizing and Responding Training every five years as you complete your other Health and Safety Trainings. You can order one color-printed copy of the First Aid poster at the following link: https://healthychildcare.unc.edu/?s=poster 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 .1718 · Violation

Name of Operation: OMEGA WILCOX CHILD CARE HOME Facility ID: 34000538 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/5/2024 Number Present: 4 Completed Date: 3/5/2024 Age: From 0 To 4 Total Minutes: 235 Time In: 09:10 AM Time Out: 01:05 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, Omega Wilcox, Operator, assisted me with the visit. Your program currently operates with a 4-Star license effective 9/09/19. Restrictions include 1st and 2nd shift care, a maximum of five preschool children at any time, and serves no more than two infants. 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. Wilcox stated she and her husband are the only people living in the home. Be reminded that you and your husband 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. Two plastic bags were observed inside a storage cube on shelves accessible to children under three years of age located to the right of the main entrance. Greater than five plastic bags were observed inside a tall, unlatched, double-sided cupboard to the right of the children’s activity table and to the left of the bathroom. Ms. Wilcox placed each of these items into approved storage during the visit. 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, songs, activities, and reading books with Ms. Wilcox, and preparing for lunch during the visit. Ms. Wilcox stated children enrolled play only in the yard inside the fenced-in area. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, ITS-SIDS, and Criminal Background Checks. No medications were observed nor reported. Storage of hazardous items was monitored today. One bag of Throat Coat cough drops and one bottle of hand sanitizer were observed on a desk less than five feet from the ground and in unlocked storage in the space used for napping. Three tubes of diaper cream were observed in a plastic drawer in the bathroom used by children 43 inches from the ground. Two unlocked desk drawers in the space used for children to nap were observed to have Cetaphil, Aquaphor and other items labeled Keep Out of Reach of Children with additional warnings. Ms. Wilcox placed these items into approved storage during the visit. A playground inspection was recorded 3/03/2024. A fire drill was recorded 2/15/2024. A lockdown drill for the facility was recorded 1/16/2024. There are currently no pets at the facility. 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 904 Documentation of the operator’s emergency medical care plan to follow in the event of a child medical emergency, was not on file and available for review. An Emergency Medical Care Plan was not observed on file for review. .1713 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. A time of arrival was not recorded for three enrolled children. .1721(e)(6) 1544 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. The first two sections of fencing on the right, entering the playground measured 45 inches and 47 inches in height, respectively. GS 110-91 1831 A valid qualification letter was not on file and available for review at the facility. A valid CBC Qualification Letter was verified in the Regulatory System for Mr. Wilcox, but a copy of this letter was not observed on file. G.S. 110-90.2 (b) & (d) & .2703(e) .1702(b)(1) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The Ready to Go file did not contain copies of blank incident reports. .1714(d)(10) 1919 A First Aid Information sheet, complete with required information, was not posted for quick referral by staff. A First Aid poster was observed posted at the facility, but the poster did not include First Aid guidance regarding fractures, sprains, head injuries, skin wounds, stings and bites. .1719(a )(14) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Two plastic bags were observed inside a storage cube on shelves accessible to children under three years of age located to the right of the main entrance. Greater than five plastic bags were observed inside a tall, unlatched, double-sided cupboard to the right of the children’s activity table and to the left of the bathroom. .1719(a)(18) 2048 Products that are labeled “keep out of reach of children” with an additional warning(s) on the label, were not kept in locked storage while children were in care. One bag of Throat Coat cough drops and one bottle of hand sanitizer were observed on a desk less than five feet from the ground and in unlocked storage in the space used for napping. Three tubes of diaper cream were observed in a plastic drawer in the bathroom used by children 43 inches from the ground. Two unlocked desk drawers in the space used for children to nap were observed to have Cetaphil, Aquaphor and other items labeled Keep Out of Reach of Children with additional warnings. 10A NCAC 09 .1719(a)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 3/19/2024. 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: The first two sections of fencing on the right, entering the playground measured 45 inches and 47 inches in height, respectively. It is important the required 48 inches of fencing height is maintained for all sections of fencing to ensure the safety of children in care. Ms. Wilcox was not aware the fencing did not measure 48 inches in all areas. I recommended Ms. Wilcox measure the fencing in different areas at different times throughout the year to ensure the fencing was not settling into the ground over time and remains at the required height in all areas. A time of arrival was not recorded for three enrolled children. An Emergency Medical Care Plan was not observed on file for review. Blank incident report forms were not observed in the Ready to Go file. It is essential to maintain accurate and complete records for children in care to ensure all health and safety requirements are current and being followed. A valid CBC Qualification Letter was verified in the Regulatory System for Mr. Wilcox, but a copy of this letter was not observed on file. I emailed Ms. Wilcox the link from ABCMS to access this letter during the visit. I recommended Ms. Wilcox double-check her attendance/arrival/departure times for completion and accuracy as each child arrives and departs each day. I also recommended Ms. Wilcox create a routine schedule to monitor her files to ensure all required documents are present and current. A First Aid poster was observed posted at the facility, but the poster did not include First Aid guidance regarding fractures, sprains, head injuries, skin wounds, stings and bites. It is important for you to have access to guidance for each of these situations in the case of a First Aid emergency. Ms. Wilcox stated she has a First Aid poster she can post with these components. I shared with Ms. Wilcox a child care operator may request a First Aid information sheet from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229; I also shared with Ms. Wilcox the link to the NC Child Care Health and Safety Resource Center at which she may order the poster. Consultation provided during today’s visit: The following Child Care Rules were thoroughly reviewed with Ms. Wilcox during the visit: • 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (11) (27) • 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a) (6-8) • 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (d) (7) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Ms. Wilcox confirmed during today’s visit that the email was received and provided information that she had testing completed prior to my last visit. I stated I will follow-up with Ms. Wilcox following my visit if additional steps are required. Please complete Recognizing and Responding Training every five years as you complete your other Health and Safety Trainings. You can order one color-printed copy of the First Aid poster at the following link: https://healthychildcare.unc.edu/?s=poster 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: OMEGA WILCOX CHILD CARE HOME Facility ID: 34000538 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/5/2024 Number Present: 4 Completed Date: 3/5/2024 Age: From 0 To 4 Total Minutes: 235 Time In: 09:10 AM Time Out: 01:05 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, Omega Wilcox, Operator, assisted me with the visit. Your program currently operates with a 4-Star license effective 9/09/19. Restrictions include 1st and 2nd shift care, a maximum of five preschool children at any time, and serves no more than two infants. 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. Wilcox stated she and her husband are the only people living in the home. Be reminded that you and your husband 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. Two plastic bags were observed inside a storage cube on shelves accessible to children under three years of age located to the right of the main entrance. Greater than five plastic bags were observed inside a tall, unlatched, double-sided cupboard to the right of the children’s activity table and to the left of the bathroom. Ms. Wilcox placed each of these items into approved storage during the visit. 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, songs, activities, and reading books with Ms. Wilcox, and preparing for lunch during the visit. Ms. Wilcox stated children enrolled play only in the yard inside the fenced-in area. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, ITS-SIDS, and Criminal Background Checks. No medications were observed nor reported. Storage of hazardous items was monitored today. One bag of Throat Coat cough drops and one bottle of hand sanitizer were observed on a desk less than five feet from the ground and in unlocked storage in the space used for napping. Three tubes of diaper cream were observed in a plastic drawer in the bathroom used by children 43 inches from the ground. Two unlocked desk drawers in the space used for children to nap were observed to have Cetaphil, Aquaphor and other items labeled Keep Out of Reach of Children with additional warnings. Ms. Wilcox placed these items into approved storage during the visit. A playground inspection was recorded 3/03/2024. A fire drill was recorded 2/15/2024. A lockdown drill for the facility was recorded 1/16/2024. There are currently no pets at the facility. 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 904 Documentation of the operator’s emergency medical care plan to follow in the event of a child medical emergency, was not on file and available for review. An Emergency Medical Care Plan was not observed on file for review. .1713 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. A time of arrival was not recorded for three enrolled children. .1721(e)(6) 1544 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. The first two sections of fencing on the right, entering the playground measured 45 inches and 47 inches in height, respectively. GS 110-91 1831 A valid qualification letter was not on file and available for review at the facility. A valid CBC Qualification Letter was verified in the Regulatory System for Mr. Wilcox, but a copy of this letter was not observed on file. G.S. 110-90.2 (b) & (d) & .2703(e) .1702(b)(1) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The Ready to Go file did not contain copies of blank incident reports. .1714(d)(10) 1919 A First Aid Information sheet, complete with required information, was not posted for quick referral by staff. A First Aid poster was observed posted at the facility, but the poster did not include First Aid guidance regarding fractures, sprains, head injuries, skin wounds, stings and bites. .1719(a )(14) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Two plastic bags were observed inside a storage cube on shelves accessible to children under three years of age located to the right of the main entrance. Greater than five plastic bags were observed inside a tall, unlatched, double-sided cupboard to the right of the children’s activity table and to the left of the bathroom. .1719(a)(18) 2048 Products that are labeled “keep out of reach of children” with an additional warning(s) on the label, were not kept in locked storage while children were in care. One bag of Throat Coat cough drops and one bottle of hand sanitizer were observed on a desk less than five feet from the ground and in unlocked storage in the space used for napping. Three tubes of diaper cream were observed in a plastic drawer in the bathroom used by children 43 inches from the ground. Two unlocked desk drawers in the space used for children to nap were observed to have Cetaphil, Aquaphor and other items labeled Keep Out of Reach of Children with additional warnings. 10A NCAC 09 .1719(a)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 3/19/2024. 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: The first two sections of fencing on the right, entering the playground measured 45 inches and 47 inches in height, respectively. It is important the required 48 inches of fencing height is maintained for all sections of fencing to ensure the safety of children in care. Ms. Wilcox was not aware the fencing did not measure 48 inches in all areas. I recommended Ms. Wilcox measure the fencing in different areas at different times throughout the year to ensure the fencing was not settling into the ground over time and remains at the required height in all areas. A time of arrival was not recorded for three enrolled children. An Emergency Medical Care Plan was not observed on file for review. Blank incident report forms were not observed in the Ready to Go file. It is essential to maintain accurate and complete records for children in care to ensure all health and safety requirements are current and being followed. A valid CBC Qualification Letter was verified in the Regulatory System for Mr. Wilcox, but a copy of this letter was not observed on file. I emailed Ms. Wilcox the link from ABCMS to access this letter during the visit. I recommended Ms. Wilcox double-check her attendance/arrival/departure times for completion and accuracy as each child arrives and departs each day. I also recommended Ms. Wilcox create a routine schedule to monitor her files to ensure all required documents are present and current. A First Aid poster was observed posted at the facility, but the poster did not include First Aid guidance regarding fractures, sprains, head injuries, skin wounds, stings and bites. It is important for you to have access to guidance for each of these situations in the case of a First Aid emergency. Ms. Wilcox stated she has a First Aid poster she can post with these components. I shared with Ms. Wilcox a child care operator may request a First Aid information sheet from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229; I also shared with Ms. Wilcox the link to the NC Child Care Health and Safety Resource Center at which she may order the poster. Consultation provided during today’s visit: The following Child Care Rules were thoroughly reviewed with Ms. Wilcox during the visit: • 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (11) (27) • 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a) (6-8) • 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (d) (7) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Ms. Wilcox confirmed during today’s visit that the email was received and provided information that she had testing completed prior to my last visit. I stated I will follow-up with Ms. Wilcox following my visit if additional steps are required. Please complete Recognizing and Responding Training every five years as you complete your other Health and Safety Trainings. You can order one color-printed copy of the First Aid poster at the following link: https://healthychildcare.unc.edu/?s=poster 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: OMEGA WILCOX CHILD CARE HOME Facility ID: 34000538 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/5/2024 Number Present: 4 Completed Date: 3/5/2024 Age: From 0 To 4 Total Minutes: 235 Time In: 09:10 AM Time Out: 01:05 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, Omega Wilcox, Operator, assisted me with the visit. Your program currently operates with a 4-Star license effective 9/09/19. Restrictions include 1st and 2nd shift care, a maximum of five preschool children at any time, and serves no more than two infants. 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. Wilcox stated she and her husband are the only people living in the home. Be reminded that you and your husband 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. Two plastic bags were observed inside a storage cube on shelves accessible to children under three years of age located to the right of the main entrance. Greater than five plastic bags were observed inside a tall, unlatched, double-sided cupboard to the right of the children’s activity table and to the left of the bathroom. Ms. Wilcox placed each of these items into approved storage during the visit. 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, songs, activities, and reading books with Ms. Wilcox, and preparing for lunch during the visit. Ms. Wilcox stated children enrolled play only in the yard inside the fenced-in area. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, ITS-SIDS, and Criminal Background Checks. No medications were observed nor reported. Storage of hazardous items was monitored today. One bag of Throat Coat cough drops and one bottle of hand sanitizer were observed on a desk less than five feet from the ground and in unlocked storage in the space used for napping. Three tubes of diaper cream were observed in a plastic drawer in the bathroom used by children 43 inches from the ground. Two unlocked desk drawers in the space used for children to nap were observed to have Cetaphil, Aquaphor and other items labeled Keep Out of Reach of Children with additional warnings. Ms. Wilcox placed these items into approved storage during the visit. A playground inspection was recorded 3/03/2024. A fire drill was recorded 2/15/2024. A lockdown drill for the facility was recorded 1/16/2024. There are currently no pets at the facility. 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 904 Documentation of the operator’s emergency medical care plan to follow in the event of a child medical emergency, was not on file and available for review. An Emergency Medical Care Plan was not observed on file for review. .1713 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. A time of arrival was not recorded for three enrolled children. .1721(e)(6) 1544 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. The first two sections of fencing on the right, entering the playground measured 45 inches and 47 inches in height, respectively. GS 110-91 1831 A valid qualification letter was not on file and available for review at the facility. A valid CBC Qualification Letter was verified in the Regulatory System for Mr. Wilcox, but a copy of this letter was not observed on file. G.S. 110-90.2 (b) & (d) & .2703(e) .1702(b)(1) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The Ready to Go file did not contain copies of blank incident reports. .1714(d)(10) 1919 A First Aid Information sheet, complete with required information, was not posted for quick referral by staff. A First Aid poster was observed posted at the facility, but the poster did not include First Aid guidance regarding fractures, sprains, head injuries, skin wounds, stings and bites. .1719(a )(14) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Two plastic bags were observed inside a storage cube on shelves accessible to children under three years of age located to the right of the main entrance. Greater than five plastic bags were observed inside a tall, unlatched, double-sided cupboard to the right of the children’s activity table and to the left of the bathroom. .1719(a)(18) 2048 Products that are labeled “keep out of reach of children” with an additional warning(s) on the label, were not kept in locked storage while children were in care. One bag of Throat Coat cough drops and one bottle of hand sanitizer were observed on a desk less than five feet from the ground and in unlocked storage in the space used for napping. Three tubes of diaper cream were observed in a plastic drawer in the bathroom used by children 43 inches from the ground. Two unlocked desk drawers in the space used for children to nap were observed to have Cetaphil, Aquaphor and other items labeled Keep Out of Reach of Children with additional warnings. 10A NCAC 09 .1719(a)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 3/19/2024. 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: The first two sections of fencing on the right, entering the playground measured 45 inches and 47 inches in height, respectively. It is important the required 48 inches of fencing height is maintained for all sections of fencing to ensure the safety of children in care. Ms. Wilcox was not aware the fencing did not measure 48 inches in all areas. I recommended Ms. Wilcox measure the fencing in different areas at different times throughout the year to ensure the fencing was not settling into the ground over time and remains at the required height in all areas. A time of arrival was not recorded for three enrolled children. An Emergency Medical Care Plan was not observed on file for review. Blank incident report forms were not observed in the Ready to Go file. It is essential to maintain accurate and complete records for children in care to ensure all health and safety requirements are current and being followed. A valid CBC Qualification Letter was verified in the Regulatory System for Mr. Wilcox, but a copy of this letter was not observed on file. I emailed Ms. Wilcox the link from ABCMS to access this letter during the visit. I recommended Ms. Wilcox double-check her attendance/arrival/departure times for completion and accuracy as each child arrives and departs each day. I also recommended Ms. Wilcox create a routine schedule to monitor her files to ensure all required documents are present and current. A First Aid poster was observed posted at the facility, but the poster did not include First Aid guidance regarding fractures, sprains, head injuries, skin wounds, stings and bites. It is important for you to have access to guidance for each of these situations in the case of a First Aid emergency. Ms. Wilcox stated she has a First Aid poster she can post with these components. I shared with Ms. Wilcox a child care operator may request a First Aid information sheet from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229; I also shared with Ms. Wilcox the link to the NC Child Care Health and Safety Resource Center at which she may order the poster. Consultation provided during today’s visit: The following Child Care Rules were thoroughly reviewed with Ms. Wilcox during the visit: • 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (11) (27) • 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a) (6-8) • 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (d) (7) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Ms. Wilcox confirmed during today’s visit that the email was received and provided information that she had testing completed prior to my last visit. I stated I will follow-up with Ms. Wilcox following my visit if additional steps are required. Please complete Recognizing and Responding Training every five years as you complete your other Health and Safety Trainings. You can order one color-printed copy of the First Aid poster at the following link: https://healthychildcare.unc.edu/?s=poster 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

GS 110-91 · Violation

Name of Operation: OMEGA WILCOX CHILD CARE HOME Facility ID: 34000538 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/5/2024 Number Present: 4 Completed Date: 3/5/2024 Age: From 0 To 4 Total Minutes: 235 Time In: 09:10 AM Time Out: 01:05 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, Omega Wilcox, Operator, assisted me with the visit. Your program currently operates with a 4-Star license effective 9/09/19. Restrictions include 1st and 2nd shift care, a maximum of five preschool children at any time, and serves no more than two infants. 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. Wilcox stated she and her husband are the only people living in the home. Be reminded that you and your husband 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. Two plastic bags were observed inside a storage cube on shelves accessible to children under three years of age located to the right of the main entrance. Greater than five plastic bags were observed inside a tall, unlatched, double-sided cupboard to the right of the children’s activity table and to the left of the bathroom. Ms. Wilcox placed each of these items into approved storage during the visit. 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, songs, activities, and reading books with Ms. Wilcox, and preparing for lunch during the visit. Ms. Wilcox stated children enrolled play only in the yard inside the fenced-in area. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, ITS-SIDS, and Criminal Background Checks. No medications were observed nor reported. Storage of hazardous items was monitored today. One bag of Throat Coat cough drops and one bottle of hand sanitizer were observed on a desk less than five feet from the ground and in unlocked storage in the space used for napping. Three tubes of diaper cream were observed in a plastic drawer in the bathroom used by children 43 inches from the ground. Two unlocked desk drawers in the space used for children to nap were observed to have Cetaphil, Aquaphor and other items labeled Keep Out of Reach of Children with additional warnings. Ms. Wilcox placed these items into approved storage during the visit. A playground inspection was recorded 3/03/2024. A fire drill was recorded 2/15/2024. A lockdown drill for the facility was recorded 1/16/2024. There are currently no pets at the facility. 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 904 Documentation of the operator’s emergency medical care plan to follow in the event of a child medical emergency, was not on file and available for review. An Emergency Medical Care Plan was not observed on file for review. .1713 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. A time of arrival was not recorded for three enrolled children. .1721(e)(6) 1544 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. The first two sections of fencing on the right, entering the playground measured 45 inches and 47 inches in height, respectively. GS 110-91 1831 A valid qualification letter was not on file and available for review at the facility. A valid CBC Qualification Letter was verified in the Regulatory System for Mr. Wilcox, but a copy of this letter was not observed on file. G.S. 110-90.2 (b) & (d) & .2703(e) .1702(b)(1) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The Ready to Go file did not contain copies of blank incident reports. .1714(d)(10) 1919 A First Aid Information sheet, complete with required information, was not posted for quick referral by staff. A First Aid poster was observed posted at the facility, but the poster did not include First Aid guidance regarding fractures, sprains, head injuries, skin wounds, stings and bites. .1719(a )(14) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Two plastic bags were observed inside a storage cube on shelves accessible to children under three years of age located to the right of the main entrance. Greater than five plastic bags were observed inside a tall, unlatched, double-sided cupboard to the right of the children’s activity table and to the left of the bathroom. .1719(a)(18) 2048 Products that are labeled “keep out of reach of children” with an additional warning(s) on the label, were not kept in locked storage while children were in care. One bag of Throat Coat cough drops and one bottle of hand sanitizer were observed on a desk less than five feet from the ground and in unlocked storage in the space used for napping. Three tubes of diaper cream were observed in a plastic drawer in the bathroom used by children 43 inches from the ground. Two unlocked desk drawers in the space used for children to nap were observed to have Cetaphil, Aquaphor and other items labeled Keep Out of Reach of Children with additional warnings. 10A NCAC 09 .1719(a)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 3/19/2024. 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: The first two sections of fencing on the right, entering the playground measured 45 inches and 47 inches in height, respectively. It is important the required 48 inches of fencing height is maintained for all sections of fencing to ensure the safety of children in care. Ms. Wilcox was not aware the fencing did not measure 48 inches in all areas. I recommended Ms. Wilcox measure the fencing in different areas at different times throughout the year to ensure the fencing was not settling into the ground over time and remains at the required height in all areas. A time of arrival was not recorded for three enrolled children. An Emergency Medical Care Plan was not observed on file for review. Blank incident report forms were not observed in the Ready to Go file. It is essential to maintain accurate and complete records for children in care to ensure all health and safety requirements are current and being followed. A valid CBC Qualification Letter was verified in the Regulatory System for Mr. Wilcox, but a copy of this letter was not observed on file. I emailed Ms. Wilcox the link from ABCMS to access this letter during the visit. I recommended Ms. Wilcox double-check her attendance/arrival/departure times for completion and accuracy as each child arrives and departs each day. I also recommended Ms. Wilcox create a routine schedule to monitor her files to ensure all required documents are present and current. A First Aid poster was observed posted at the facility, but the poster did not include First Aid guidance regarding fractures, sprains, head injuries, skin wounds, stings and bites. It is important for you to have access to guidance for each of these situations in the case of a First Aid emergency. Ms. Wilcox stated she has a First Aid poster she can post with these components. I shared with Ms. Wilcox a child care operator may request a First Aid information sheet from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229; I also shared with Ms. Wilcox the link to the NC Child Care Health and Safety Resource Center at which she may order the poster. Consultation provided during today’s visit: The following Child Care Rules were thoroughly reviewed with Ms. Wilcox during the visit: • 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (11) (27) • 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a) (6-8) • 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (d) (7) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Ms. Wilcox confirmed during today’s visit that the email was received and provided information that she had testing completed prior to my last visit. I stated I will follow-up with Ms. Wilcox following my visit if additional steps are required. Please complete Recognizing and Responding Training every five years as you complete your other Health and Safety Trainings. You can order one color-printed copy of the First Aid poster at the following link: https://healthychildcare.unc.edu/?s=poster 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: OMEGA WILCOX CHILD CARE HOME Facility ID: 34000538 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/5/2024 Number Present: 4 Completed Date: 3/5/2024 Age: From 0 To 4 Total Minutes: 235 Time In: 09:10 AM Time Out: 01:05 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, Omega Wilcox, Operator, assisted me with the visit. Your program currently operates with a 4-Star license effective 9/09/19. Restrictions include 1st and 2nd shift care, a maximum of five preschool children at any time, and serves no more than two infants. 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. Wilcox stated she and her husband are the only people living in the home. Be reminded that you and your husband 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. Two plastic bags were observed inside a storage cube on shelves accessible to children under three years of age located to the right of the main entrance. Greater than five plastic bags were observed inside a tall, unlatched, double-sided cupboard to the right of the children’s activity table and to the left of the bathroom. Ms. Wilcox placed each of these items into approved storage during the visit. 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, songs, activities, and reading books with Ms. Wilcox, and preparing for lunch during the visit. Ms. Wilcox stated children enrolled play only in the yard inside the fenced-in area. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, ITS-SIDS, and Criminal Background Checks. No medications were observed nor reported. Storage of hazardous items was monitored today. One bag of Throat Coat cough drops and one bottle of hand sanitizer were observed on a desk less than five feet from the ground and in unlocked storage in the space used for napping. Three tubes of diaper cream were observed in a plastic drawer in the bathroom used by children 43 inches from the ground. Two unlocked desk drawers in the space used for children to nap were observed to have Cetaphil, Aquaphor and other items labeled Keep Out of Reach of Children with additional warnings. Ms. Wilcox placed these items into approved storage during the visit. A playground inspection was recorded 3/03/2024. A fire drill was recorded 2/15/2024. A lockdown drill for the facility was recorded 1/16/2024. There are currently no pets at the facility. 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 904 Documentation of the operator’s emergency medical care plan to follow in the event of a child medical emergency, was not on file and available for review. An Emergency Medical Care Plan was not observed on file for review. .1713 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. A time of arrival was not recorded for three enrolled children. .1721(e)(6) 1544 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. The first two sections of fencing on the right, entering the playground measured 45 inches and 47 inches in height, respectively. GS 110-91 1831 A valid qualification letter was not on file and available for review at the facility. A valid CBC Qualification Letter was verified in the Regulatory System for Mr. Wilcox, but a copy of this letter was not observed on file. G.S. 110-90.2 (b) & (d) & .2703(e) .1702(b)(1) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The Ready to Go file did not contain copies of blank incident reports. .1714(d)(10) 1919 A First Aid Information sheet, complete with required information, was not posted for quick referral by staff. A First Aid poster was observed posted at the facility, but the poster did not include First Aid guidance regarding fractures, sprains, head injuries, skin wounds, stings and bites. .1719(a )(14) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Two plastic bags were observed inside a storage cube on shelves accessible to children under three years of age located to the right of the main entrance. Greater than five plastic bags were observed inside a tall, unlatched, double-sided cupboard to the right of the children’s activity table and to the left of the bathroom. .1719(a)(18) 2048 Products that are labeled “keep out of reach of children” with an additional warning(s) on the label, were not kept in locked storage while children were in care. One bag of Throat Coat cough drops and one bottle of hand sanitizer were observed on a desk less than five feet from the ground and in unlocked storage in the space used for napping. Three tubes of diaper cream were observed in a plastic drawer in the bathroom used by children 43 inches from the ground. Two unlocked desk drawers in the space used for children to nap were observed to have Cetaphil, Aquaphor and other items labeled Keep Out of Reach of Children with additional warnings. 10A NCAC 09 .1719(a)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 3/19/2024. 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: The first two sections of fencing on the right, entering the playground measured 45 inches and 47 inches in height, respectively. It is important the required 48 inches of fencing height is maintained for all sections of fencing to ensure the safety of children in care. Ms. Wilcox was not aware the fencing did not measure 48 inches in all areas. I recommended Ms. Wilcox measure the fencing in different areas at different times throughout the year to ensure the fencing was not settling into the ground over time and remains at the required height in all areas. A time of arrival was not recorded for three enrolled children. An Emergency Medical Care Plan was not observed on file for review. Blank incident report forms were not observed in the Ready to Go file. It is essential to maintain accurate and complete records for children in care to ensure all health and safety requirements are current and being followed. A valid CBC Qualification Letter was verified in the Regulatory System for Mr. Wilcox, but a copy of this letter was not observed on file. I emailed Ms. Wilcox the link from ABCMS to access this letter during the visit. I recommended Ms. Wilcox double-check her attendance/arrival/departure times for completion and accuracy as each child arrives and departs each day. I also recommended Ms. Wilcox create a routine schedule to monitor her files to ensure all required documents are present and current. A First Aid poster was observed posted at the facility, but the poster did not include First Aid guidance regarding fractures, sprains, head injuries, skin wounds, stings and bites. It is important for you to have access to guidance for each of these situations in the case of a First Aid emergency. Ms. Wilcox stated she has a First Aid poster she can post with these components. I shared with Ms. Wilcox a child care operator may request a First Aid information sheet from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229; I also shared with Ms. Wilcox the link to the NC Child Care Health and Safety Resource Center at which she may order the poster. Consultation provided during today’s visit: The following Child Care Rules were thoroughly reviewed with Ms. Wilcox during the visit: • 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (11) (27) • 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a) (6-8) • 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (d) (7) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Ms. Wilcox confirmed during today’s visit that the email was received and provided information that she had testing completed prior to my last visit. I stated I will follow-up with Ms. Wilcox following my visit if additional steps are required. Please complete Recognizing and Responding Training every five years as you complete your other Health and Safety Trainings. You can order one color-printed copy of the First Aid poster at the following link: https://healthychildcare.unc.edu/?s=poster 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 .1702 · Violation

Name of Operation: OMEGA WILCOX CHILD CARE HOME Facility ID: 34000538 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 8/28/2023 Number Present: 4 Completed Date: 8/28/2023 Age: From 0 To 3 Total Minutes: 470 Time In: 09:10 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant, with Omega Wilcox, Operator. Investigations Consultant, Jaclyn Flowe, also was present during the visit. Your program currently operates with a 4-Star license. Restrictions include 1st and 2nd shift care, a maximum of five preschoolers at any time, and no more than four children under age one at one time. The license was observed, and the restrictions were found in compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Plastic bags charging cords were observed inside two storage cubes on shelves accessible to children under three years of age located to the right of the main entrance. Plastic diaper wrappers and bags of wipes were observed located on the lower two shelves of the diaper changing table in the bathroom used by children. One Ziploc bag was observed in a bin beneath the printer, and several charging cords plugged in were observed in a bin accessible to children in the room Ms. Wilcox uses as an office, sleep space for children using pack-and-plays, and additional caregiving space. Each of these items presented a potential choking/strangulation hazard. Four outlet covers were observed without a safety cover on a surge protector (where the charging cords were plugged in as well). A canister of disinfectant wipes labeled Keep Out of Reach of Children was observed in a bin beneath the printer, and an individual-sized pump of hand sanitizer was observed on Ms. Wilcox’s desk less than five feet from the ground. An ice pack labeled Keep Out of Reach of Children with additional warnings was observed in the First Aid kit in unlocked storage. A portion of the outdoor learning environment used by all children enrolled is surrounded by a four-foot fence. A nonstationary plastic food truck was observed to have peeling, plastic labels, which could present a choking hazard. Two orange cords were observed to be hanging on the inside of the fencing, presenting a potential strangulation hazard. A foam pad was observed to be torn, with foam exposed, presenting a potential choking hazard. Two pieces of rebar were observed to be rusting and positioned with the tops of the bars inside the fenced area. An adult-sized bench was observed to have flaking paint, exposing rust on the right arm rest (facing the bench). A small table and set of two chairs located directly off the screened-in patio of the home were observed to be rusting. A charcoal grill was observed to have an unsecured lid and charcoal ash in the catch tray, accessible to children. A bag of charcoal, a rusting charcoal chimney, and a wire grill brush were also observed accessible to children. At the entrance to the playground, a set of three steps had been built using wood, dirt, and slabs of slate. The wooden footing for one step was observed to be unstable when bearing weight, and a 4-inch gap was observed between the footing and the step, creating a potential tripping hazard. A slate slab step was observed to be unstable when bearing weight. A jagged space was observed beneath the concrete slab where the air conditioning unit is located, measuring 4 ¾ inches, presenting a potential safety and entrapment hazard. An air conditioning unit was observed located within the fenced area and accessible to children; this unit also did not contain a metal guard within the top of the unit. I stated to Ms. Wilcox she must submit a plan by September 11, 2023 to enclose this unit and make it inaccessible to children. Ms. Wilcox stated an additional outdoor space is regularly used by the children located parallel to the fenced-in playground consisting of asphalt and gravel. Ms. Wilcox additionally stated each parent completed an Off-Premise Activity form authorizing children to use this space. I stated to Ms. Wilcox she may not allow children to use this space for outdoor play until the following safety issues have been corrected, and I have been notified in writing of how each item was corrected: • Rust on door to lockable shed is treated; • Shed is locked; • Riding and push lawn mowers and pressure washer are stored in locked shed; • Sharp and/or rusting gardening and other tools are made inaccessible to children; • Standing water in large flower pots, buckets, rain barrels, toxic plants, and water irrigation system is made inaccessible to children. Flaking, peeling paint was observed bordering three large outdoor windows located near the ground and accessible to children which raised a concern of potential lead-based paint. Ms. Wilcox stated the home was built in 1961 and lead testing has been completed for the home in the past; however, this documentation was not available for review during the visit. I stated Ms. Wilcox must send me this documentation as soon as possible or by her compliance letter due date. Upon arrival, capacity was monitored as indicated on the attached worksheet. Times of arrival and departure were not recorded for children in care. Supervision was adequate during the visit. I observed positive interactions today. I observed the children in care playing with toys, engaging in conversations with Ms. Wilcox, participating in general routines, and eating lunch during the visit. Ms. Wilcox stated she uses Cape Fear food program. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 9/15/2022. A Verification of Required Information for Operator and Additional Caregivers form was completed during the visit for the operator. Ms. Wilcox does not use an additional caregiver at this time. Two former staff members stopped by during the visit to see Ms. Wilcox. The operator’s son was also present in the space designated for childcare during the visit for approximately one hour. Ms. Wilcox stated each of these individuals is not present on a daily basis, but will stop by randomly to check in. I recommended Ms. Wilcox consider keeping a Criminal Background Check on file for any individual who may routinely visit the FCCH during operating hours. 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 6/20/2023. The most recent shelter-in-place drill was documented on 5/08/2023. The last outdoor inspection was also documented on 5/10/2023. There is currently one pet (canine) at this facility. The vaccination records for this dog expired on 6/19/2023. Ms. Wilcox does not participate in aquatic activities with children enrolled at this time. Staff files and children’s records were monitored per DCDEE procedures. The following records for the operator and/or program were not on file for review: current Health and Safety trainings; a playground inspection for January, 2023, a Ready to Go file, Safe Sleep Policy and poster not posted; updated health questionnaire; updated Emergency Preparedness and Response Plan review; EPR training certificate; and Emergency Medical Care Plan. The following children’s records were not on file for review: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the signed receipt of NC Summary of Child Care Law for two children enrolled, the tobacco restriction policy for one child enrolled, and the safe sleep policy for one child enrolled. The following children’s records were observed without a parent signature: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the receipt of NC Child Care Law for two children enrolled, the tobacco restriction policy for two children enrolled, the infant feeding plan for one child enrolled, and the safe sleep policy for one child enrolled. The file for the operator’s grandchild who is enrolled, but drop-in only, only contained an immunization record for review. Ms. Wilcox stated no children enrolled take medication during operating hours. Ms. Wilcox does not provide transportation 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. Records of arrival and departure were not available for review. .1721(e)(6) 923 Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year. A playground inspection was not on file for January, 2023. The vaccination records for a dog expired on 6/19/2023. .1721 (e)(7) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Plastic bags charging cords were observed inside two storage cubes on shelves accessible to children under three years of age located to the right of the main entrance. Plastic diaper wrappers and bags of wipes were observed located on the lower two shelves of the diaper changing table in the bathroom used by children. One Ziploc bag was observed in a bin beneath the printer, and several charging cords plugged in were observed in a bin accessible to children in the room Ms. Wilcox uses as an office, sleep space for children using pack-and-plays, and additional caregiving space. Each of these items presented a potential choking/strangulation hazard. Four outlet covers were observed without a safety cover on a surge protector (where the charging cords were plugged in as well). A canister of disinfectant wipes labeled Keep Out of Reach of Children was observed in a bin beneath the printer, and an individual-sized pump of hand sanitizer was observed on Ms. Wilcox’s desk less than five feet from the ground. An ice pack labeled Keep Out of Reach of Children with additional warnings was observed in this room in unlocked storage. A portion of the outdoor learning environment used by all children enrolled is surrounded by a four-foot fence. A nonstationary plastic food truck was observed to have peeling, plastic labels, which could present a choking hazard. Two orange cords were observed to be hanging on the inside of the fencing, presenting a potential strangulation hazard. A foam pad was observed to be torn, with foam exposed, presenting a potential choking hazard. Two pieces of rebar were observed to be rusting and positioned with the tops of the bars inside the fenced area. An adult-sized bench was observed to have flaking paint, exposing rust on the right arm rest (facing the bench). A small table and set of two chairs located directly off the screened-in patio of the home were observed to be rusting. A charcoal grill was observed to have an unsecured lid and charcoal ash in the catch tray, accessible to children. A bag of charcoal, a rusting charcoal chimney, and a wire grill brush were also observed accessible to children. At the entrance to the playground, a set of three steps had been built using wood, dirt, and slabs of slate. The wooden footing for one step was observed to be unstable when bearing weight, and a 4-inch gap was observed between the footing and the step, creating a potential tripping hazard. A slate slab step was observed to be unstable when bearing weight. A jagged space was observed beneath the concrete slab where the air conditioning unit is located, measuring 4 ¾ inches, presenting a potential safety and entrapment hazard. A storage shed located outside of the fenced-in area, but accessible to children, was observed to be unlocked. 10A NCAC 09 .1719 (a) 1739 All records required shall be available during operating hours, for review by a representative of the Division. The following records for the operator and/or program were not on file for review: current Health and Safety trainings; a Ready to Go file, Safe Sleep Policy and poster not posted; updated health questionnaire; updated Emergency Preparedness and Response Plan review; EPR training certificate; and Emergency Medical Care Plan. The following children’s records were not on file for review: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the safe sleep policy for one child enrolled, and the signed receipt of NC Summary of Child Care Law for two children enrolled. The following children’s records were observed without a parent signature: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the receipt of NC Child Care Law for two children enrolled, and the infant feeding plan for one child enrolled. The file for the operator’s grandchild who is enrolled, but drop-in only, only contained an immunization record for review. .1721(f)(7) 1808 Signed statement did not include the date the operator's safe sleep policy was given and explained to the parent/guardian. The safe sleep policy for one child enrolled was not signed by a parent. 10A NCAC 09 .1724(c)(3) 1821 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. The operator did not maintain safe sleep records for a minimum of 30 days and did not record visual checks of two sleeping infants during the visit. .1724(a)(8)&(f) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. The notification of Tobacco Restriction was not on file for one child enrolled and on file, but not signed by a parent, for two children enrolled. .1719(a)(11) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 9/11/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were thoroughly discussed with Ms. Wilcox during the visit: 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (2) the age range of the children served; (7) a schedule of daily, weekly, and monthly cleaning duties. 10A NCAC 09 .1702 APPLICATION FOR A LICENSE FOR A FAMILY CHILD CARE HOME (b) The applicant for a family child care home license shall also submit supporting documentation with the application for a license to the Division. The supporting documentation shall include: (4) proof of negative results of the applicant's tuberculosis test or screening completed within the past 12 months; 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: (6) use sanitary procedures when preparing and serving food. The operator shall: (A) wash his or her hands before and after handling food and feeding the children; and (B) ensure the child's hands are washed before and after the child is fed; (7) wash his or her hands, and ensure the child's hands are washed, after toileting or handling bodily fluids; (8) handwashing procedures shall include: (A) using liquid soap and water; (B) rubbing hands vigorously with soap and water for 15 seconds; (C) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (D) rinsing well for 10 seconds; (E) drying hands with a paper towel or other hand drying device; and (F) turning off faucet with a paper towel or other method without re-contaminating hands 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. (18) not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities; 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (e) The operator shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) All substitute providers and volunteers who provide care to children shall be informed of the Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files. 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (15) conduct off-premise activities as follows: (a) before the operator walks children off premises for play or outings, the parent of each child shall give written permission for the child to participate in such activities; (b) parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis; and (c) each time the children are taken off premises, the operator shall take identifying information about each child including the child's name, photograph, emergency contact information, a copy of the emergency medical care information form required by 10A NCAC 09 .1721(a)(3) of this Section. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (i) The family child care home operator and staff members shall complete a professional development plan within one year of employment and at least thereafter. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework or training needed to meet the individual's planned goals; (4) be completed by the operator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. 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 .1706 NUTRITION STANDARDS (o) Baby food, snack items, and meal items sent from home shall be dated and labeled with individual child names. (r) Each infant shall be served only formula, breast milk, and bottles labeled with their individual name. 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; 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (7) a schedule of daily, weekly, and monthly cleaning duties • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ - Please check the box for each item on your facility’s safe sleep policy which the program follows; please also ensure that enrolled/enrolling parents receive a copy of this updated policy. • Please monitor the fencing surrounding the playground fencing for developing rust. • You may access Health and Safety trainings through the following link on the Division website: https://www.dcdee.moodle.nc.gov/ Please choose the Services tab, DCDEE Moodle, Professional Development, Regulatory, and then the 2023 CCDF Health and Safety trainings. - Please place a signed copy of the Shaken Baby Policy in your operator's file. • Please monitor all outdoor equipment and stationary structures for cobwebs prior to the children using the playground. - Please monitor the outdoor environment for mildew developing on equipment, mushrooms, and materials and any small pieces of foam or plastic which could present potential choking hazards. Please also pressure wash outdoor equipment with developing mildew. • Please use the most recently updated forms from the Division website for children, staff, and program records; these can be accessed at the following website: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms#FCCH - Please record all current completed Health and Safety trainings on the Health and Safety Training Log. - Please access the Risk Management Portal at the following website to update your plan to include a floor plan and evacuation plan and print the necessary changes in your Emergency Preparedness and Response Plan: https://rmp.nc.gov/portal/portal.aspx# • Please review all children’s records to ensure that all forms have been fully completed, inclusive of a recorded date of enrollment (when applicable) and date signed by the parent/guardian. • The Child Care Health Consultant for Forsyth County is Keturah Oglesby at Smart Start of Forsyth County. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org. • Please review all Written Plans of Care to ensure it is documented you do not complete Routine Tasks during operating hours. • Please ensure parents update infant feeding schedules as children get older. • Please place a copy of your education on file for review. • Please have all parents update current off-premise activity forms by 8/31/23. • Please remember to complete a lock-down/shelter-in-place drill by 8/31/23. • Please ensure a baby gate or other approved barrier is always secured (not just leaning) in place at the base of the stair leading to the upper level of the home, as well as at the opening between the bathroom and the area currently used for food preparation to prevent access by children. • Please document a route of exit/egress on your posted floor plan • Please order a First Aid poster to post at the following link (the first poster you order will be free): https://healthychildcare.unc.edu/resources/posters/ • Please update all Pet Acknowledgement forms to reflect the correct locations of pets and pets you currently have in the home. • Please only allow children to handle scissors when sitting down. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: OMEGA WILCOX CHILD CARE HOME Facility ID: 34000538 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 8/28/2023 Number Present: 4 Completed Date: 8/28/2023 Age: From 0 To 3 Total Minutes: 470 Time In: 09:10 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant, with Omega Wilcox, Operator. Investigations Consultant, Jaclyn Flowe, also was present during the visit. Your program currently operates with a 4-Star license. Restrictions include 1st and 2nd shift care, a maximum of five preschoolers at any time, and no more than four children under age one at one time. The license was observed, and the restrictions were found in compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Plastic bags charging cords were observed inside two storage cubes on shelves accessible to children under three years of age located to the right of the main entrance. Plastic diaper wrappers and bags of wipes were observed located on the lower two shelves of the diaper changing table in the bathroom used by children. One Ziploc bag was observed in a bin beneath the printer, and several charging cords plugged in were observed in a bin accessible to children in the room Ms. Wilcox uses as an office, sleep space for children using pack-and-plays, and additional caregiving space. Each of these items presented a potential choking/strangulation hazard. Four outlet covers were observed without a safety cover on a surge protector (where the charging cords were plugged in as well). A canister of disinfectant wipes labeled Keep Out of Reach of Children was observed in a bin beneath the printer, and an individual-sized pump of hand sanitizer was observed on Ms. Wilcox’s desk less than five feet from the ground. An ice pack labeled Keep Out of Reach of Children with additional warnings was observed in the First Aid kit in unlocked storage. A portion of the outdoor learning environment used by all children enrolled is surrounded by a four-foot fence. A nonstationary plastic food truck was observed to have peeling, plastic labels, which could present a choking hazard. Two orange cords were observed to be hanging on the inside of the fencing, presenting a potential strangulation hazard. A foam pad was observed to be torn, with foam exposed, presenting a potential choking hazard. Two pieces of rebar were observed to be rusting and positioned with the tops of the bars inside the fenced area. An adult-sized bench was observed to have flaking paint, exposing rust on the right arm rest (facing the bench). A small table and set of two chairs located directly off the screened-in patio of the home were observed to be rusting. A charcoal grill was observed to have an unsecured lid and charcoal ash in the catch tray, accessible to children. A bag of charcoal, a rusting charcoal chimney, and a wire grill brush were also observed accessible to children. At the entrance to the playground, a set of three steps had been built using wood, dirt, and slabs of slate. The wooden footing for one step was observed to be unstable when bearing weight, and a 4-inch gap was observed between the footing and the step, creating a potential tripping hazard. A slate slab step was observed to be unstable when bearing weight. A jagged space was observed beneath the concrete slab where the air conditioning unit is located, measuring 4 ¾ inches, presenting a potential safety and entrapment hazard. An air conditioning unit was observed located within the fenced area and accessible to children; this unit also did not contain a metal guard within the top of the unit. I stated to Ms. Wilcox she must submit a plan by September 11, 2023 to enclose this unit and make it inaccessible to children. Ms. Wilcox stated an additional outdoor space is regularly used by the children located parallel to the fenced-in playground consisting of asphalt and gravel. Ms. Wilcox additionally stated each parent completed an Off-Premise Activity form authorizing children to use this space. I stated to Ms. Wilcox she may not allow children to use this space for outdoor play until the following safety issues have been corrected, and I have been notified in writing of how each item was corrected: • Rust on door to lockable shed is treated; • Shed is locked; • Riding and push lawn mowers and pressure washer are stored in locked shed; • Sharp and/or rusting gardening and other tools are made inaccessible to children; • Standing water in large flower pots, buckets, rain barrels, toxic plants, and water irrigation system is made inaccessible to children. Flaking, peeling paint was observed bordering three large outdoor windows located near the ground and accessible to children which raised a concern of potential lead-based paint. Ms. Wilcox stated the home was built in 1961 and lead testing has been completed for the home in the past; however, this documentation was not available for review during the visit. I stated Ms. Wilcox must send me this documentation as soon as possible or by her compliance letter due date. Upon arrival, capacity was monitored as indicated on the attached worksheet. Times of arrival and departure were not recorded for children in care. Supervision was adequate during the visit. I observed positive interactions today. I observed the children in care playing with toys, engaging in conversations with Ms. Wilcox, participating in general routines, and eating lunch during the visit. Ms. Wilcox stated she uses Cape Fear food program. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 9/15/2022. A Verification of Required Information for Operator and Additional Caregivers form was completed during the visit for the operator. Ms. Wilcox does not use an additional caregiver at this time. Two former staff members stopped by during the visit to see Ms. Wilcox. The operator’s son was also present in the space designated for childcare during the visit for approximately one hour. Ms. Wilcox stated each of these individuals is not present on a daily basis, but will stop by randomly to check in. I recommended Ms. Wilcox consider keeping a Criminal Background Check on file for any individual who may routinely visit the FCCH during operating hours. 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 6/20/2023. The most recent shelter-in-place drill was documented on 5/08/2023. The last outdoor inspection was also documented on 5/10/2023. There is currently one pet (canine) at this facility. The vaccination records for this dog expired on 6/19/2023. Ms. Wilcox does not participate in aquatic activities with children enrolled at this time. Staff files and children’s records were monitored per DCDEE procedures. The following records for the operator and/or program were not on file for review: current Health and Safety trainings; a playground inspection for January, 2023, a Ready to Go file, Safe Sleep Policy and poster not posted; updated health questionnaire; updated Emergency Preparedness and Response Plan review; EPR training certificate; and Emergency Medical Care Plan. The following children’s records were not on file for review: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the signed receipt of NC Summary of Child Care Law for two children enrolled, the tobacco restriction policy for one child enrolled, and the safe sleep policy for one child enrolled. The following children’s records were observed without a parent signature: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the receipt of NC Child Care Law for two children enrolled, the tobacco restriction policy for two children enrolled, the infant feeding plan for one child enrolled, and the safe sleep policy for one child enrolled. The file for the operator’s grandchild who is enrolled, but drop-in only, only contained an immunization record for review. Ms. Wilcox stated no children enrolled take medication during operating hours. Ms. Wilcox does not provide transportation 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. Records of arrival and departure were not available for review. .1721(e)(6) 923 Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year. A playground inspection was not on file for January, 2023. The vaccination records for a dog expired on 6/19/2023. .1721 (e)(7) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Plastic bags charging cords were observed inside two storage cubes on shelves accessible to children under three years of age located to the right of the main entrance. Plastic diaper wrappers and bags of wipes were observed located on the lower two shelves of the diaper changing table in the bathroom used by children. One Ziploc bag was observed in a bin beneath the printer, and several charging cords plugged in were observed in a bin accessible to children in the room Ms. Wilcox uses as an office, sleep space for children using pack-and-plays, and additional caregiving space. Each of these items presented a potential choking/strangulation hazard. Four outlet covers were observed without a safety cover on a surge protector (where the charging cords were plugged in as well). A canister of disinfectant wipes labeled Keep Out of Reach of Children was observed in a bin beneath the printer, and an individual-sized pump of hand sanitizer was observed on Ms. Wilcox’s desk less than five feet from the ground. An ice pack labeled Keep Out of Reach of Children with additional warnings was observed in this room in unlocked storage. A portion of the outdoor learning environment used by all children enrolled is surrounded by a four-foot fence. A nonstationary plastic food truck was observed to have peeling, plastic labels, which could present a choking hazard. Two orange cords were observed to be hanging on the inside of the fencing, presenting a potential strangulation hazard. A foam pad was observed to be torn, with foam exposed, presenting a potential choking hazard. Two pieces of rebar were observed to be rusting and positioned with the tops of the bars inside the fenced area. An adult-sized bench was observed to have flaking paint, exposing rust on the right arm rest (facing the bench). A small table and set of two chairs located directly off the screened-in patio of the home were observed to be rusting. A charcoal grill was observed to have an unsecured lid and charcoal ash in the catch tray, accessible to children. A bag of charcoal, a rusting charcoal chimney, and a wire grill brush were also observed accessible to children. At the entrance to the playground, a set of three steps had been built using wood, dirt, and slabs of slate. The wooden footing for one step was observed to be unstable when bearing weight, and a 4-inch gap was observed between the footing and the step, creating a potential tripping hazard. A slate slab step was observed to be unstable when bearing weight. A jagged space was observed beneath the concrete slab where the air conditioning unit is located, measuring 4 ¾ inches, presenting a potential safety and entrapment hazard. A storage shed located outside of the fenced-in area, but accessible to children, was observed to be unlocked. 10A NCAC 09 .1719 (a) 1739 All records required shall be available during operating hours, for review by a representative of the Division. The following records for the operator and/or program were not on file for review: current Health and Safety trainings; a Ready to Go file, Safe Sleep Policy and poster not posted; updated health questionnaire; updated Emergency Preparedness and Response Plan review; EPR training certificate; and Emergency Medical Care Plan. The following children’s records were not on file for review: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the safe sleep policy for one child enrolled, and the signed receipt of NC Summary of Child Care Law for two children enrolled. The following children’s records were observed without a parent signature: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the receipt of NC Child Care Law for two children enrolled, and the infant feeding plan for one child enrolled. The file for the operator’s grandchild who is enrolled, but drop-in only, only contained an immunization record for review. .1721(f)(7) 1808 Signed statement did not include the date the operator's safe sleep policy was given and explained to the parent/guardian. The safe sleep policy for one child enrolled was not signed by a parent. 10A NCAC 09 .1724(c)(3) 1821 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. The operator did not maintain safe sleep records for a minimum of 30 days and did not record visual checks of two sleeping infants during the visit. .1724(a)(8)&(f) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. The notification of Tobacco Restriction was not on file for one child enrolled and on file, but not signed by a parent, for two children enrolled. .1719(a)(11) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 9/11/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were thoroughly discussed with Ms. Wilcox during the visit: 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (2) the age range of the children served; (7) a schedule of daily, weekly, and monthly cleaning duties. 10A NCAC 09 .1702 APPLICATION FOR A LICENSE FOR A FAMILY CHILD CARE HOME (b) The applicant for a family child care home license shall also submit supporting documentation with the application for a license to the Division. The supporting documentation shall include: (4) proof of negative results of the applicant's tuberculosis test or screening completed within the past 12 months; 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: (6) use sanitary procedures when preparing and serving food. The operator shall: (A) wash his or her hands before and after handling food and feeding the children; and (B) ensure the child's hands are washed before and after the child is fed; (7) wash his or her hands, and ensure the child's hands are washed, after toileting or handling bodily fluids; (8) handwashing procedures shall include: (A) using liquid soap and water; (B) rubbing hands vigorously with soap and water for 15 seconds; (C) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (D) rinsing well for 10 seconds; (E) drying hands with a paper towel or other hand drying device; and (F) turning off faucet with a paper towel or other method without re-contaminating hands 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. (18) not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities; 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (e) The operator shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) All substitute providers and volunteers who provide care to children shall be informed of the Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files. 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (15) conduct off-premise activities as follows: (a) before the operator walks children off premises for play or outings, the parent of each child shall give written permission for the child to participate in such activities; (b) parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis; and (c) each time the children are taken off premises, the operator shall take identifying information about each child including the child's name, photograph, emergency contact information, a copy of the emergency medical care information form required by 10A NCAC 09 .1721(a)(3) of this Section. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (i) The family child care home operator and staff members shall complete a professional development plan within one year of employment and at least thereafter. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework or training needed to meet the individual's planned goals; (4) be completed by the operator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. 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 .1706 NUTRITION STANDARDS (o) Baby food, snack items, and meal items sent from home shall be dated and labeled with individual child names. (r) Each infant shall be served only formula, breast milk, and bottles labeled with their individual name. 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; 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (7) a schedule of daily, weekly, and monthly cleaning duties • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ - Please check the box for each item on your facility’s safe sleep policy which the program follows; please also ensure that enrolled/enrolling parents receive a copy of this updated policy. • Please monitor the fencing surrounding the playground fencing for developing rust. • You may access Health and Safety trainings through the following link on the Division website: https://www.dcdee.moodle.nc.gov/ Please choose the Services tab, DCDEE Moodle, Professional Development, Regulatory, and then the 2023 CCDF Health and Safety trainings. - Please place a signed copy of the Shaken Baby Policy in your operator's file. • Please monitor all outdoor equipment and stationary structures for cobwebs prior to the children using the playground. - Please monitor the outdoor environment for mildew developing on equipment, mushrooms, and materials and any small pieces of foam or plastic which could present potential choking hazards. Please also pressure wash outdoor equipment with developing mildew. • Please use the most recently updated forms from the Division website for children, staff, and program records; these can be accessed at the following website: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms#FCCH - Please record all current completed Health and Safety trainings on the Health and Safety Training Log. - Please access the Risk Management Portal at the following website to update your plan to include a floor plan and evacuation plan and print the necessary changes in your Emergency Preparedness and Response Plan: https://rmp.nc.gov/portal/portal.aspx# • Please review all children’s records to ensure that all forms have been fully completed, inclusive of a recorded date of enrollment (when applicable) and date signed by the parent/guardian. • The Child Care Health Consultant for Forsyth County is Keturah Oglesby at Smart Start of Forsyth County. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org. • Please review all Written Plans of Care to ensure it is documented you do not complete Routine Tasks during operating hours. • Please ensure parents update infant feeding schedules as children get older. • Please place a copy of your education on file for review. • Please have all parents update current off-premise activity forms by 8/31/23. • Please remember to complete a lock-down/shelter-in-place drill by 8/31/23. • Please ensure a baby gate or other approved barrier is always secured (not just leaning) in place at the base of the stair leading to the upper level of the home, as well as at the opening between the bathroom and the area currently used for food preparation to prevent access by children. • Please document a route of exit/egress on your posted floor plan • Please order a First Aid poster to post at the following link (the first poster you order will be free): https://healthychildcare.unc.edu/resources/posters/ • Please update all Pet Acknowledgement forms to reflect the correct locations of pets and pets you currently have in the home. • Please only allow children to handle scissors when sitting down. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1706 · Violation

Name of Operation: OMEGA WILCOX CHILD CARE HOME Facility ID: 34000538 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 8/28/2023 Number Present: 4 Completed Date: 8/28/2023 Age: From 0 To 3 Total Minutes: 470 Time In: 09:10 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant, with Omega Wilcox, Operator. Investigations Consultant, Jaclyn Flowe, also was present during the visit. Your program currently operates with a 4-Star license. Restrictions include 1st and 2nd shift care, a maximum of five preschoolers at any time, and no more than four children under age one at one time. The license was observed, and the restrictions were found in compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Plastic bags charging cords were observed inside two storage cubes on shelves accessible to children under three years of age located to the right of the main entrance. Plastic diaper wrappers and bags of wipes were observed located on the lower two shelves of the diaper changing table in the bathroom used by children. One Ziploc bag was observed in a bin beneath the printer, and several charging cords plugged in were observed in a bin accessible to children in the room Ms. Wilcox uses as an office, sleep space for children using pack-and-plays, and additional caregiving space. Each of these items presented a potential choking/strangulation hazard. Four outlet covers were observed without a safety cover on a surge protector (where the charging cords were plugged in as well). A canister of disinfectant wipes labeled Keep Out of Reach of Children was observed in a bin beneath the printer, and an individual-sized pump of hand sanitizer was observed on Ms. Wilcox’s desk less than five feet from the ground. An ice pack labeled Keep Out of Reach of Children with additional warnings was observed in the First Aid kit in unlocked storage. A portion of the outdoor learning environment used by all children enrolled is surrounded by a four-foot fence. A nonstationary plastic food truck was observed to have peeling, plastic labels, which could present a choking hazard. Two orange cords were observed to be hanging on the inside of the fencing, presenting a potential strangulation hazard. A foam pad was observed to be torn, with foam exposed, presenting a potential choking hazard. Two pieces of rebar were observed to be rusting and positioned with the tops of the bars inside the fenced area. An adult-sized bench was observed to have flaking paint, exposing rust on the right arm rest (facing the bench). A small table and set of two chairs located directly off the screened-in patio of the home were observed to be rusting. A charcoal grill was observed to have an unsecured lid and charcoal ash in the catch tray, accessible to children. A bag of charcoal, a rusting charcoal chimney, and a wire grill brush were also observed accessible to children. At the entrance to the playground, a set of three steps had been built using wood, dirt, and slabs of slate. The wooden footing for one step was observed to be unstable when bearing weight, and a 4-inch gap was observed between the footing and the step, creating a potential tripping hazard. A slate slab step was observed to be unstable when bearing weight. A jagged space was observed beneath the concrete slab where the air conditioning unit is located, measuring 4 ¾ inches, presenting a potential safety and entrapment hazard. An air conditioning unit was observed located within the fenced area and accessible to children; this unit also did not contain a metal guard within the top of the unit. I stated to Ms. Wilcox she must submit a plan by September 11, 2023 to enclose this unit and make it inaccessible to children. Ms. Wilcox stated an additional outdoor space is regularly used by the children located parallel to the fenced-in playground consisting of asphalt and gravel. Ms. Wilcox additionally stated each parent completed an Off-Premise Activity form authorizing children to use this space. I stated to Ms. Wilcox she may not allow children to use this space for outdoor play until the following safety issues have been corrected, and I have been notified in writing of how each item was corrected: • Rust on door to lockable shed is treated; • Shed is locked; • Riding and push lawn mowers and pressure washer are stored in locked shed; • Sharp and/or rusting gardening and other tools are made inaccessible to children; • Standing water in large flower pots, buckets, rain barrels, toxic plants, and water irrigation system is made inaccessible to children. Flaking, peeling paint was observed bordering three large outdoor windows located near the ground and accessible to children which raised a concern of potential lead-based paint. Ms. Wilcox stated the home was built in 1961 and lead testing has been completed for the home in the past; however, this documentation was not available for review during the visit. I stated Ms. Wilcox must send me this documentation as soon as possible or by her compliance letter due date. Upon arrival, capacity was monitored as indicated on the attached worksheet. Times of arrival and departure were not recorded for children in care. Supervision was adequate during the visit. I observed positive interactions today. I observed the children in care playing with toys, engaging in conversations with Ms. Wilcox, participating in general routines, and eating lunch during the visit. Ms. Wilcox stated she uses Cape Fear food program. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 9/15/2022. A Verification of Required Information for Operator and Additional Caregivers form was completed during the visit for the operator. Ms. Wilcox does not use an additional caregiver at this time. Two former staff members stopped by during the visit to see Ms. Wilcox. The operator’s son was also present in the space designated for childcare during the visit for approximately one hour. Ms. Wilcox stated each of these individuals is not present on a daily basis, but will stop by randomly to check in. I recommended Ms. Wilcox consider keeping a Criminal Background Check on file for any individual who may routinely visit the FCCH during operating hours. 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 6/20/2023. The most recent shelter-in-place drill was documented on 5/08/2023. The last outdoor inspection was also documented on 5/10/2023. There is currently one pet (canine) at this facility. The vaccination records for this dog expired on 6/19/2023. Ms. Wilcox does not participate in aquatic activities with children enrolled at this time. Staff files and children’s records were monitored per DCDEE procedures. The following records for the operator and/or program were not on file for review: current Health and Safety trainings; a playground inspection for January, 2023, a Ready to Go file, Safe Sleep Policy and poster not posted; updated health questionnaire; updated Emergency Preparedness and Response Plan review; EPR training certificate; and Emergency Medical Care Plan. The following children’s records were not on file for review: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the signed receipt of NC Summary of Child Care Law for two children enrolled, the tobacco restriction policy for one child enrolled, and the safe sleep policy for one child enrolled. The following children’s records were observed without a parent signature: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the receipt of NC Child Care Law for two children enrolled, the tobacco restriction policy for two children enrolled, the infant feeding plan for one child enrolled, and the safe sleep policy for one child enrolled. The file for the operator’s grandchild who is enrolled, but drop-in only, only contained an immunization record for review. Ms. Wilcox stated no children enrolled take medication during operating hours. Ms. Wilcox does not provide transportation 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. Records of arrival and departure were not available for review. .1721(e)(6) 923 Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year. A playground inspection was not on file for January, 2023. The vaccination records for a dog expired on 6/19/2023. .1721 (e)(7) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Plastic bags charging cords were observed inside two storage cubes on shelves accessible to children under three years of age located to the right of the main entrance. Plastic diaper wrappers and bags of wipes were observed located on the lower two shelves of the diaper changing table in the bathroom used by children. One Ziploc bag was observed in a bin beneath the printer, and several charging cords plugged in were observed in a bin accessible to children in the room Ms. Wilcox uses as an office, sleep space for children using pack-and-plays, and additional caregiving space. Each of these items presented a potential choking/strangulation hazard. Four outlet covers were observed without a safety cover on a surge protector (where the charging cords were plugged in as well). A canister of disinfectant wipes labeled Keep Out of Reach of Children was observed in a bin beneath the printer, and an individual-sized pump of hand sanitizer was observed on Ms. Wilcox’s desk less than five feet from the ground. An ice pack labeled Keep Out of Reach of Children with additional warnings was observed in this room in unlocked storage. A portion of the outdoor learning environment used by all children enrolled is surrounded by a four-foot fence. A nonstationary plastic food truck was observed to have peeling, plastic labels, which could present a choking hazard. Two orange cords were observed to be hanging on the inside of the fencing, presenting a potential strangulation hazard. A foam pad was observed to be torn, with foam exposed, presenting a potential choking hazard. Two pieces of rebar were observed to be rusting and positioned with the tops of the bars inside the fenced area. An adult-sized bench was observed to have flaking paint, exposing rust on the right arm rest (facing the bench). A small table and set of two chairs located directly off the screened-in patio of the home were observed to be rusting. A charcoal grill was observed to have an unsecured lid and charcoal ash in the catch tray, accessible to children. A bag of charcoal, a rusting charcoal chimney, and a wire grill brush were also observed accessible to children. At the entrance to the playground, a set of three steps had been built using wood, dirt, and slabs of slate. The wooden footing for one step was observed to be unstable when bearing weight, and a 4-inch gap was observed between the footing and the step, creating a potential tripping hazard. A slate slab step was observed to be unstable when bearing weight. A jagged space was observed beneath the concrete slab where the air conditioning unit is located, measuring 4 ¾ inches, presenting a potential safety and entrapment hazard. A storage shed located outside of the fenced-in area, but accessible to children, was observed to be unlocked. 10A NCAC 09 .1719 (a) 1739 All records required shall be available during operating hours, for review by a representative of the Division. The following records for the operator and/or program were not on file for review: current Health and Safety trainings; a Ready to Go file, Safe Sleep Policy and poster not posted; updated health questionnaire; updated Emergency Preparedness and Response Plan review; EPR training certificate; and Emergency Medical Care Plan. The following children’s records were not on file for review: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the safe sleep policy for one child enrolled, and the signed receipt of NC Summary of Child Care Law for two children enrolled. The following children’s records were observed without a parent signature: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the receipt of NC Child Care Law for two children enrolled, and the infant feeding plan for one child enrolled. The file for the operator’s grandchild who is enrolled, but drop-in only, only contained an immunization record for review. .1721(f)(7) 1808 Signed statement did not include the date the operator's safe sleep policy was given and explained to the parent/guardian. The safe sleep policy for one child enrolled was not signed by a parent. 10A NCAC 09 .1724(c)(3) 1821 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. The operator did not maintain safe sleep records for a minimum of 30 days and did not record visual checks of two sleeping infants during the visit. .1724(a)(8)&(f) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. The notification of Tobacco Restriction was not on file for one child enrolled and on file, but not signed by a parent, for two children enrolled. .1719(a)(11) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 9/11/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were thoroughly discussed with Ms. Wilcox during the visit: 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (2) the age range of the children served; (7) a schedule of daily, weekly, and monthly cleaning duties. 10A NCAC 09 .1702 APPLICATION FOR A LICENSE FOR A FAMILY CHILD CARE HOME (b) The applicant for a family child care home license shall also submit supporting documentation with the application for a license to the Division. The supporting documentation shall include: (4) proof of negative results of the applicant's tuberculosis test or screening completed within the past 12 months; 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: (6) use sanitary procedures when preparing and serving food. The operator shall: (A) wash his or her hands before and after handling food and feeding the children; and (B) ensure the child's hands are washed before and after the child is fed; (7) wash his or her hands, and ensure the child's hands are washed, after toileting or handling bodily fluids; (8) handwashing procedures shall include: (A) using liquid soap and water; (B) rubbing hands vigorously with soap and water for 15 seconds; (C) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (D) rinsing well for 10 seconds; (E) drying hands with a paper towel or other hand drying device; and (F) turning off faucet with a paper towel or other method without re-contaminating hands 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. (18) not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities; 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (e) The operator shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) All substitute providers and volunteers who provide care to children shall be informed of the Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files. 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (15) conduct off-premise activities as follows: (a) before the operator walks children off premises for play or outings, the parent of each child shall give written permission for the child to participate in such activities; (b) parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis; and (c) each time the children are taken off premises, the operator shall take identifying information about each child including the child's name, photograph, emergency contact information, a copy of the emergency medical care information form required by 10A NCAC 09 .1721(a)(3) of this Section. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (i) The family child care home operator and staff members shall complete a professional development plan within one year of employment and at least thereafter. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework or training needed to meet the individual's planned goals; (4) be completed by the operator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. 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 .1706 NUTRITION STANDARDS (o) Baby food, snack items, and meal items sent from home shall be dated and labeled with individual child names. (r) Each infant shall be served only formula, breast milk, and bottles labeled with their individual name. 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; 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (7) a schedule of daily, weekly, and monthly cleaning duties • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ - Please check the box for each item on your facility’s safe sleep policy which the program follows; please also ensure that enrolled/enrolling parents receive a copy of this updated policy. • Please monitor the fencing surrounding the playground fencing for developing rust. • You may access Health and Safety trainings through the following link on the Division website: https://www.dcdee.moodle.nc.gov/ Please choose the Services tab, DCDEE Moodle, Professional Development, Regulatory, and then the 2023 CCDF Health and Safety trainings. - Please place a signed copy of the Shaken Baby Policy in your operator's file. • Please monitor all outdoor equipment and stationary structures for cobwebs prior to the children using the playground. - Please monitor the outdoor environment for mildew developing on equipment, mushrooms, and materials and any small pieces of foam or plastic which could present potential choking hazards. Please also pressure wash outdoor equipment with developing mildew. • Please use the most recently updated forms from the Division website for children, staff, and program records; these can be accessed at the following website: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms#FCCH - Please record all current completed Health and Safety trainings on the Health and Safety Training Log. - Please access the Risk Management Portal at the following website to update your plan to include a floor plan and evacuation plan and print the necessary changes in your Emergency Preparedness and Response Plan: https://rmp.nc.gov/portal/portal.aspx# • Please review all children’s records to ensure that all forms have been fully completed, inclusive of a recorded date of enrollment (when applicable) and date signed by the parent/guardian. • The Child Care Health Consultant for Forsyth County is Keturah Oglesby at Smart Start of Forsyth County. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org. • Please review all Written Plans of Care to ensure it is documented you do not complete Routine Tasks during operating hours. • Please ensure parents update infant feeding schedules as children get older. • Please place a copy of your education on file for review. • Please have all parents update current off-premise activity forms by 8/31/23. • Please remember to complete a lock-down/shelter-in-place drill by 8/31/23. • Please ensure a baby gate or other approved barrier is always secured (not just leaning) in place at the base of the stair leading to the upper level of the home, as well as at the opening between the bathroom and the area currently used for food preparation to prevent access by children. • Please document a route of exit/egress on your posted floor plan • Please order a First Aid poster to post at the following link (the first poster you order will be free): https://healthychildcare.unc.edu/resources/posters/ • Please update all Pet Acknowledgement forms to reflect the correct locations of pets and pets you currently have in the home. • Please only allow children to handle scissors when sitting down. 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 .1711 · Violation

Name of Operation: OMEGA WILCOX CHILD CARE HOME Facility ID: 34000538 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 8/28/2023 Number Present: 4 Completed Date: 8/28/2023 Age: From 0 To 3 Total Minutes: 470 Time In: 09:10 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant, with Omega Wilcox, Operator. Investigations Consultant, Jaclyn Flowe, also was present during the visit. Your program currently operates with a 4-Star license. Restrictions include 1st and 2nd shift care, a maximum of five preschoolers at any time, and no more than four children under age one at one time. The license was observed, and the restrictions were found in compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Plastic bags charging cords were observed inside two storage cubes on shelves accessible to children under three years of age located to the right of the main entrance. Plastic diaper wrappers and bags of wipes were observed located on the lower two shelves of the diaper changing table in the bathroom used by children. One Ziploc bag was observed in a bin beneath the printer, and several charging cords plugged in were observed in a bin accessible to children in the room Ms. Wilcox uses as an office, sleep space for children using pack-and-plays, and additional caregiving space. Each of these items presented a potential choking/strangulation hazard. Four outlet covers were observed without a safety cover on a surge protector (where the charging cords were plugged in as well). A canister of disinfectant wipes labeled Keep Out of Reach of Children was observed in a bin beneath the printer, and an individual-sized pump of hand sanitizer was observed on Ms. Wilcox’s desk less than five feet from the ground. An ice pack labeled Keep Out of Reach of Children with additional warnings was observed in the First Aid kit in unlocked storage. A portion of the outdoor learning environment used by all children enrolled is surrounded by a four-foot fence. A nonstationary plastic food truck was observed to have peeling, plastic labels, which could present a choking hazard. Two orange cords were observed to be hanging on the inside of the fencing, presenting a potential strangulation hazard. A foam pad was observed to be torn, with foam exposed, presenting a potential choking hazard. Two pieces of rebar were observed to be rusting and positioned with the tops of the bars inside the fenced area. An adult-sized bench was observed to have flaking paint, exposing rust on the right arm rest (facing the bench). A small table and set of two chairs located directly off the screened-in patio of the home were observed to be rusting. A charcoal grill was observed to have an unsecured lid and charcoal ash in the catch tray, accessible to children. A bag of charcoal, a rusting charcoal chimney, and a wire grill brush were also observed accessible to children. At the entrance to the playground, a set of three steps had been built using wood, dirt, and slabs of slate. The wooden footing for one step was observed to be unstable when bearing weight, and a 4-inch gap was observed between the footing and the step, creating a potential tripping hazard. A slate slab step was observed to be unstable when bearing weight. A jagged space was observed beneath the concrete slab where the air conditioning unit is located, measuring 4 ¾ inches, presenting a potential safety and entrapment hazard. An air conditioning unit was observed located within the fenced area and accessible to children; this unit also did not contain a metal guard within the top of the unit. I stated to Ms. Wilcox she must submit a plan by September 11, 2023 to enclose this unit and make it inaccessible to children. Ms. Wilcox stated an additional outdoor space is regularly used by the children located parallel to the fenced-in playground consisting of asphalt and gravel. Ms. Wilcox additionally stated each parent completed an Off-Premise Activity form authorizing children to use this space. I stated to Ms. Wilcox she may not allow children to use this space for outdoor play until the following safety issues have been corrected, and I have been notified in writing of how each item was corrected: • Rust on door to lockable shed is treated; • Shed is locked; • Riding and push lawn mowers and pressure washer are stored in locked shed; • Sharp and/or rusting gardening and other tools are made inaccessible to children; • Standing water in large flower pots, buckets, rain barrels, toxic plants, and water irrigation system is made inaccessible to children. Flaking, peeling paint was observed bordering three large outdoor windows located near the ground and accessible to children which raised a concern of potential lead-based paint. Ms. Wilcox stated the home was built in 1961 and lead testing has been completed for the home in the past; however, this documentation was not available for review during the visit. I stated Ms. Wilcox must send me this documentation as soon as possible or by her compliance letter due date. Upon arrival, capacity was monitored as indicated on the attached worksheet. Times of arrival and departure were not recorded for children in care. Supervision was adequate during the visit. I observed positive interactions today. I observed the children in care playing with toys, engaging in conversations with Ms. Wilcox, participating in general routines, and eating lunch during the visit. Ms. Wilcox stated she uses Cape Fear food program. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 9/15/2022. A Verification of Required Information for Operator and Additional Caregivers form was completed during the visit for the operator. Ms. Wilcox does not use an additional caregiver at this time. Two former staff members stopped by during the visit to see Ms. Wilcox. The operator’s son was also present in the space designated for childcare during the visit for approximately one hour. Ms. Wilcox stated each of these individuals is not present on a daily basis, but will stop by randomly to check in. I recommended Ms. Wilcox consider keeping a Criminal Background Check on file for any individual who may routinely visit the FCCH during operating hours. 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 6/20/2023. The most recent shelter-in-place drill was documented on 5/08/2023. The last outdoor inspection was also documented on 5/10/2023. There is currently one pet (canine) at this facility. The vaccination records for this dog expired on 6/19/2023. Ms. Wilcox does not participate in aquatic activities with children enrolled at this time. Staff files and children’s records were monitored per DCDEE procedures. The following records for the operator and/or program were not on file for review: current Health and Safety trainings; a playground inspection for January, 2023, a Ready to Go file, Safe Sleep Policy and poster not posted; updated health questionnaire; updated Emergency Preparedness and Response Plan review; EPR training certificate; and Emergency Medical Care Plan. The following children’s records were not on file for review: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the signed receipt of NC Summary of Child Care Law for two children enrolled, the tobacco restriction policy for one child enrolled, and the safe sleep policy for one child enrolled. The following children’s records were observed without a parent signature: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the receipt of NC Child Care Law for two children enrolled, the tobacco restriction policy for two children enrolled, the infant feeding plan for one child enrolled, and the safe sleep policy for one child enrolled. The file for the operator’s grandchild who is enrolled, but drop-in only, only contained an immunization record for review. Ms. Wilcox stated no children enrolled take medication during operating hours. Ms. Wilcox does not provide transportation 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. Records of arrival and departure were not available for review. .1721(e)(6) 923 Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year. A playground inspection was not on file for January, 2023. The vaccination records for a dog expired on 6/19/2023. .1721 (e)(7) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Plastic bags charging cords were observed inside two storage cubes on shelves accessible to children under three years of age located to the right of the main entrance. Plastic diaper wrappers and bags of wipes were observed located on the lower two shelves of the diaper changing table in the bathroom used by children. One Ziploc bag was observed in a bin beneath the printer, and several charging cords plugged in were observed in a bin accessible to children in the room Ms. Wilcox uses as an office, sleep space for children using pack-and-plays, and additional caregiving space. Each of these items presented a potential choking/strangulation hazard. Four outlet covers were observed without a safety cover on a surge protector (where the charging cords were plugged in as well). A canister of disinfectant wipes labeled Keep Out of Reach of Children was observed in a bin beneath the printer, and an individual-sized pump of hand sanitizer was observed on Ms. Wilcox’s desk less than five feet from the ground. An ice pack labeled Keep Out of Reach of Children with additional warnings was observed in this room in unlocked storage. A portion of the outdoor learning environment used by all children enrolled is surrounded by a four-foot fence. A nonstationary plastic food truck was observed to have peeling, plastic labels, which could present a choking hazard. Two orange cords were observed to be hanging on the inside of the fencing, presenting a potential strangulation hazard. A foam pad was observed to be torn, with foam exposed, presenting a potential choking hazard. Two pieces of rebar were observed to be rusting and positioned with the tops of the bars inside the fenced area. An adult-sized bench was observed to have flaking paint, exposing rust on the right arm rest (facing the bench). A small table and set of two chairs located directly off the screened-in patio of the home were observed to be rusting. A charcoal grill was observed to have an unsecured lid and charcoal ash in the catch tray, accessible to children. A bag of charcoal, a rusting charcoal chimney, and a wire grill brush were also observed accessible to children. At the entrance to the playground, a set of three steps had been built using wood, dirt, and slabs of slate. The wooden footing for one step was observed to be unstable when bearing weight, and a 4-inch gap was observed between the footing and the step, creating a potential tripping hazard. A slate slab step was observed to be unstable when bearing weight. A jagged space was observed beneath the concrete slab where the air conditioning unit is located, measuring 4 ¾ inches, presenting a potential safety and entrapment hazard. A storage shed located outside of the fenced-in area, but accessible to children, was observed to be unlocked. 10A NCAC 09 .1719 (a) 1739 All records required shall be available during operating hours, for review by a representative of the Division. The following records for the operator and/or program were not on file for review: current Health and Safety trainings; a Ready to Go file, Safe Sleep Policy and poster not posted; updated health questionnaire; updated Emergency Preparedness and Response Plan review; EPR training certificate; and Emergency Medical Care Plan. The following children’s records were not on file for review: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the safe sleep policy for one child enrolled, and the signed receipt of NC Summary of Child Care Law for two children enrolled. The following children’s records were observed without a parent signature: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the receipt of NC Child Care Law for two children enrolled, and the infant feeding plan for one child enrolled. The file for the operator’s grandchild who is enrolled, but drop-in only, only contained an immunization record for review. .1721(f)(7) 1808 Signed statement did not include the date the operator's safe sleep policy was given and explained to the parent/guardian. The safe sleep policy for one child enrolled was not signed by a parent. 10A NCAC 09 .1724(c)(3) 1821 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. The operator did not maintain safe sleep records for a minimum of 30 days and did not record visual checks of two sleeping infants during the visit. .1724(a)(8)&(f) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. The notification of Tobacco Restriction was not on file for one child enrolled and on file, but not signed by a parent, for two children enrolled. .1719(a)(11) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 9/11/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were thoroughly discussed with Ms. Wilcox during the visit: 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (2) the age range of the children served; (7) a schedule of daily, weekly, and monthly cleaning duties. 10A NCAC 09 .1702 APPLICATION FOR A LICENSE FOR A FAMILY CHILD CARE HOME (b) The applicant for a family child care home license shall also submit supporting documentation with the application for a license to the Division. The supporting documentation shall include: (4) proof of negative results of the applicant's tuberculosis test or screening completed within the past 12 months; 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: (6) use sanitary procedures when preparing and serving food. The operator shall: (A) wash his or her hands before and after handling food and feeding the children; and (B) ensure the child's hands are washed before and after the child is fed; (7) wash his or her hands, and ensure the child's hands are washed, after toileting or handling bodily fluids; (8) handwashing procedures shall include: (A) using liquid soap and water; (B) rubbing hands vigorously with soap and water for 15 seconds; (C) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (D) rinsing well for 10 seconds; (E) drying hands with a paper towel or other hand drying device; and (F) turning off faucet with a paper towel or other method without re-contaminating hands 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. (18) not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities; 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (e) The operator shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) All substitute providers and volunteers who provide care to children shall be informed of the Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files. 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (15) conduct off-premise activities as follows: (a) before the operator walks children off premises for play or outings, the parent of each child shall give written permission for the child to participate in such activities; (b) parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis; and (c) each time the children are taken off premises, the operator shall take identifying information about each child including the child's name, photograph, emergency contact information, a copy of the emergency medical care information form required by 10A NCAC 09 .1721(a)(3) of this Section. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (i) The family child care home operator and staff members shall complete a professional development plan within one year of employment and at least thereafter. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework or training needed to meet the individual's planned goals; (4) be completed by the operator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. 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 .1706 NUTRITION STANDARDS (o) Baby food, snack items, and meal items sent from home shall be dated and labeled with individual child names. (r) Each infant shall be served only formula, breast milk, and bottles labeled with their individual name. 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; 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (7) a schedule of daily, weekly, and monthly cleaning duties • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ - Please check the box for each item on your facility’s safe sleep policy which the program follows; please also ensure that enrolled/enrolling parents receive a copy of this updated policy. • Please monitor the fencing surrounding the playground fencing for developing rust. • You may access Health and Safety trainings through the following link on the Division website: https://www.dcdee.moodle.nc.gov/ Please choose the Services tab, DCDEE Moodle, Professional Development, Regulatory, and then the 2023 CCDF Health and Safety trainings. - Please place a signed copy of the Shaken Baby Policy in your operator's file. • Please monitor all outdoor equipment and stationary structures for cobwebs prior to the children using the playground. - Please monitor the outdoor environment for mildew developing on equipment, mushrooms, and materials and any small pieces of foam or plastic which could present potential choking hazards. Please also pressure wash outdoor equipment with developing mildew. • Please use the most recently updated forms from the Division website for children, staff, and program records; these can be accessed at the following website: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms#FCCH - Please record all current completed Health and Safety trainings on the Health and Safety Training Log. - Please access the Risk Management Portal at the following website to update your plan to include a floor plan and evacuation plan and print the necessary changes in your Emergency Preparedness and Response Plan: https://rmp.nc.gov/portal/portal.aspx# • Please review all children’s records to ensure that all forms have been fully completed, inclusive of a recorded date of enrollment (when applicable) and date signed by the parent/guardian. • The Child Care Health Consultant for Forsyth County is Keturah Oglesby at Smart Start of Forsyth County. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org. • Please review all Written Plans of Care to ensure it is documented you do not complete Routine Tasks during operating hours. • Please ensure parents update infant feeding schedules as children get older. • Please place a copy of your education on file for review. • Please have all parents update current off-premise activity forms by 8/31/23. • Please remember to complete a lock-down/shelter-in-place drill by 8/31/23. • Please ensure a baby gate or other approved barrier is always secured (not just leaning) in place at the base of the stair leading to the upper level of the home, as well as at the opening between the bathroom and the area currently used for food preparation to prevent access by children. • Please document a route of exit/egress on your posted floor plan • Please order a First Aid poster to post at the following link (the first poster you order will be free): https://healthychildcare.unc.edu/resources/posters/ • Please update all Pet Acknowledgement forms to reflect the correct locations of pets and pets you currently have in the home. • Please only allow children to handle scissors when sitting down. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1714 · Violation

Name of Operation: OMEGA WILCOX CHILD CARE HOME Facility ID: 34000538 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 8/28/2023 Number Present: 4 Completed Date: 8/28/2023 Age: From 0 To 3 Total Minutes: 470 Time In: 09:10 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant, with Omega Wilcox, Operator. Investigations Consultant, Jaclyn Flowe, also was present during the visit. Your program currently operates with a 4-Star license. Restrictions include 1st and 2nd shift care, a maximum of five preschoolers at any time, and no more than four children under age one at one time. The license was observed, and the restrictions were found in compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Plastic bags charging cords were observed inside two storage cubes on shelves accessible to children under three years of age located to the right of the main entrance. Plastic diaper wrappers and bags of wipes were observed located on the lower two shelves of the diaper changing table in the bathroom used by children. One Ziploc bag was observed in a bin beneath the printer, and several charging cords plugged in were observed in a bin accessible to children in the room Ms. Wilcox uses as an office, sleep space for children using pack-and-plays, and additional caregiving space. Each of these items presented a potential choking/strangulation hazard. Four outlet covers were observed without a safety cover on a surge protector (where the charging cords were plugged in as well). A canister of disinfectant wipes labeled Keep Out of Reach of Children was observed in a bin beneath the printer, and an individual-sized pump of hand sanitizer was observed on Ms. Wilcox’s desk less than five feet from the ground. An ice pack labeled Keep Out of Reach of Children with additional warnings was observed in the First Aid kit in unlocked storage. A portion of the outdoor learning environment used by all children enrolled is surrounded by a four-foot fence. A nonstationary plastic food truck was observed to have peeling, plastic labels, which could present a choking hazard. Two orange cords were observed to be hanging on the inside of the fencing, presenting a potential strangulation hazard. A foam pad was observed to be torn, with foam exposed, presenting a potential choking hazard. Two pieces of rebar were observed to be rusting and positioned with the tops of the bars inside the fenced area. An adult-sized bench was observed to have flaking paint, exposing rust on the right arm rest (facing the bench). A small table and set of two chairs located directly off the screened-in patio of the home were observed to be rusting. A charcoal grill was observed to have an unsecured lid and charcoal ash in the catch tray, accessible to children. A bag of charcoal, a rusting charcoal chimney, and a wire grill brush were also observed accessible to children. At the entrance to the playground, a set of three steps had been built using wood, dirt, and slabs of slate. The wooden footing for one step was observed to be unstable when bearing weight, and a 4-inch gap was observed between the footing and the step, creating a potential tripping hazard. A slate slab step was observed to be unstable when bearing weight. A jagged space was observed beneath the concrete slab where the air conditioning unit is located, measuring 4 ¾ inches, presenting a potential safety and entrapment hazard. An air conditioning unit was observed located within the fenced area and accessible to children; this unit also did not contain a metal guard within the top of the unit. I stated to Ms. Wilcox she must submit a plan by September 11, 2023 to enclose this unit and make it inaccessible to children. Ms. Wilcox stated an additional outdoor space is regularly used by the children located parallel to the fenced-in playground consisting of asphalt and gravel. Ms. Wilcox additionally stated each parent completed an Off-Premise Activity form authorizing children to use this space. I stated to Ms. Wilcox she may not allow children to use this space for outdoor play until the following safety issues have been corrected, and I have been notified in writing of how each item was corrected: • Rust on door to lockable shed is treated; • Shed is locked; • Riding and push lawn mowers and pressure washer are stored in locked shed; • Sharp and/or rusting gardening and other tools are made inaccessible to children; • Standing water in large flower pots, buckets, rain barrels, toxic plants, and water irrigation system is made inaccessible to children. Flaking, peeling paint was observed bordering three large outdoor windows located near the ground and accessible to children which raised a concern of potential lead-based paint. Ms. Wilcox stated the home was built in 1961 and lead testing has been completed for the home in the past; however, this documentation was not available for review during the visit. I stated Ms. Wilcox must send me this documentation as soon as possible or by her compliance letter due date. Upon arrival, capacity was monitored as indicated on the attached worksheet. Times of arrival and departure were not recorded for children in care. Supervision was adequate during the visit. I observed positive interactions today. I observed the children in care playing with toys, engaging in conversations with Ms. Wilcox, participating in general routines, and eating lunch during the visit. Ms. Wilcox stated she uses Cape Fear food program. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 9/15/2022. A Verification of Required Information for Operator and Additional Caregivers form was completed during the visit for the operator. Ms. Wilcox does not use an additional caregiver at this time. Two former staff members stopped by during the visit to see Ms. Wilcox. The operator’s son was also present in the space designated for childcare during the visit for approximately one hour. Ms. Wilcox stated each of these individuals is not present on a daily basis, but will stop by randomly to check in. I recommended Ms. Wilcox consider keeping a Criminal Background Check on file for any individual who may routinely visit the FCCH during operating hours. 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 6/20/2023. The most recent shelter-in-place drill was documented on 5/08/2023. The last outdoor inspection was also documented on 5/10/2023. There is currently one pet (canine) at this facility. The vaccination records for this dog expired on 6/19/2023. Ms. Wilcox does not participate in aquatic activities with children enrolled at this time. Staff files and children’s records were monitored per DCDEE procedures. The following records for the operator and/or program were not on file for review: current Health and Safety trainings; a playground inspection for January, 2023, a Ready to Go file, Safe Sleep Policy and poster not posted; updated health questionnaire; updated Emergency Preparedness and Response Plan review; EPR training certificate; and Emergency Medical Care Plan. The following children’s records were not on file for review: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the signed receipt of NC Summary of Child Care Law for two children enrolled, the tobacco restriction policy for one child enrolled, and the safe sleep policy for one child enrolled. The following children’s records were observed without a parent signature: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the receipt of NC Child Care Law for two children enrolled, the tobacco restriction policy for two children enrolled, the infant feeding plan for one child enrolled, and the safe sleep policy for one child enrolled. The file for the operator’s grandchild who is enrolled, but drop-in only, only contained an immunization record for review. Ms. Wilcox stated no children enrolled take medication during operating hours. Ms. Wilcox does not provide transportation 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. Records of arrival and departure were not available for review. .1721(e)(6) 923 Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year. A playground inspection was not on file for January, 2023. The vaccination records for a dog expired on 6/19/2023. .1721 (e)(7) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Plastic bags charging cords were observed inside two storage cubes on shelves accessible to children under three years of age located to the right of the main entrance. Plastic diaper wrappers and bags of wipes were observed located on the lower two shelves of the diaper changing table in the bathroom used by children. One Ziploc bag was observed in a bin beneath the printer, and several charging cords plugged in were observed in a bin accessible to children in the room Ms. Wilcox uses as an office, sleep space for children using pack-and-plays, and additional caregiving space. Each of these items presented a potential choking/strangulation hazard. Four outlet covers were observed without a safety cover on a surge protector (where the charging cords were plugged in as well). A canister of disinfectant wipes labeled Keep Out of Reach of Children was observed in a bin beneath the printer, and an individual-sized pump of hand sanitizer was observed on Ms. Wilcox’s desk less than five feet from the ground. An ice pack labeled Keep Out of Reach of Children with additional warnings was observed in this room in unlocked storage. A portion of the outdoor learning environment used by all children enrolled is surrounded by a four-foot fence. A nonstationary plastic food truck was observed to have peeling, plastic labels, which could present a choking hazard. Two orange cords were observed to be hanging on the inside of the fencing, presenting a potential strangulation hazard. A foam pad was observed to be torn, with foam exposed, presenting a potential choking hazard. Two pieces of rebar were observed to be rusting and positioned with the tops of the bars inside the fenced area. An adult-sized bench was observed to have flaking paint, exposing rust on the right arm rest (facing the bench). A small table and set of two chairs located directly off the screened-in patio of the home were observed to be rusting. A charcoal grill was observed to have an unsecured lid and charcoal ash in the catch tray, accessible to children. A bag of charcoal, a rusting charcoal chimney, and a wire grill brush were also observed accessible to children. At the entrance to the playground, a set of three steps had been built using wood, dirt, and slabs of slate. The wooden footing for one step was observed to be unstable when bearing weight, and a 4-inch gap was observed between the footing and the step, creating a potential tripping hazard. A slate slab step was observed to be unstable when bearing weight. A jagged space was observed beneath the concrete slab where the air conditioning unit is located, measuring 4 ¾ inches, presenting a potential safety and entrapment hazard. A storage shed located outside of the fenced-in area, but accessible to children, was observed to be unlocked. 10A NCAC 09 .1719 (a) 1739 All records required shall be available during operating hours, for review by a representative of the Division. The following records for the operator and/or program were not on file for review: current Health and Safety trainings; a Ready to Go file, Safe Sleep Policy and poster not posted; updated health questionnaire; updated Emergency Preparedness and Response Plan review; EPR training certificate; and Emergency Medical Care Plan. The following children’s records were not on file for review: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the safe sleep policy for one child enrolled, and the signed receipt of NC Summary of Child Care Law for two children enrolled. The following children’s records were observed without a parent signature: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the receipt of NC Child Care Law for two children enrolled, and the infant feeding plan for one child enrolled. The file for the operator’s grandchild who is enrolled, but drop-in only, only contained an immunization record for review. .1721(f)(7) 1808 Signed statement did not include the date the operator's safe sleep policy was given and explained to the parent/guardian. The safe sleep policy for one child enrolled was not signed by a parent. 10A NCAC 09 .1724(c)(3) 1821 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. The operator did not maintain safe sleep records for a minimum of 30 days and did not record visual checks of two sleeping infants during the visit. .1724(a)(8)&(f) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. The notification of Tobacco Restriction was not on file for one child enrolled and on file, but not signed by a parent, for two children enrolled. .1719(a)(11) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 9/11/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were thoroughly discussed with Ms. Wilcox during the visit: 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (2) the age range of the children served; (7) a schedule of daily, weekly, and monthly cleaning duties. 10A NCAC 09 .1702 APPLICATION FOR A LICENSE FOR A FAMILY CHILD CARE HOME (b) The applicant for a family child care home license shall also submit supporting documentation with the application for a license to the Division. The supporting documentation shall include: (4) proof of negative results of the applicant's tuberculosis test or screening completed within the past 12 months; 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: (6) use sanitary procedures when preparing and serving food. The operator shall: (A) wash his or her hands before and after handling food and feeding the children; and (B) ensure the child's hands are washed before and after the child is fed; (7) wash his or her hands, and ensure the child's hands are washed, after toileting or handling bodily fluids; (8) handwashing procedures shall include: (A) using liquid soap and water; (B) rubbing hands vigorously with soap and water for 15 seconds; (C) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (D) rinsing well for 10 seconds; (E) drying hands with a paper towel or other hand drying device; and (F) turning off faucet with a paper towel or other method without re-contaminating hands 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. (18) not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities; 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (e) The operator shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) All substitute providers and volunteers who provide care to children shall be informed of the Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files. 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (15) conduct off-premise activities as follows: (a) before the operator walks children off premises for play or outings, the parent of each child shall give written permission for the child to participate in such activities; (b) parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis; and (c) each time the children are taken off premises, the operator shall take identifying information about each child including the child's name, photograph, emergency contact information, a copy of the emergency medical care information form required by 10A NCAC 09 .1721(a)(3) of this Section. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (i) The family child care home operator and staff members shall complete a professional development plan within one year of employment and at least thereafter. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework or training needed to meet the individual's planned goals; (4) be completed by the operator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. 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 .1706 NUTRITION STANDARDS (o) Baby food, snack items, and meal items sent from home shall be dated and labeled with individual child names. (r) Each infant shall be served only formula, breast milk, and bottles labeled with their individual name. 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; 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (7) a schedule of daily, weekly, and monthly cleaning duties • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ - Please check the box for each item on your facility’s safe sleep policy which the program follows; please also ensure that enrolled/enrolling parents receive a copy of this updated policy. • Please monitor the fencing surrounding the playground fencing for developing rust. • You may access Health and Safety trainings through the following link on the Division website: https://www.dcdee.moodle.nc.gov/ Please choose the Services tab, DCDEE Moodle, Professional Development, Regulatory, and then the 2023 CCDF Health and Safety trainings. - Please place a signed copy of the Shaken Baby Policy in your operator's file. • Please monitor all outdoor equipment and stationary structures for cobwebs prior to the children using the playground. - Please monitor the outdoor environment for mildew developing on equipment, mushrooms, and materials and any small pieces of foam or plastic which could present potential choking hazards. Please also pressure wash outdoor equipment with developing mildew. • Please use the most recently updated forms from the Division website for children, staff, and program records; these can be accessed at the following website: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms#FCCH - Please record all current completed Health and Safety trainings on the Health and Safety Training Log. - Please access the Risk Management Portal at the following website to update your plan to include a floor plan and evacuation plan and print the necessary changes in your Emergency Preparedness and Response Plan: https://rmp.nc.gov/portal/portal.aspx# • Please review all children’s records to ensure that all forms have been fully completed, inclusive of a recorded date of enrollment (when applicable) and date signed by the parent/guardian. • The Child Care Health Consultant for Forsyth County is Keturah Oglesby at Smart Start of Forsyth County. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org. • Please review all Written Plans of Care to ensure it is documented you do not complete Routine Tasks during operating hours. • Please ensure parents update infant feeding schedules as children get older. • Please place a copy of your education on file for review. • Please have all parents update current off-premise activity forms by 8/31/23. • Please remember to complete a lock-down/shelter-in-place drill by 8/31/23. • Please ensure a baby gate or other approved barrier is always secured (not just leaning) in place at the base of the stair leading to the upper level of the home, as well as at the opening between the bathroom and the area currently used for food preparation to prevent access by children. • Please document a route of exit/egress on your posted floor plan • Please order a First Aid poster to post at the following link (the first poster you order will be free): https://healthychildcare.unc.edu/resources/posters/ • Please update all Pet Acknowledgement forms to reflect the correct locations of pets and pets you currently have in the home. • Please only allow children to handle scissors when sitting down. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1715 · Violation

Name of Operation: OMEGA WILCOX CHILD CARE HOME Facility ID: 34000538 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 8/28/2023 Number Present: 4 Completed Date: 8/28/2023 Age: From 0 To 3 Total Minutes: 470 Time In: 09:10 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant, with Omega Wilcox, Operator. Investigations Consultant, Jaclyn Flowe, also was present during the visit. Your program currently operates with a 4-Star license. Restrictions include 1st and 2nd shift care, a maximum of five preschoolers at any time, and no more than four children under age one at one time. The license was observed, and the restrictions were found in compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Plastic bags charging cords were observed inside two storage cubes on shelves accessible to children under three years of age located to the right of the main entrance. Plastic diaper wrappers and bags of wipes were observed located on the lower two shelves of the diaper changing table in the bathroom used by children. One Ziploc bag was observed in a bin beneath the printer, and several charging cords plugged in were observed in a bin accessible to children in the room Ms. Wilcox uses as an office, sleep space for children using pack-and-plays, and additional caregiving space. Each of these items presented a potential choking/strangulation hazard. Four outlet covers were observed without a safety cover on a surge protector (where the charging cords were plugged in as well). A canister of disinfectant wipes labeled Keep Out of Reach of Children was observed in a bin beneath the printer, and an individual-sized pump of hand sanitizer was observed on Ms. Wilcox’s desk less than five feet from the ground. An ice pack labeled Keep Out of Reach of Children with additional warnings was observed in the First Aid kit in unlocked storage. A portion of the outdoor learning environment used by all children enrolled is surrounded by a four-foot fence. A nonstationary plastic food truck was observed to have peeling, plastic labels, which could present a choking hazard. Two orange cords were observed to be hanging on the inside of the fencing, presenting a potential strangulation hazard. A foam pad was observed to be torn, with foam exposed, presenting a potential choking hazard. Two pieces of rebar were observed to be rusting and positioned with the tops of the bars inside the fenced area. An adult-sized bench was observed to have flaking paint, exposing rust on the right arm rest (facing the bench). A small table and set of two chairs located directly off the screened-in patio of the home were observed to be rusting. A charcoal grill was observed to have an unsecured lid and charcoal ash in the catch tray, accessible to children. A bag of charcoal, a rusting charcoal chimney, and a wire grill brush were also observed accessible to children. At the entrance to the playground, a set of three steps had been built using wood, dirt, and slabs of slate. The wooden footing for one step was observed to be unstable when bearing weight, and a 4-inch gap was observed between the footing and the step, creating a potential tripping hazard. A slate slab step was observed to be unstable when bearing weight. A jagged space was observed beneath the concrete slab where the air conditioning unit is located, measuring 4 ¾ inches, presenting a potential safety and entrapment hazard. An air conditioning unit was observed located within the fenced area and accessible to children; this unit also did not contain a metal guard within the top of the unit. I stated to Ms. Wilcox she must submit a plan by September 11, 2023 to enclose this unit and make it inaccessible to children. Ms. Wilcox stated an additional outdoor space is regularly used by the children located parallel to the fenced-in playground consisting of asphalt and gravel. Ms. Wilcox additionally stated each parent completed an Off-Premise Activity form authorizing children to use this space. I stated to Ms. Wilcox she may not allow children to use this space for outdoor play until the following safety issues have been corrected, and I have been notified in writing of how each item was corrected: • Rust on door to lockable shed is treated; • Shed is locked; • Riding and push lawn mowers and pressure washer are stored in locked shed; • Sharp and/or rusting gardening and other tools are made inaccessible to children; • Standing water in large flower pots, buckets, rain barrels, toxic plants, and water irrigation system is made inaccessible to children. Flaking, peeling paint was observed bordering three large outdoor windows located near the ground and accessible to children which raised a concern of potential lead-based paint. Ms. Wilcox stated the home was built in 1961 and lead testing has been completed for the home in the past; however, this documentation was not available for review during the visit. I stated Ms. Wilcox must send me this documentation as soon as possible or by her compliance letter due date. Upon arrival, capacity was monitored as indicated on the attached worksheet. Times of arrival and departure were not recorded for children in care. Supervision was adequate during the visit. I observed positive interactions today. I observed the children in care playing with toys, engaging in conversations with Ms. Wilcox, participating in general routines, and eating lunch during the visit. Ms. Wilcox stated she uses Cape Fear food program. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 9/15/2022. A Verification of Required Information for Operator and Additional Caregivers form was completed during the visit for the operator. Ms. Wilcox does not use an additional caregiver at this time. Two former staff members stopped by during the visit to see Ms. Wilcox. The operator’s son was also present in the space designated for childcare during the visit for approximately one hour. Ms. Wilcox stated each of these individuals is not present on a daily basis, but will stop by randomly to check in. I recommended Ms. Wilcox consider keeping a Criminal Background Check on file for any individual who may routinely visit the FCCH during operating hours. 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 6/20/2023. The most recent shelter-in-place drill was documented on 5/08/2023. The last outdoor inspection was also documented on 5/10/2023. There is currently one pet (canine) at this facility. The vaccination records for this dog expired on 6/19/2023. Ms. Wilcox does not participate in aquatic activities with children enrolled at this time. Staff files and children’s records were monitored per DCDEE procedures. The following records for the operator and/or program were not on file for review: current Health and Safety trainings; a playground inspection for January, 2023, a Ready to Go file, Safe Sleep Policy and poster not posted; updated health questionnaire; updated Emergency Preparedness and Response Plan review; EPR training certificate; and Emergency Medical Care Plan. The following children’s records were not on file for review: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the signed receipt of NC Summary of Child Care Law for two children enrolled, the tobacco restriction policy for one child enrolled, and the safe sleep policy for one child enrolled. The following children’s records were observed without a parent signature: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the receipt of NC Child Care Law for two children enrolled, the tobacco restriction policy for two children enrolled, the infant feeding plan for one child enrolled, and the safe sleep policy for one child enrolled. The file for the operator’s grandchild who is enrolled, but drop-in only, only contained an immunization record for review. Ms. Wilcox stated no children enrolled take medication during operating hours. Ms. Wilcox does not provide transportation 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. Records of arrival and departure were not available for review. .1721(e)(6) 923 Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year. A playground inspection was not on file for January, 2023. The vaccination records for a dog expired on 6/19/2023. .1721 (e)(7) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Plastic bags charging cords were observed inside two storage cubes on shelves accessible to children under three years of age located to the right of the main entrance. Plastic diaper wrappers and bags of wipes were observed located on the lower two shelves of the diaper changing table in the bathroom used by children. One Ziploc bag was observed in a bin beneath the printer, and several charging cords plugged in were observed in a bin accessible to children in the room Ms. Wilcox uses as an office, sleep space for children using pack-and-plays, and additional caregiving space. Each of these items presented a potential choking/strangulation hazard. Four outlet covers were observed without a safety cover on a surge protector (where the charging cords were plugged in as well). A canister of disinfectant wipes labeled Keep Out of Reach of Children was observed in a bin beneath the printer, and an individual-sized pump of hand sanitizer was observed on Ms. Wilcox’s desk less than five feet from the ground. An ice pack labeled Keep Out of Reach of Children with additional warnings was observed in this room in unlocked storage. A portion of the outdoor learning environment used by all children enrolled is surrounded by a four-foot fence. A nonstationary plastic food truck was observed to have peeling, plastic labels, which could present a choking hazard. Two orange cords were observed to be hanging on the inside of the fencing, presenting a potential strangulation hazard. A foam pad was observed to be torn, with foam exposed, presenting a potential choking hazard. Two pieces of rebar were observed to be rusting and positioned with the tops of the bars inside the fenced area. An adult-sized bench was observed to have flaking paint, exposing rust on the right arm rest (facing the bench). A small table and set of two chairs located directly off the screened-in patio of the home were observed to be rusting. A charcoal grill was observed to have an unsecured lid and charcoal ash in the catch tray, accessible to children. A bag of charcoal, a rusting charcoal chimney, and a wire grill brush were also observed accessible to children. At the entrance to the playground, a set of three steps had been built using wood, dirt, and slabs of slate. The wooden footing for one step was observed to be unstable when bearing weight, and a 4-inch gap was observed between the footing and the step, creating a potential tripping hazard. A slate slab step was observed to be unstable when bearing weight. A jagged space was observed beneath the concrete slab where the air conditioning unit is located, measuring 4 ¾ inches, presenting a potential safety and entrapment hazard. A storage shed located outside of the fenced-in area, but accessible to children, was observed to be unlocked. 10A NCAC 09 .1719 (a) 1739 All records required shall be available during operating hours, for review by a representative of the Division. The following records for the operator and/or program were not on file for review: current Health and Safety trainings; a Ready to Go file, Safe Sleep Policy and poster not posted; updated health questionnaire; updated Emergency Preparedness and Response Plan review; EPR training certificate; and Emergency Medical Care Plan. The following children’s records were not on file for review: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the safe sleep policy for one child enrolled, and the signed receipt of NC Summary of Child Care Law for two children enrolled. The following children’s records were observed without a parent signature: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the receipt of NC Child Care Law for two children enrolled, and the infant feeding plan for one child enrolled. The file for the operator’s grandchild who is enrolled, but drop-in only, only contained an immunization record for review. .1721(f)(7) 1808 Signed statement did not include the date the operator's safe sleep policy was given and explained to the parent/guardian. The safe sleep policy for one child enrolled was not signed by a parent. 10A NCAC 09 .1724(c)(3) 1821 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. The operator did not maintain safe sleep records for a minimum of 30 days and did not record visual checks of two sleeping infants during the visit. .1724(a)(8)&(f) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. The notification of Tobacco Restriction was not on file for one child enrolled and on file, but not signed by a parent, for two children enrolled. .1719(a)(11) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 9/11/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were thoroughly discussed with Ms. Wilcox during the visit: 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (2) the age range of the children served; (7) a schedule of daily, weekly, and monthly cleaning duties. 10A NCAC 09 .1702 APPLICATION FOR A LICENSE FOR A FAMILY CHILD CARE HOME (b) The applicant for a family child care home license shall also submit supporting documentation with the application for a license to the Division. The supporting documentation shall include: (4) proof of negative results of the applicant's tuberculosis test or screening completed within the past 12 months; 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: (6) use sanitary procedures when preparing and serving food. The operator shall: (A) wash his or her hands before and after handling food and feeding the children; and (B) ensure the child's hands are washed before and after the child is fed; (7) wash his or her hands, and ensure the child's hands are washed, after toileting or handling bodily fluids; (8) handwashing procedures shall include: (A) using liquid soap and water; (B) rubbing hands vigorously with soap and water for 15 seconds; (C) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (D) rinsing well for 10 seconds; (E) drying hands with a paper towel or other hand drying device; and (F) turning off faucet with a paper towel or other method without re-contaminating hands 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. (18) not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities; 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (e) The operator shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) All substitute providers and volunteers who provide care to children shall be informed of the Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files. 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (15) conduct off-premise activities as follows: (a) before the operator walks children off premises for play or outings, the parent of each child shall give written permission for the child to participate in such activities; (b) parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis; and (c) each time the children are taken off premises, the operator shall take identifying information about each child including the child's name, photograph, emergency contact information, a copy of the emergency medical care information form required by 10A NCAC 09 .1721(a)(3) of this Section. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (i) The family child care home operator and staff members shall complete a professional development plan within one year of employment and at least thereafter. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework or training needed to meet the individual's planned goals; (4) be completed by the operator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. 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 .1706 NUTRITION STANDARDS (o) Baby food, snack items, and meal items sent from home shall be dated and labeled with individual child names. (r) Each infant shall be served only formula, breast milk, and bottles labeled with their individual name. 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; 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (7) a schedule of daily, weekly, and monthly cleaning duties • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ - Please check the box for each item on your facility’s safe sleep policy which the program follows; please also ensure that enrolled/enrolling parents receive a copy of this updated policy. • Please monitor the fencing surrounding the playground fencing for developing rust. • You may access Health and Safety trainings through the following link on the Division website: https://www.dcdee.moodle.nc.gov/ Please choose the Services tab, DCDEE Moodle, Professional Development, Regulatory, and then the 2023 CCDF Health and Safety trainings. - Please place a signed copy of the Shaken Baby Policy in your operator's file. • Please monitor all outdoor equipment and stationary structures for cobwebs prior to the children using the playground. - Please monitor the outdoor environment for mildew developing on equipment, mushrooms, and materials and any small pieces of foam or plastic which could present potential choking hazards. Please also pressure wash outdoor equipment with developing mildew. • Please use the most recently updated forms from the Division website for children, staff, and program records; these can be accessed at the following website: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms#FCCH - Please record all current completed Health and Safety trainings on the Health and Safety Training Log. - Please access the Risk Management Portal at the following website to update your plan to include a floor plan and evacuation plan and print the necessary changes in your Emergency Preparedness and Response Plan: https://rmp.nc.gov/portal/portal.aspx# • Please review all children’s records to ensure that all forms have been fully completed, inclusive of a recorded date of enrollment (when applicable) and date signed by the parent/guardian. • The Child Care Health Consultant for Forsyth County is Keturah Oglesby at Smart Start of Forsyth County. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org. • Please review all Written Plans of Care to ensure it is documented you do not complete Routine Tasks during operating hours. • Please ensure parents update infant feeding schedules as children get older. • Please place a copy of your education on file for review. • Please have all parents update current off-premise activity forms by 8/31/23. • Please remember to complete a lock-down/shelter-in-place drill by 8/31/23. • Please ensure a baby gate or other approved barrier is always secured (not just leaning) in place at the base of the stair leading to the upper level of the home, as well as at the opening between the bathroom and the area currently used for food preparation to prevent access by children. • Please document a route of exit/egress on your posted floor plan • Please order a First Aid poster to post at the following link (the first poster you order will be free): https://healthychildcare.unc.edu/resources/posters/ • Please update all Pet Acknowledgement forms to reflect the correct locations of pets and pets you currently have in the home. • Please only allow children to handle scissors when sitting down. 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: OMEGA WILCOX CHILD CARE HOME Facility ID: 34000538 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 8/28/2023 Number Present: 4 Completed Date: 8/28/2023 Age: From 0 To 3 Total Minutes: 470 Time In: 09:10 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant, with Omega Wilcox, Operator. Investigations Consultant, Jaclyn Flowe, also was present during the visit. Your program currently operates with a 4-Star license. Restrictions include 1st and 2nd shift care, a maximum of five preschoolers at any time, and no more than four children under age one at one time. The license was observed, and the restrictions were found in compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Plastic bags charging cords were observed inside two storage cubes on shelves accessible to children under three years of age located to the right of the main entrance. Plastic diaper wrappers and bags of wipes were observed located on the lower two shelves of the diaper changing table in the bathroom used by children. One Ziploc bag was observed in a bin beneath the printer, and several charging cords plugged in were observed in a bin accessible to children in the room Ms. Wilcox uses as an office, sleep space for children using pack-and-plays, and additional caregiving space. Each of these items presented a potential choking/strangulation hazard. Four outlet covers were observed without a safety cover on a surge protector (where the charging cords were plugged in as well). A canister of disinfectant wipes labeled Keep Out of Reach of Children was observed in a bin beneath the printer, and an individual-sized pump of hand sanitizer was observed on Ms. Wilcox’s desk less than five feet from the ground. An ice pack labeled Keep Out of Reach of Children with additional warnings was observed in the First Aid kit in unlocked storage. A portion of the outdoor learning environment used by all children enrolled is surrounded by a four-foot fence. A nonstationary plastic food truck was observed to have peeling, plastic labels, which could present a choking hazard. Two orange cords were observed to be hanging on the inside of the fencing, presenting a potential strangulation hazard. A foam pad was observed to be torn, with foam exposed, presenting a potential choking hazard. Two pieces of rebar were observed to be rusting and positioned with the tops of the bars inside the fenced area. An adult-sized bench was observed to have flaking paint, exposing rust on the right arm rest (facing the bench). A small table and set of two chairs located directly off the screened-in patio of the home were observed to be rusting. A charcoal grill was observed to have an unsecured lid and charcoal ash in the catch tray, accessible to children. A bag of charcoal, a rusting charcoal chimney, and a wire grill brush were also observed accessible to children. At the entrance to the playground, a set of three steps had been built using wood, dirt, and slabs of slate. The wooden footing for one step was observed to be unstable when bearing weight, and a 4-inch gap was observed between the footing and the step, creating a potential tripping hazard. A slate slab step was observed to be unstable when bearing weight. A jagged space was observed beneath the concrete slab where the air conditioning unit is located, measuring 4 ¾ inches, presenting a potential safety and entrapment hazard. An air conditioning unit was observed located within the fenced area and accessible to children; this unit also did not contain a metal guard within the top of the unit. I stated to Ms. Wilcox she must submit a plan by September 11, 2023 to enclose this unit and make it inaccessible to children. Ms. Wilcox stated an additional outdoor space is regularly used by the children located parallel to the fenced-in playground consisting of asphalt and gravel. Ms. Wilcox additionally stated each parent completed an Off-Premise Activity form authorizing children to use this space. I stated to Ms. Wilcox she may not allow children to use this space for outdoor play until the following safety issues have been corrected, and I have been notified in writing of how each item was corrected: • Rust on door to lockable shed is treated; • Shed is locked; • Riding and push lawn mowers and pressure washer are stored in locked shed; • Sharp and/or rusting gardening and other tools are made inaccessible to children; • Standing water in large flower pots, buckets, rain barrels, toxic plants, and water irrigation system is made inaccessible to children. Flaking, peeling paint was observed bordering three large outdoor windows located near the ground and accessible to children which raised a concern of potential lead-based paint. Ms. Wilcox stated the home was built in 1961 and lead testing has been completed for the home in the past; however, this documentation was not available for review during the visit. I stated Ms. Wilcox must send me this documentation as soon as possible or by her compliance letter due date. Upon arrival, capacity was monitored as indicated on the attached worksheet. Times of arrival and departure were not recorded for children in care. Supervision was adequate during the visit. I observed positive interactions today. I observed the children in care playing with toys, engaging in conversations with Ms. Wilcox, participating in general routines, and eating lunch during the visit. Ms. Wilcox stated she uses Cape Fear food program. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 9/15/2022. A Verification of Required Information for Operator and Additional Caregivers form was completed during the visit for the operator. Ms. Wilcox does not use an additional caregiver at this time. Two former staff members stopped by during the visit to see Ms. Wilcox. The operator’s son was also present in the space designated for childcare during the visit for approximately one hour. Ms. Wilcox stated each of these individuals is not present on a daily basis, but will stop by randomly to check in. I recommended Ms. Wilcox consider keeping a Criminal Background Check on file for any individual who may routinely visit the FCCH during operating hours. 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 6/20/2023. The most recent shelter-in-place drill was documented on 5/08/2023. The last outdoor inspection was also documented on 5/10/2023. There is currently one pet (canine) at this facility. The vaccination records for this dog expired on 6/19/2023. Ms. Wilcox does not participate in aquatic activities with children enrolled at this time. Staff files and children’s records were monitored per DCDEE procedures. The following records for the operator and/or program were not on file for review: current Health and Safety trainings; a playground inspection for January, 2023, a Ready to Go file, Safe Sleep Policy and poster not posted; updated health questionnaire; updated Emergency Preparedness and Response Plan review; EPR training certificate; and Emergency Medical Care Plan. The following children’s records were not on file for review: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the signed receipt of NC Summary of Child Care Law for two children enrolled, the tobacco restriction policy for one child enrolled, and the safe sleep policy for one child enrolled. The following children’s records were observed without a parent signature: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the receipt of NC Child Care Law for two children enrolled, the tobacco restriction policy for two children enrolled, the infant feeding plan for one child enrolled, and the safe sleep policy for one child enrolled. The file for the operator’s grandchild who is enrolled, but drop-in only, only contained an immunization record for review. Ms. Wilcox stated no children enrolled take medication during operating hours. Ms. Wilcox does not provide transportation 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. Records of arrival and departure were not available for review. .1721(e)(6) 923 Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year. A playground inspection was not on file for January, 2023. The vaccination records for a dog expired on 6/19/2023. .1721 (e)(7) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Plastic bags charging cords were observed inside two storage cubes on shelves accessible to children under three years of age located to the right of the main entrance. Plastic diaper wrappers and bags of wipes were observed located on the lower two shelves of the diaper changing table in the bathroom used by children. One Ziploc bag was observed in a bin beneath the printer, and several charging cords plugged in were observed in a bin accessible to children in the room Ms. Wilcox uses as an office, sleep space for children using pack-and-plays, and additional caregiving space. Each of these items presented a potential choking/strangulation hazard. Four outlet covers were observed without a safety cover on a surge protector (where the charging cords were plugged in as well). A canister of disinfectant wipes labeled Keep Out of Reach of Children was observed in a bin beneath the printer, and an individual-sized pump of hand sanitizer was observed on Ms. Wilcox’s desk less than five feet from the ground. An ice pack labeled Keep Out of Reach of Children with additional warnings was observed in this room in unlocked storage. A portion of the outdoor learning environment used by all children enrolled is surrounded by a four-foot fence. A nonstationary plastic food truck was observed to have peeling, plastic labels, which could present a choking hazard. Two orange cords were observed to be hanging on the inside of the fencing, presenting a potential strangulation hazard. A foam pad was observed to be torn, with foam exposed, presenting a potential choking hazard. Two pieces of rebar were observed to be rusting and positioned with the tops of the bars inside the fenced area. An adult-sized bench was observed to have flaking paint, exposing rust on the right arm rest (facing the bench). A small table and set of two chairs located directly off the screened-in patio of the home were observed to be rusting. A charcoal grill was observed to have an unsecured lid and charcoal ash in the catch tray, accessible to children. A bag of charcoal, a rusting charcoal chimney, and a wire grill brush were also observed accessible to children. At the entrance to the playground, a set of three steps had been built using wood, dirt, and slabs of slate. The wooden footing for one step was observed to be unstable when bearing weight, and a 4-inch gap was observed between the footing and the step, creating a potential tripping hazard. A slate slab step was observed to be unstable when bearing weight. A jagged space was observed beneath the concrete slab where the air conditioning unit is located, measuring 4 ¾ inches, presenting a potential safety and entrapment hazard. A storage shed located outside of the fenced-in area, but accessible to children, was observed to be unlocked. 10A NCAC 09 .1719 (a) 1739 All records required shall be available during operating hours, for review by a representative of the Division. The following records for the operator and/or program were not on file for review: current Health and Safety trainings; a Ready to Go file, Safe Sleep Policy and poster not posted; updated health questionnaire; updated Emergency Preparedness and Response Plan review; EPR training certificate; and Emergency Medical Care Plan. The following children’s records were not on file for review: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the safe sleep policy for one child enrolled, and the signed receipt of NC Summary of Child Care Law for two children enrolled. The following children’s records were observed without a parent signature: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the receipt of NC Child Care Law for two children enrolled, and the infant feeding plan for one child enrolled. The file for the operator’s grandchild who is enrolled, but drop-in only, only contained an immunization record for review. .1721(f)(7) 1808 Signed statement did not include the date the operator's safe sleep policy was given and explained to the parent/guardian. The safe sleep policy for one child enrolled was not signed by a parent. 10A NCAC 09 .1724(c)(3) 1821 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. The operator did not maintain safe sleep records for a minimum of 30 days and did not record visual checks of two sleeping infants during the visit. .1724(a)(8)&(f) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. The notification of Tobacco Restriction was not on file for one child enrolled and on file, but not signed by a parent, for two children enrolled. .1719(a)(11) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 9/11/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were thoroughly discussed with Ms. Wilcox during the visit: 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (2) the age range of the children served; (7) a schedule of daily, weekly, and monthly cleaning duties. 10A NCAC 09 .1702 APPLICATION FOR A LICENSE FOR A FAMILY CHILD CARE HOME (b) The applicant for a family child care home license shall also submit supporting documentation with the application for a license to the Division. The supporting documentation shall include: (4) proof of negative results of the applicant's tuberculosis test or screening completed within the past 12 months; 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: (6) use sanitary procedures when preparing and serving food. The operator shall: (A) wash his or her hands before and after handling food and feeding the children; and (B) ensure the child's hands are washed before and after the child is fed; (7) wash his or her hands, and ensure the child's hands are washed, after toileting or handling bodily fluids; (8) handwashing procedures shall include: (A) using liquid soap and water; (B) rubbing hands vigorously with soap and water for 15 seconds; (C) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (D) rinsing well for 10 seconds; (E) drying hands with a paper towel or other hand drying device; and (F) turning off faucet with a paper towel or other method without re-contaminating hands 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. (18) not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities; 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (e) The operator shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) All substitute providers and volunteers who provide care to children shall be informed of the Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files. 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (15) conduct off-premise activities as follows: (a) before the operator walks children off premises for play or outings, the parent of each child shall give written permission for the child to participate in such activities; (b) parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis; and (c) each time the children are taken off premises, the operator shall take identifying information about each child including the child's name, photograph, emergency contact information, a copy of the emergency medical care information form required by 10A NCAC 09 .1721(a)(3) of this Section. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (i) The family child care home operator and staff members shall complete a professional development plan within one year of employment and at least thereafter. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework or training needed to meet the individual's planned goals; (4) be completed by the operator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. 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 .1706 NUTRITION STANDARDS (o) Baby food, snack items, and meal items sent from home shall be dated and labeled with individual child names. (r) Each infant shall be served only formula, breast milk, and bottles labeled with their individual name. 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; 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (7) a schedule of daily, weekly, and monthly cleaning duties • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ - Please check the box for each item on your facility’s safe sleep policy which the program follows; please also ensure that enrolled/enrolling parents receive a copy of this updated policy. • Please monitor the fencing surrounding the playground fencing for developing rust. • You may access Health and Safety trainings through the following link on the Division website: https://www.dcdee.moodle.nc.gov/ Please choose the Services tab, DCDEE Moodle, Professional Development, Regulatory, and then the 2023 CCDF Health and Safety trainings. - Please place a signed copy of the Shaken Baby Policy in your operator's file. • Please monitor all outdoor equipment and stationary structures for cobwebs prior to the children using the playground. - Please monitor the outdoor environment for mildew developing on equipment, mushrooms, and materials and any small pieces of foam or plastic which could present potential choking hazards. Please also pressure wash outdoor equipment with developing mildew. • Please use the most recently updated forms from the Division website for children, staff, and program records; these can be accessed at the following website: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms#FCCH - Please record all current completed Health and Safety trainings on the Health and Safety Training Log. - Please access the Risk Management Portal at the following website to update your plan to include a floor plan and evacuation plan and print the necessary changes in your Emergency Preparedness and Response Plan: https://rmp.nc.gov/portal/portal.aspx# • Please review all children’s records to ensure that all forms have been fully completed, inclusive of a recorded date of enrollment (when applicable) and date signed by the parent/guardian. • The Child Care Health Consultant for Forsyth County is Keturah Oglesby at Smart Start of Forsyth County. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org. • Please review all Written Plans of Care to ensure it is documented you do not complete Routine Tasks during operating hours. • Please ensure parents update infant feeding schedules as children get older. • Please place a copy of your education on file for review. • Please have all parents update current off-premise activity forms by 8/31/23. • Please remember to complete a lock-down/shelter-in-place drill by 8/31/23. • Please ensure a baby gate or other approved barrier is always secured (not just leaning) in place at the base of the stair leading to the upper level of the home, as well as at the opening between the bathroom and the area currently used for food preparation to prevent access by children. • Please document a route of exit/egress on your posted floor plan • Please order a First Aid poster to post at the following link (the first poster you order will be free): https://healthychildcare.unc.edu/resources/posters/ • Please update all Pet Acknowledgement forms to reflect the correct locations of pets and pets you currently have in the home. • Please only allow children to handle scissors when sitting down. 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: OMEGA WILCOX CHILD CARE HOME Facility ID: 34000538 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 8/28/2023 Number Present: 4 Completed Date: 8/28/2023 Age: From 0 To 3 Total Minutes: 470 Time In: 09:10 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant, with Omega Wilcox, Operator. Investigations Consultant, Jaclyn Flowe, also was present during the visit. Your program currently operates with a 4-Star license. Restrictions include 1st and 2nd shift care, a maximum of five preschoolers at any time, and no more than four children under age one at one time. The license was observed, and the restrictions were found in compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Plastic bags charging cords were observed inside two storage cubes on shelves accessible to children under three years of age located to the right of the main entrance. Plastic diaper wrappers and bags of wipes were observed located on the lower two shelves of the diaper changing table in the bathroom used by children. One Ziploc bag was observed in a bin beneath the printer, and several charging cords plugged in were observed in a bin accessible to children in the room Ms. Wilcox uses as an office, sleep space for children using pack-and-plays, and additional caregiving space. Each of these items presented a potential choking/strangulation hazard. Four outlet covers were observed without a safety cover on a surge protector (where the charging cords were plugged in as well). A canister of disinfectant wipes labeled Keep Out of Reach of Children was observed in a bin beneath the printer, and an individual-sized pump of hand sanitizer was observed on Ms. Wilcox’s desk less than five feet from the ground. An ice pack labeled Keep Out of Reach of Children with additional warnings was observed in the First Aid kit in unlocked storage. A portion of the outdoor learning environment used by all children enrolled is surrounded by a four-foot fence. A nonstationary plastic food truck was observed to have peeling, plastic labels, which could present a choking hazard. Two orange cords were observed to be hanging on the inside of the fencing, presenting a potential strangulation hazard. A foam pad was observed to be torn, with foam exposed, presenting a potential choking hazard. Two pieces of rebar were observed to be rusting and positioned with the tops of the bars inside the fenced area. An adult-sized bench was observed to have flaking paint, exposing rust on the right arm rest (facing the bench). A small table and set of two chairs located directly off the screened-in patio of the home were observed to be rusting. A charcoal grill was observed to have an unsecured lid and charcoal ash in the catch tray, accessible to children. A bag of charcoal, a rusting charcoal chimney, and a wire grill brush were also observed accessible to children. At the entrance to the playground, a set of three steps had been built using wood, dirt, and slabs of slate. The wooden footing for one step was observed to be unstable when bearing weight, and a 4-inch gap was observed between the footing and the step, creating a potential tripping hazard. A slate slab step was observed to be unstable when bearing weight. A jagged space was observed beneath the concrete slab where the air conditioning unit is located, measuring 4 ¾ inches, presenting a potential safety and entrapment hazard. An air conditioning unit was observed located within the fenced area and accessible to children; this unit also did not contain a metal guard within the top of the unit. I stated to Ms. Wilcox she must submit a plan by September 11, 2023 to enclose this unit and make it inaccessible to children. Ms. Wilcox stated an additional outdoor space is regularly used by the children located parallel to the fenced-in playground consisting of asphalt and gravel. Ms. Wilcox additionally stated each parent completed an Off-Premise Activity form authorizing children to use this space. I stated to Ms. Wilcox she may not allow children to use this space for outdoor play until the following safety issues have been corrected, and I have been notified in writing of how each item was corrected: • Rust on door to lockable shed is treated; • Shed is locked; • Riding and push lawn mowers and pressure washer are stored in locked shed; • Sharp and/or rusting gardening and other tools are made inaccessible to children; • Standing water in large flower pots, buckets, rain barrels, toxic plants, and water irrigation system is made inaccessible to children. Flaking, peeling paint was observed bordering three large outdoor windows located near the ground and accessible to children which raised a concern of potential lead-based paint. Ms. Wilcox stated the home was built in 1961 and lead testing has been completed for the home in the past; however, this documentation was not available for review during the visit. I stated Ms. Wilcox must send me this documentation as soon as possible or by her compliance letter due date. Upon arrival, capacity was monitored as indicated on the attached worksheet. Times of arrival and departure were not recorded for children in care. Supervision was adequate during the visit. I observed positive interactions today. I observed the children in care playing with toys, engaging in conversations with Ms. Wilcox, participating in general routines, and eating lunch during the visit. Ms. Wilcox stated she uses Cape Fear food program. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 9/15/2022. A Verification of Required Information for Operator and Additional Caregivers form was completed during the visit for the operator. Ms. Wilcox does not use an additional caregiver at this time. Two former staff members stopped by during the visit to see Ms. Wilcox. The operator’s son was also present in the space designated for childcare during the visit for approximately one hour. Ms. Wilcox stated each of these individuals is not present on a daily basis, but will stop by randomly to check in. I recommended Ms. Wilcox consider keeping a Criminal Background Check on file for any individual who may routinely visit the FCCH during operating hours. 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 6/20/2023. The most recent shelter-in-place drill was documented on 5/08/2023. The last outdoor inspection was also documented on 5/10/2023. There is currently one pet (canine) at this facility. The vaccination records for this dog expired on 6/19/2023. Ms. Wilcox does not participate in aquatic activities with children enrolled at this time. Staff files and children’s records were monitored per DCDEE procedures. The following records for the operator and/or program were not on file for review: current Health and Safety trainings; a playground inspection for January, 2023, a Ready to Go file, Safe Sleep Policy and poster not posted; updated health questionnaire; updated Emergency Preparedness and Response Plan review; EPR training certificate; and Emergency Medical Care Plan. The following children’s records were not on file for review: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the signed receipt of NC Summary of Child Care Law for two children enrolled, the tobacco restriction policy for one child enrolled, and the safe sleep policy for one child enrolled. The following children’s records were observed without a parent signature: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the receipt of NC Child Care Law for two children enrolled, the tobacco restriction policy for two children enrolled, the infant feeding plan for one child enrolled, and the safe sleep policy for one child enrolled. The file for the operator’s grandchild who is enrolled, but drop-in only, only contained an immunization record for review. Ms. Wilcox stated no children enrolled take medication during operating hours. Ms. Wilcox does not provide transportation 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. Records of arrival and departure were not available for review. .1721(e)(6) 923 Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year. A playground inspection was not on file for January, 2023. The vaccination records for a dog expired on 6/19/2023. .1721 (e)(7) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Plastic bags charging cords were observed inside two storage cubes on shelves accessible to children under three years of age located to the right of the main entrance. Plastic diaper wrappers and bags of wipes were observed located on the lower two shelves of the diaper changing table in the bathroom used by children. One Ziploc bag was observed in a bin beneath the printer, and several charging cords plugged in were observed in a bin accessible to children in the room Ms. Wilcox uses as an office, sleep space for children using pack-and-plays, and additional caregiving space. Each of these items presented a potential choking/strangulation hazard. Four outlet covers were observed without a safety cover on a surge protector (where the charging cords were plugged in as well). A canister of disinfectant wipes labeled Keep Out of Reach of Children was observed in a bin beneath the printer, and an individual-sized pump of hand sanitizer was observed on Ms. Wilcox’s desk less than five feet from the ground. An ice pack labeled Keep Out of Reach of Children with additional warnings was observed in this room in unlocked storage. A portion of the outdoor learning environment used by all children enrolled is surrounded by a four-foot fence. A nonstationary plastic food truck was observed to have peeling, plastic labels, which could present a choking hazard. Two orange cords were observed to be hanging on the inside of the fencing, presenting a potential strangulation hazard. A foam pad was observed to be torn, with foam exposed, presenting a potential choking hazard. Two pieces of rebar were observed to be rusting and positioned with the tops of the bars inside the fenced area. An adult-sized bench was observed to have flaking paint, exposing rust on the right arm rest (facing the bench). A small table and set of two chairs located directly off the screened-in patio of the home were observed to be rusting. A charcoal grill was observed to have an unsecured lid and charcoal ash in the catch tray, accessible to children. A bag of charcoal, a rusting charcoal chimney, and a wire grill brush were also observed accessible to children. At the entrance to the playground, a set of three steps had been built using wood, dirt, and slabs of slate. The wooden footing for one step was observed to be unstable when bearing weight, and a 4-inch gap was observed between the footing and the step, creating a potential tripping hazard. A slate slab step was observed to be unstable when bearing weight. A jagged space was observed beneath the concrete slab where the air conditioning unit is located, measuring 4 ¾ inches, presenting a potential safety and entrapment hazard. A storage shed located outside of the fenced-in area, but accessible to children, was observed to be unlocked. 10A NCAC 09 .1719 (a) 1739 All records required shall be available during operating hours, for review by a representative of the Division. The following records for the operator and/or program were not on file for review: current Health and Safety trainings; a Ready to Go file, Safe Sleep Policy and poster not posted; updated health questionnaire; updated Emergency Preparedness and Response Plan review; EPR training certificate; and Emergency Medical Care Plan. The following children’s records were not on file for review: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the safe sleep policy for one child enrolled, and the signed receipt of NC Summary of Child Care Law for two children enrolled. The following children’s records were observed without a parent signature: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the receipt of NC Child Care Law for two children enrolled, and the infant feeding plan for one child enrolled. The file for the operator’s grandchild who is enrolled, but drop-in only, only contained an immunization record for review. .1721(f)(7) 1808 Signed statement did not include the date the operator's safe sleep policy was given and explained to the parent/guardian. The safe sleep policy for one child enrolled was not signed by a parent. 10A NCAC 09 .1724(c)(3) 1821 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. The operator did not maintain safe sleep records for a minimum of 30 days and did not record visual checks of two sleeping infants during the visit. .1724(a)(8)&(f) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. The notification of Tobacco Restriction was not on file for one child enrolled and on file, but not signed by a parent, for two children enrolled. .1719(a)(11) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 9/11/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were thoroughly discussed with Ms. Wilcox during the visit: 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (2) the age range of the children served; (7) a schedule of daily, weekly, and monthly cleaning duties. 10A NCAC 09 .1702 APPLICATION FOR A LICENSE FOR A FAMILY CHILD CARE HOME (b) The applicant for a family child care home license shall also submit supporting documentation with the application for a license to the Division. The supporting documentation shall include: (4) proof of negative results of the applicant's tuberculosis test or screening completed within the past 12 months; 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: (6) use sanitary procedures when preparing and serving food. The operator shall: (A) wash his or her hands before and after handling food and feeding the children; and (B) ensure the child's hands are washed before and after the child is fed; (7) wash his or her hands, and ensure the child's hands are washed, after toileting or handling bodily fluids; (8) handwashing procedures shall include: (A) using liquid soap and water; (B) rubbing hands vigorously with soap and water for 15 seconds; (C) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (D) rinsing well for 10 seconds; (E) drying hands with a paper towel or other hand drying device; and (F) turning off faucet with a paper towel or other method without re-contaminating hands 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. (18) not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities; 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (e) The operator shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) All substitute providers and volunteers who provide care to children shall be informed of the Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files. 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (15) conduct off-premise activities as follows: (a) before the operator walks children off premises for play or outings, the parent of each child shall give written permission for the child to participate in such activities; (b) parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis; and (c) each time the children are taken off premises, the operator shall take identifying information about each child including the child's name, photograph, emergency contact information, a copy of the emergency medical care information form required by 10A NCAC 09 .1721(a)(3) of this Section. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (i) The family child care home operator and staff members shall complete a professional development plan within one year of employment and at least thereafter. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework or training needed to meet the individual's planned goals; (4) be completed by the operator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. 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 .1706 NUTRITION STANDARDS (o) Baby food, snack items, and meal items sent from home shall be dated and labeled with individual child names. (r) Each infant shall be served only formula, breast milk, and bottles labeled with their individual name. 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; 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (7) a schedule of daily, weekly, and monthly cleaning duties • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ - Please check the box for each item on your facility’s safe sleep policy which the program follows; please also ensure that enrolled/enrolling parents receive a copy of this updated policy. • Please monitor the fencing surrounding the playground fencing for developing rust. • You may access Health and Safety trainings through the following link on the Division website: https://www.dcdee.moodle.nc.gov/ Please choose the Services tab, DCDEE Moodle, Professional Development, Regulatory, and then the 2023 CCDF Health and Safety trainings. - Please place a signed copy of the Shaken Baby Policy in your operator's file. • Please monitor all outdoor equipment and stationary structures for cobwebs prior to the children using the playground. - Please monitor the outdoor environment for mildew developing on equipment, mushrooms, and materials and any small pieces of foam or plastic which could present potential choking hazards. Please also pressure wash outdoor equipment with developing mildew. • Please use the most recently updated forms from the Division website for children, staff, and program records; these can be accessed at the following website: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms#FCCH - Please record all current completed Health and Safety trainings on the Health and Safety Training Log. - Please access the Risk Management Portal at the following website to update your plan to include a floor plan and evacuation plan and print the necessary changes in your Emergency Preparedness and Response Plan: https://rmp.nc.gov/portal/portal.aspx# • Please review all children’s records to ensure that all forms have been fully completed, inclusive of a recorded date of enrollment (when applicable) and date signed by the parent/guardian. • The Child Care Health Consultant for Forsyth County is Keturah Oglesby at Smart Start of Forsyth County. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org. • Please review all Written Plans of Care to ensure it is documented you do not complete Routine Tasks during operating hours. • Please ensure parents update infant feeding schedules as children get older. • Please place a copy of your education on file for review. • Please have all parents update current off-premise activity forms by 8/31/23. • Please remember to complete a lock-down/shelter-in-place drill by 8/31/23. • Please ensure a baby gate or other approved barrier is always secured (not just leaning) in place at the base of the stair leading to the upper level of the home, as well as at the opening between the bathroom and the area currently used for food preparation to prevent access by children. • Please document a route of exit/egress on your posted floor plan • Please order a First Aid poster to post at the following link (the first poster you order will be free): https://healthychildcare.unc.edu/resources/posters/ • Please update all Pet Acknowledgement forms to reflect the correct locations of pets and pets you currently have in the home. • Please only allow children to handle scissors when sitting down. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1721 · Violation

Name of Operation: OMEGA WILCOX CHILD CARE HOME Facility ID: 34000538 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 8/28/2023 Number Present: 4 Completed Date: 8/28/2023 Age: From 0 To 3 Total Minutes: 470 Time In: 09:10 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant, with Omega Wilcox, Operator. Investigations Consultant, Jaclyn Flowe, also was present during the visit. Your program currently operates with a 4-Star license. Restrictions include 1st and 2nd shift care, a maximum of five preschoolers at any time, and no more than four children under age one at one time. The license was observed, and the restrictions were found in compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Plastic bags charging cords were observed inside two storage cubes on shelves accessible to children under three years of age located to the right of the main entrance. Plastic diaper wrappers and bags of wipes were observed located on the lower two shelves of the diaper changing table in the bathroom used by children. One Ziploc bag was observed in a bin beneath the printer, and several charging cords plugged in were observed in a bin accessible to children in the room Ms. Wilcox uses as an office, sleep space for children using pack-and-plays, and additional caregiving space. Each of these items presented a potential choking/strangulation hazard. Four outlet covers were observed without a safety cover on a surge protector (where the charging cords were plugged in as well). A canister of disinfectant wipes labeled Keep Out of Reach of Children was observed in a bin beneath the printer, and an individual-sized pump of hand sanitizer was observed on Ms. Wilcox’s desk less than five feet from the ground. An ice pack labeled Keep Out of Reach of Children with additional warnings was observed in the First Aid kit in unlocked storage. A portion of the outdoor learning environment used by all children enrolled is surrounded by a four-foot fence. A nonstationary plastic food truck was observed to have peeling, plastic labels, which could present a choking hazard. Two orange cords were observed to be hanging on the inside of the fencing, presenting a potential strangulation hazard. A foam pad was observed to be torn, with foam exposed, presenting a potential choking hazard. Two pieces of rebar were observed to be rusting and positioned with the tops of the bars inside the fenced area. An adult-sized bench was observed to have flaking paint, exposing rust on the right arm rest (facing the bench). A small table and set of two chairs located directly off the screened-in patio of the home were observed to be rusting. A charcoal grill was observed to have an unsecured lid and charcoal ash in the catch tray, accessible to children. A bag of charcoal, a rusting charcoal chimney, and a wire grill brush were also observed accessible to children. At the entrance to the playground, a set of three steps had been built using wood, dirt, and slabs of slate. The wooden footing for one step was observed to be unstable when bearing weight, and a 4-inch gap was observed between the footing and the step, creating a potential tripping hazard. A slate slab step was observed to be unstable when bearing weight. A jagged space was observed beneath the concrete slab where the air conditioning unit is located, measuring 4 ¾ inches, presenting a potential safety and entrapment hazard. An air conditioning unit was observed located within the fenced area and accessible to children; this unit also did not contain a metal guard within the top of the unit. I stated to Ms. Wilcox she must submit a plan by September 11, 2023 to enclose this unit and make it inaccessible to children. Ms. Wilcox stated an additional outdoor space is regularly used by the children located parallel to the fenced-in playground consisting of asphalt and gravel. Ms. Wilcox additionally stated each parent completed an Off-Premise Activity form authorizing children to use this space. I stated to Ms. Wilcox she may not allow children to use this space for outdoor play until the following safety issues have been corrected, and I have been notified in writing of how each item was corrected: • Rust on door to lockable shed is treated; • Shed is locked; • Riding and push lawn mowers and pressure washer are stored in locked shed; • Sharp and/or rusting gardening and other tools are made inaccessible to children; • Standing water in large flower pots, buckets, rain barrels, toxic plants, and water irrigation system is made inaccessible to children. Flaking, peeling paint was observed bordering three large outdoor windows located near the ground and accessible to children which raised a concern of potential lead-based paint. Ms. Wilcox stated the home was built in 1961 and lead testing has been completed for the home in the past; however, this documentation was not available for review during the visit. I stated Ms. Wilcox must send me this documentation as soon as possible or by her compliance letter due date. Upon arrival, capacity was monitored as indicated on the attached worksheet. Times of arrival and departure were not recorded for children in care. Supervision was adequate during the visit. I observed positive interactions today. I observed the children in care playing with toys, engaging in conversations with Ms. Wilcox, participating in general routines, and eating lunch during the visit. Ms. Wilcox stated she uses Cape Fear food program. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 9/15/2022. A Verification of Required Information for Operator and Additional Caregivers form was completed during the visit for the operator. Ms. Wilcox does not use an additional caregiver at this time. Two former staff members stopped by during the visit to see Ms. Wilcox. The operator’s son was also present in the space designated for childcare during the visit for approximately one hour. Ms. Wilcox stated each of these individuals is not present on a daily basis, but will stop by randomly to check in. I recommended Ms. Wilcox consider keeping a Criminal Background Check on file for any individual who may routinely visit the FCCH during operating hours. 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 6/20/2023. The most recent shelter-in-place drill was documented on 5/08/2023. The last outdoor inspection was also documented on 5/10/2023. There is currently one pet (canine) at this facility. The vaccination records for this dog expired on 6/19/2023. Ms. Wilcox does not participate in aquatic activities with children enrolled at this time. Staff files and children’s records were monitored per DCDEE procedures. The following records for the operator and/or program were not on file for review: current Health and Safety trainings; a playground inspection for January, 2023, a Ready to Go file, Safe Sleep Policy and poster not posted; updated health questionnaire; updated Emergency Preparedness and Response Plan review; EPR training certificate; and Emergency Medical Care Plan. The following children’s records were not on file for review: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the signed receipt of NC Summary of Child Care Law for two children enrolled, the tobacco restriction policy for one child enrolled, and the safe sleep policy for one child enrolled. The following children’s records were observed without a parent signature: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the receipt of NC Child Care Law for two children enrolled, the tobacco restriction policy for two children enrolled, the infant feeding plan for one child enrolled, and the safe sleep policy for one child enrolled. The file for the operator’s grandchild who is enrolled, but drop-in only, only contained an immunization record for review. Ms. Wilcox stated no children enrolled take medication during operating hours. Ms. Wilcox does not provide transportation 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. Records of arrival and departure were not available for review. .1721(e)(6) 923 Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year. A playground inspection was not on file for January, 2023. The vaccination records for a dog expired on 6/19/2023. .1721 (e)(7) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Plastic bags charging cords were observed inside two storage cubes on shelves accessible to children under three years of age located to the right of the main entrance. Plastic diaper wrappers and bags of wipes were observed located on the lower two shelves of the diaper changing table in the bathroom used by children. One Ziploc bag was observed in a bin beneath the printer, and several charging cords plugged in were observed in a bin accessible to children in the room Ms. Wilcox uses as an office, sleep space for children using pack-and-plays, and additional caregiving space. Each of these items presented a potential choking/strangulation hazard. Four outlet covers were observed without a safety cover on a surge protector (where the charging cords were plugged in as well). A canister of disinfectant wipes labeled Keep Out of Reach of Children was observed in a bin beneath the printer, and an individual-sized pump of hand sanitizer was observed on Ms. Wilcox’s desk less than five feet from the ground. An ice pack labeled Keep Out of Reach of Children with additional warnings was observed in this room in unlocked storage. A portion of the outdoor learning environment used by all children enrolled is surrounded by a four-foot fence. A nonstationary plastic food truck was observed to have peeling, plastic labels, which could present a choking hazard. Two orange cords were observed to be hanging on the inside of the fencing, presenting a potential strangulation hazard. A foam pad was observed to be torn, with foam exposed, presenting a potential choking hazard. Two pieces of rebar were observed to be rusting and positioned with the tops of the bars inside the fenced area. An adult-sized bench was observed to have flaking paint, exposing rust on the right arm rest (facing the bench). A small table and set of two chairs located directly off the screened-in patio of the home were observed to be rusting. A charcoal grill was observed to have an unsecured lid and charcoal ash in the catch tray, accessible to children. A bag of charcoal, a rusting charcoal chimney, and a wire grill brush were also observed accessible to children. At the entrance to the playground, a set of three steps had been built using wood, dirt, and slabs of slate. The wooden footing for one step was observed to be unstable when bearing weight, and a 4-inch gap was observed between the footing and the step, creating a potential tripping hazard. A slate slab step was observed to be unstable when bearing weight. A jagged space was observed beneath the concrete slab where the air conditioning unit is located, measuring 4 ¾ inches, presenting a potential safety and entrapment hazard. A storage shed located outside of the fenced-in area, but accessible to children, was observed to be unlocked. 10A NCAC 09 .1719 (a) 1739 All records required shall be available during operating hours, for review by a representative of the Division. The following records for the operator and/or program were not on file for review: current Health and Safety trainings; a Ready to Go file, Safe Sleep Policy and poster not posted; updated health questionnaire; updated Emergency Preparedness and Response Plan review; EPR training certificate; and Emergency Medical Care Plan. The following children’s records were not on file for review: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the safe sleep policy for one child enrolled, and the signed receipt of NC Summary of Child Care Law for two children enrolled. The following children’s records were observed without a parent signature: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the receipt of NC Child Care Law for two children enrolled, and the infant feeding plan for one child enrolled. The file for the operator’s grandchild who is enrolled, but drop-in only, only contained an immunization record for review. .1721(f)(7) 1808 Signed statement did not include the date the operator's safe sleep policy was given and explained to the parent/guardian. The safe sleep policy for one child enrolled was not signed by a parent. 10A NCAC 09 .1724(c)(3) 1821 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. The operator did not maintain safe sleep records for a minimum of 30 days and did not record visual checks of two sleeping infants during the visit. .1724(a)(8)&(f) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. The notification of Tobacco Restriction was not on file for one child enrolled and on file, but not signed by a parent, for two children enrolled. .1719(a)(11) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 9/11/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were thoroughly discussed with Ms. Wilcox during the visit: 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (2) the age range of the children served; (7) a schedule of daily, weekly, and monthly cleaning duties. 10A NCAC 09 .1702 APPLICATION FOR A LICENSE FOR A FAMILY CHILD CARE HOME (b) The applicant for a family child care home license shall also submit supporting documentation with the application for a license to the Division. The supporting documentation shall include: (4) proof of negative results of the applicant's tuberculosis test or screening completed within the past 12 months; 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: (6) use sanitary procedures when preparing and serving food. The operator shall: (A) wash his or her hands before and after handling food and feeding the children; and (B) ensure the child's hands are washed before and after the child is fed; (7) wash his or her hands, and ensure the child's hands are washed, after toileting or handling bodily fluids; (8) handwashing procedures shall include: (A) using liquid soap and water; (B) rubbing hands vigorously with soap and water for 15 seconds; (C) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (D) rinsing well for 10 seconds; (E) drying hands with a paper towel or other hand drying device; and (F) turning off faucet with a paper towel or other method without re-contaminating hands 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. (18) not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities; 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (e) The operator shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) All substitute providers and volunteers who provide care to children shall be informed of the Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files. 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (15) conduct off-premise activities as follows: (a) before the operator walks children off premises for play or outings, the parent of each child shall give written permission for the child to participate in such activities; (b) parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis; and (c) each time the children are taken off premises, the operator shall take identifying information about each child including the child's name, photograph, emergency contact information, a copy of the emergency medical care information form required by 10A NCAC 09 .1721(a)(3) of this Section. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (i) The family child care home operator and staff members shall complete a professional development plan within one year of employment and at least thereafter. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework or training needed to meet the individual's planned goals; (4) be completed by the operator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. 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 .1706 NUTRITION STANDARDS (o) Baby food, snack items, and meal items sent from home shall be dated and labeled with individual child names. (r) Each infant shall be served only formula, breast milk, and bottles labeled with their individual name. 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; 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (7) a schedule of daily, weekly, and monthly cleaning duties • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ - Please check the box for each item on your facility’s safe sleep policy which the program follows; please also ensure that enrolled/enrolling parents receive a copy of this updated policy. • Please monitor the fencing surrounding the playground fencing for developing rust. • You may access Health and Safety trainings through the following link on the Division website: https://www.dcdee.moodle.nc.gov/ Please choose the Services tab, DCDEE Moodle, Professional Development, Regulatory, and then the 2023 CCDF Health and Safety trainings. - Please place a signed copy of the Shaken Baby Policy in your operator's file. • Please monitor all outdoor equipment and stationary structures for cobwebs prior to the children using the playground. - Please monitor the outdoor environment for mildew developing on equipment, mushrooms, and materials and any small pieces of foam or plastic which could present potential choking hazards. Please also pressure wash outdoor equipment with developing mildew. • Please use the most recently updated forms from the Division website for children, staff, and program records; these can be accessed at the following website: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms#FCCH - Please record all current completed Health and Safety trainings on the Health and Safety Training Log. - Please access the Risk Management Portal at the following website to update your plan to include a floor plan and evacuation plan and print the necessary changes in your Emergency Preparedness and Response Plan: https://rmp.nc.gov/portal/portal.aspx# • Please review all children’s records to ensure that all forms have been fully completed, inclusive of a recorded date of enrollment (when applicable) and date signed by the parent/guardian. • The Child Care Health Consultant for Forsyth County is Keturah Oglesby at Smart Start of Forsyth County. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org. • Please review all Written Plans of Care to ensure it is documented you do not complete Routine Tasks during operating hours. • Please ensure parents update infant feeding schedules as children get older. • Please place a copy of your education on file for review. • Please have all parents update current off-premise activity forms by 8/31/23. • Please remember to complete a lock-down/shelter-in-place drill by 8/31/23. • Please ensure a baby gate or other approved barrier is always secured (not just leaning) in place at the base of the stair leading to the upper level of the home, as well as at the opening between the bathroom and the area currently used for food preparation to prevent access by children. • Please document a route of exit/egress on your posted floor plan • Please order a First Aid poster to post at the following link (the first poster you order will be free): https://healthychildcare.unc.edu/resources/posters/ • Please update all Pet Acknowledgement forms to reflect the correct locations of pets and pets you currently have in the home. • Please only allow children to handle scissors when sitting down. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1723 · Violation

Name of Operation: OMEGA WILCOX CHILD CARE HOME Facility ID: 34000538 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 8/28/2023 Number Present: 4 Completed Date: 8/28/2023 Age: From 0 To 3 Total Minutes: 470 Time In: 09:10 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant, with Omega Wilcox, Operator. Investigations Consultant, Jaclyn Flowe, also was present during the visit. Your program currently operates with a 4-Star license. Restrictions include 1st and 2nd shift care, a maximum of five preschoolers at any time, and no more than four children under age one at one time. The license was observed, and the restrictions were found in compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Plastic bags charging cords were observed inside two storage cubes on shelves accessible to children under three years of age located to the right of the main entrance. Plastic diaper wrappers and bags of wipes were observed located on the lower two shelves of the diaper changing table in the bathroom used by children. One Ziploc bag was observed in a bin beneath the printer, and several charging cords plugged in were observed in a bin accessible to children in the room Ms. Wilcox uses as an office, sleep space for children using pack-and-plays, and additional caregiving space. Each of these items presented a potential choking/strangulation hazard. Four outlet covers were observed without a safety cover on a surge protector (where the charging cords were plugged in as well). A canister of disinfectant wipes labeled Keep Out of Reach of Children was observed in a bin beneath the printer, and an individual-sized pump of hand sanitizer was observed on Ms. Wilcox’s desk less than five feet from the ground. An ice pack labeled Keep Out of Reach of Children with additional warnings was observed in the First Aid kit in unlocked storage. A portion of the outdoor learning environment used by all children enrolled is surrounded by a four-foot fence. A nonstationary plastic food truck was observed to have peeling, plastic labels, which could present a choking hazard. Two orange cords were observed to be hanging on the inside of the fencing, presenting a potential strangulation hazard. A foam pad was observed to be torn, with foam exposed, presenting a potential choking hazard. Two pieces of rebar were observed to be rusting and positioned with the tops of the bars inside the fenced area. An adult-sized bench was observed to have flaking paint, exposing rust on the right arm rest (facing the bench). A small table and set of two chairs located directly off the screened-in patio of the home were observed to be rusting. A charcoal grill was observed to have an unsecured lid and charcoal ash in the catch tray, accessible to children. A bag of charcoal, a rusting charcoal chimney, and a wire grill brush were also observed accessible to children. At the entrance to the playground, a set of three steps had been built using wood, dirt, and slabs of slate. The wooden footing for one step was observed to be unstable when bearing weight, and a 4-inch gap was observed between the footing and the step, creating a potential tripping hazard. A slate slab step was observed to be unstable when bearing weight. A jagged space was observed beneath the concrete slab where the air conditioning unit is located, measuring 4 ¾ inches, presenting a potential safety and entrapment hazard. An air conditioning unit was observed located within the fenced area and accessible to children; this unit also did not contain a metal guard within the top of the unit. I stated to Ms. Wilcox she must submit a plan by September 11, 2023 to enclose this unit and make it inaccessible to children. Ms. Wilcox stated an additional outdoor space is regularly used by the children located parallel to the fenced-in playground consisting of asphalt and gravel. Ms. Wilcox additionally stated each parent completed an Off-Premise Activity form authorizing children to use this space. I stated to Ms. Wilcox she may not allow children to use this space for outdoor play until the following safety issues have been corrected, and I have been notified in writing of how each item was corrected: • Rust on door to lockable shed is treated; • Shed is locked; • Riding and push lawn mowers and pressure washer are stored in locked shed; • Sharp and/or rusting gardening and other tools are made inaccessible to children; • Standing water in large flower pots, buckets, rain barrels, toxic plants, and water irrigation system is made inaccessible to children. Flaking, peeling paint was observed bordering three large outdoor windows located near the ground and accessible to children which raised a concern of potential lead-based paint. Ms. Wilcox stated the home was built in 1961 and lead testing has been completed for the home in the past; however, this documentation was not available for review during the visit. I stated Ms. Wilcox must send me this documentation as soon as possible or by her compliance letter due date. Upon arrival, capacity was monitored as indicated on the attached worksheet. Times of arrival and departure were not recorded for children in care. Supervision was adequate during the visit. I observed positive interactions today. I observed the children in care playing with toys, engaging in conversations with Ms. Wilcox, participating in general routines, and eating lunch during the visit. Ms. Wilcox stated she uses Cape Fear food program. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 9/15/2022. A Verification of Required Information for Operator and Additional Caregivers form was completed during the visit for the operator. Ms. Wilcox does not use an additional caregiver at this time. Two former staff members stopped by during the visit to see Ms. Wilcox. The operator’s son was also present in the space designated for childcare during the visit for approximately one hour. Ms. Wilcox stated each of these individuals is not present on a daily basis, but will stop by randomly to check in. I recommended Ms. Wilcox consider keeping a Criminal Background Check on file for any individual who may routinely visit the FCCH during operating hours. 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 6/20/2023. The most recent shelter-in-place drill was documented on 5/08/2023. The last outdoor inspection was also documented on 5/10/2023. There is currently one pet (canine) at this facility. The vaccination records for this dog expired on 6/19/2023. Ms. Wilcox does not participate in aquatic activities with children enrolled at this time. Staff files and children’s records were monitored per DCDEE procedures. The following records for the operator and/or program were not on file for review: current Health and Safety trainings; a playground inspection for January, 2023, a Ready to Go file, Safe Sleep Policy and poster not posted; updated health questionnaire; updated Emergency Preparedness and Response Plan review; EPR training certificate; and Emergency Medical Care Plan. The following children’s records were not on file for review: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the signed receipt of NC Summary of Child Care Law for two children enrolled, the tobacco restriction policy for one child enrolled, and the safe sleep policy for one child enrolled. The following children’s records were observed without a parent signature: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the receipt of NC Child Care Law for two children enrolled, the tobacco restriction policy for two children enrolled, the infant feeding plan for one child enrolled, and the safe sleep policy for one child enrolled. The file for the operator’s grandchild who is enrolled, but drop-in only, only contained an immunization record for review. Ms. Wilcox stated no children enrolled take medication during operating hours. Ms. Wilcox does not provide transportation 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. Records of arrival and departure were not available for review. .1721(e)(6) 923 Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year. A playground inspection was not on file for January, 2023. The vaccination records for a dog expired on 6/19/2023. .1721 (e)(7) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Plastic bags charging cords were observed inside two storage cubes on shelves accessible to children under three years of age located to the right of the main entrance. Plastic diaper wrappers and bags of wipes were observed located on the lower two shelves of the diaper changing table in the bathroom used by children. One Ziploc bag was observed in a bin beneath the printer, and several charging cords plugged in were observed in a bin accessible to children in the room Ms. Wilcox uses as an office, sleep space for children using pack-and-plays, and additional caregiving space. Each of these items presented a potential choking/strangulation hazard. Four outlet covers were observed without a safety cover on a surge protector (where the charging cords were plugged in as well). A canister of disinfectant wipes labeled Keep Out of Reach of Children was observed in a bin beneath the printer, and an individual-sized pump of hand sanitizer was observed on Ms. Wilcox’s desk less than five feet from the ground. An ice pack labeled Keep Out of Reach of Children with additional warnings was observed in this room in unlocked storage. A portion of the outdoor learning environment used by all children enrolled is surrounded by a four-foot fence. A nonstationary plastic food truck was observed to have peeling, plastic labels, which could present a choking hazard. Two orange cords were observed to be hanging on the inside of the fencing, presenting a potential strangulation hazard. A foam pad was observed to be torn, with foam exposed, presenting a potential choking hazard. Two pieces of rebar were observed to be rusting and positioned with the tops of the bars inside the fenced area. An adult-sized bench was observed to have flaking paint, exposing rust on the right arm rest (facing the bench). A small table and set of two chairs located directly off the screened-in patio of the home were observed to be rusting. A charcoal grill was observed to have an unsecured lid and charcoal ash in the catch tray, accessible to children. A bag of charcoal, a rusting charcoal chimney, and a wire grill brush were also observed accessible to children. At the entrance to the playground, a set of three steps had been built using wood, dirt, and slabs of slate. The wooden footing for one step was observed to be unstable when bearing weight, and a 4-inch gap was observed between the footing and the step, creating a potential tripping hazard. A slate slab step was observed to be unstable when bearing weight. A jagged space was observed beneath the concrete slab where the air conditioning unit is located, measuring 4 ¾ inches, presenting a potential safety and entrapment hazard. A storage shed located outside of the fenced-in area, but accessible to children, was observed to be unlocked. 10A NCAC 09 .1719 (a) 1739 All records required shall be available during operating hours, for review by a representative of the Division. The following records for the operator and/or program were not on file for review: current Health and Safety trainings; a Ready to Go file, Safe Sleep Policy and poster not posted; updated health questionnaire; updated Emergency Preparedness and Response Plan review; EPR training certificate; and Emergency Medical Care Plan. The following children’s records were not on file for review: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the safe sleep policy for one child enrolled, and the signed receipt of NC Summary of Child Care Law for two children enrolled. The following children’s records were observed without a parent signature: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the receipt of NC Child Care Law for two children enrolled, and the infant feeding plan for one child enrolled. The file for the operator’s grandchild who is enrolled, but drop-in only, only contained an immunization record for review. .1721(f)(7) 1808 Signed statement did not include the date the operator's safe sleep policy was given and explained to the parent/guardian. The safe sleep policy for one child enrolled was not signed by a parent. 10A NCAC 09 .1724(c)(3) 1821 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. The operator did not maintain safe sleep records for a minimum of 30 days and did not record visual checks of two sleeping infants during the visit. .1724(a)(8)&(f) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. The notification of Tobacco Restriction was not on file for one child enrolled and on file, but not signed by a parent, for two children enrolled. .1719(a)(11) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 9/11/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were thoroughly discussed with Ms. Wilcox during the visit: 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (2) the age range of the children served; (7) a schedule of daily, weekly, and monthly cleaning duties. 10A NCAC 09 .1702 APPLICATION FOR A LICENSE FOR A FAMILY CHILD CARE HOME (b) The applicant for a family child care home license shall also submit supporting documentation with the application for a license to the Division. The supporting documentation shall include: (4) proof of negative results of the applicant's tuberculosis test or screening completed within the past 12 months; 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: (6) use sanitary procedures when preparing and serving food. The operator shall: (A) wash his or her hands before and after handling food and feeding the children; and (B) ensure the child's hands are washed before and after the child is fed; (7) wash his or her hands, and ensure the child's hands are washed, after toileting or handling bodily fluids; (8) handwashing procedures shall include: (A) using liquid soap and water; (B) rubbing hands vigorously with soap and water for 15 seconds; (C) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (D) rinsing well for 10 seconds; (E) drying hands with a paper towel or other hand drying device; and (F) turning off faucet with a paper towel or other method without re-contaminating hands 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. (18) not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities; 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (e) The operator shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) All substitute providers and volunteers who provide care to children shall be informed of the Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files. 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (15) conduct off-premise activities as follows: (a) before the operator walks children off premises for play or outings, the parent of each child shall give written permission for the child to participate in such activities; (b) parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis; and (c) each time the children are taken off premises, the operator shall take identifying information about each child including the child's name, photograph, emergency contact information, a copy of the emergency medical care information form required by 10A NCAC 09 .1721(a)(3) of this Section. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (i) The family child care home operator and staff members shall complete a professional development plan within one year of employment and at least thereafter. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework or training needed to meet the individual's planned goals; (4) be completed by the operator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. 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 .1706 NUTRITION STANDARDS (o) Baby food, snack items, and meal items sent from home shall be dated and labeled with individual child names. (r) Each infant shall be served only formula, breast milk, and bottles labeled with their individual name. 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; 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (7) a schedule of daily, weekly, and monthly cleaning duties • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ - Please check the box for each item on your facility’s safe sleep policy which the program follows; please also ensure that enrolled/enrolling parents receive a copy of this updated policy. • Please monitor the fencing surrounding the playground fencing for developing rust. • You may access Health and Safety trainings through the following link on the Division website: https://www.dcdee.moodle.nc.gov/ Please choose the Services tab, DCDEE Moodle, Professional Development, Regulatory, and then the 2023 CCDF Health and Safety trainings. - Please place a signed copy of the Shaken Baby Policy in your operator's file. • Please monitor all outdoor equipment and stationary structures for cobwebs prior to the children using the playground. - Please monitor the outdoor environment for mildew developing on equipment, mushrooms, and materials and any small pieces of foam or plastic which could present potential choking hazards. Please also pressure wash outdoor equipment with developing mildew. • Please use the most recently updated forms from the Division website for children, staff, and program records; these can be accessed at the following website: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms#FCCH - Please record all current completed Health and Safety trainings on the Health and Safety Training Log. - Please access the Risk Management Portal at the following website to update your plan to include a floor plan and evacuation plan and print the necessary changes in your Emergency Preparedness and Response Plan: https://rmp.nc.gov/portal/portal.aspx# • Please review all children’s records to ensure that all forms have been fully completed, inclusive of a recorded date of enrollment (when applicable) and date signed by the parent/guardian. • The Child Care Health Consultant for Forsyth County is Keturah Oglesby at Smart Start of Forsyth County. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org. • Please review all Written Plans of Care to ensure it is documented you do not complete Routine Tasks during operating hours. • Please ensure parents update infant feeding schedules as children get older. • Please place a copy of your education on file for review. • Please have all parents update current off-premise activity forms by 8/31/23. • Please remember to complete a lock-down/shelter-in-place drill by 8/31/23. • Please ensure a baby gate or other approved barrier is always secured (not just leaning) in place at the base of the stair leading to the upper level of the home, as well as at the opening between the bathroom and the area currently used for food preparation to prevent access by children. • Please document a route of exit/egress on your posted floor plan • Please order a First Aid poster to post at the following link (the first poster you order will be free): https://healthychildcare.unc.edu/resources/posters/ • Please update all Pet Acknowledgement forms to reflect the correct locations of pets and pets you currently have in the home. • Please only allow children to handle scissors when sitting down. 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: OMEGA WILCOX CHILD CARE HOME Facility ID: 34000538 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 8/28/2023 Number Present: 4 Completed Date: 8/28/2023 Age: From 0 To 3 Total Minutes: 470 Time In: 09:10 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant, with Omega Wilcox, Operator. Investigations Consultant, Jaclyn Flowe, also was present during the visit. Your program currently operates with a 4-Star license. Restrictions include 1st and 2nd shift care, a maximum of five preschoolers at any time, and no more than four children under age one at one time. The license was observed, and the restrictions were found in compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Plastic bags charging cords were observed inside two storage cubes on shelves accessible to children under three years of age located to the right of the main entrance. Plastic diaper wrappers and bags of wipes were observed located on the lower two shelves of the diaper changing table in the bathroom used by children. One Ziploc bag was observed in a bin beneath the printer, and several charging cords plugged in were observed in a bin accessible to children in the room Ms. Wilcox uses as an office, sleep space for children using pack-and-plays, and additional caregiving space. Each of these items presented a potential choking/strangulation hazard. Four outlet covers were observed without a safety cover on a surge protector (where the charging cords were plugged in as well). A canister of disinfectant wipes labeled Keep Out of Reach of Children was observed in a bin beneath the printer, and an individual-sized pump of hand sanitizer was observed on Ms. Wilcox’s desk less than five feet from the ground. An ice pack labeled Keep Out of Reach of Children with additional warnings was observed in the First Aid kit in unlocked storage. A portion of the outdoor learning environment used by all children enrolled is surrounded by a four-foot fence. A nonstationary plastic food truck was observed to have peeling, plastic labels, which could present a choking hazard. Two orange cords were observed to be hanging on the inside of the fencing, presenting a potential strangulation hazard. A foam pad was observed to be torn, with foam exposed, presenting a potential choking hazard. Two pieces of rebar were observed to be rusting and positioned with the tops of the bars inside the fenced area. An adult-sized bench was observed to have flaking paint, exposing rust on the right arm rest (facing the bench). A small table and set of two chairs located directly off the screened-in patio of the home were observed to be rusting. A charcoal grill was observed to have an unsecured lid and charcoal ash in the catch tray, accessible to children. A bag of charcoal, a rusting charcoal chimney, and a wire grill brush were also observed accessible to children. At the entrance to the playground, a set of three steps had been built using wood, dirt, and slabs of slate. The wooden footing for one step was observed to be unstable when bearing weight, and a 4-inch gap was observed between the footing and the step, creating a potential tripping hazard. A slate slab step was observed to be unstable when bearing weight. A jagged space was observed beneath the concrete slab where the air conditioning unit is located, measuring 4 ¾ inches, presenting a potential safety and entrapment hazard. An air conditioning unit was observed located within the fenced area and accessible to children; this unit also did not contain a metal guard within the top of the unit. I stated to Ms. Wilcox she must submit a plan by September 11, 2023 to enclose this unit and make it inaccessible to children. Ms. Wilcox stated an additional outdoor space is regularly used by the children located parallel to the fenced-in playground consisting of asphalt and gravel. Ms. Wilcox additionally stated each parent completed an Off-Premise Activity form authorizing children to use this space. I stated to Ms. Wilcox she may not allow children to use this space for outdoor play until the following safety issues have been corrected, and I have been notified in writing of how each item was corrected: • Rust on door to lockable shed is treated; • Shed is locked; • Riding and push lawn mowers and pressure washer are stored in locked shed; • Sharp and/or rusting gardening and other tools are made inaccessible to children; • Standing water in large flower pots, buckets, rain barrels, toxic plants, and water irrigation system is made inaccessible to children. Flaking, peeling paint was observed bordering three large outdoor windows located near the ground and accessible to children which raised a concern of potential lead-based paint. Ms. Wilcox stated the home was built in 1961 and lead testing has been completed for the home in the past; however, this documentation was not available for review during the visit. I stated Ms. Wilcox must send me this documentation as soon as possible or by her compliance letter due date. Upon arrival, capacity was monitored as indicated on the attached worksheet. Times of arrival and departure were not recorded for children in care. Supervision was adequate during the visit. I observed positive interactions today. I observed the children in care playing with toys, engaging in conversations with Ms. Wilcox, participating in general routines, and eating lunch during the visit. Ms. Wilcox stated she uses Cape Fear food program. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 9/15/2022. A Verification of Required Information for Operator and Additional Caregivers form was completed during the visit for the operator. Ms. Wilcox does not use an additional caregiver at this time. Two former staff members stopped by during the visit to see Ms. Wilcox. The operator’s son was also present in the space designated for childcare during the visit for approximately one hour. Ms. Wilcox stated each of these individuals is not present on a daily basis, but will stop by randomly to check in. I recommended Ms. Wilcox consider keeping a Criminal Background Check on file for any individual who may routinely visit the FCCH during operating hours. 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 6/20/2023. The most recent shelter-in-place drill was documented on 5/08/2023. The last outdoor inspection was also documented on 5/10/2023. There is currently one pet (canine) at this facility. The vaccination records for this dog expired on 6/19/2023. Ms. Wilcox does not participate in aquatic activities with children enrolled at this time. Staff files and children’s records were monitored per DCDEE procedures. The following records for the operator and/or program were not on file for review: current Health and Safety trainings; a playground inspection for January, 2023, a Ready to Go file, Safe Sleep Policy and poster not posted; updated health questionnaire; updated Emergency Preparedness and Response Plan review; EPR training certificate; and Emergency Medical Care Plan. The following children’s records were not on file for review: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the signed receipt of NC Summary of Child Care Law for two children enrolled, the tobacco restriction policy for one child enrolled, and the safe sleep policy for one child enrolled. The following children’s records were observed without a parent signature: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the receipt of NC Child Care Law for two children enrolled, the tobacco restriction policy for two children enrolled, the infant feeding plan for one child enrolled, and the safe sleep policy for one child enrolled. The file for the operator’s grandchild who is enrolled, but drop-in only, only contained an immunization record for review. Ms. Wilcox stated no children enrolled take medication during operating hours. Ms. Wilcox does not provide transportation 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. Records of arrival and departure were not available for review. .1721(e)(6) 923 Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year. A playground inspection was not on file for January, 2023. The vaccination records for a dog expired on 6/19/2023. .1721 (e)(7) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Plastic bags charging cords were observed inside two storage cubes on shelves accessible to children under three years of age located to the right of the main entrance. Plastic diaper wrappers and bags of wipes were observed located on the lower two shelves of the diaper changing table in the bathroom used by children. One Ziploc bag was observed in a bin beneath the printer, and several charging cords plugged in were observed in a bin accessible to children in the room Ms. Wilcox uses as an office, sleep space for children using pack-and-plays, and additional caregiving space. Each of these items presented a potential choking/strangulation hazard. Four outlet covers were observed without a safety cover on a surge protector (where the charging cords were plugged in as well). A canister of disinfectant wipes labeled Keep Out of Reach of Children was observed in a bin beneath the printer, and an individual-sized pump of hand sanitizer was observed on Ms. Wilcox’s desk less than five feet from the ground. An ice pack labeled Keep Out of Reach of Children with additional warnings was observed in this room in unlocked storage. A portion of the outdoor learning environment used by all children enrolled is surrounded by a four-foot fence. A nonstationary plastic food truck was observed to have peeling, plastic labels, which could present a choking hazard. Two orange cords were observed to be hanging on the inside of the fencing, presenting a potential strangulation hazard. A foam pad was observed to be torn, with foam exposed, presenting a potential choking hazard. Two pieces of rebar were observed to be rusting and positioned with the tops of the bars inside the fenced area. An adult-sized bench was observed to have flaking paint, exposing rust on the right arm rest (facing the bench). A small table and set of two chairs located directly off the screened-in patio of the home were observed to be rusting. A charcoal grill was observed to have an unsecured lid and charcoal ash in the catch tray, accessible to children. A bag of charcoal, a rusting charcoal chimney, and a wire grill brush were also observed accessible to children. At the entrance to the playground, a set of three steps had been built using wood, dirt, and slabs of slate. The wooden footing for one step was observed to be unstable when bearing weight, and a 4-inch gap was observed between the footing and the step, creating a potential tripping hazard. A slate slab step was observed to be unstable when bearing weight. A jagged space was observed beneath the concrete slab where the air conditioning unit is located, measuring 4 ¾ inches, presenting a potential safety and entrapment hazard. A storage shed located outside of the fenced-in area, but accessible to children, was observed to be unlocked. 10A NCAC 09 .1719 (a) 1739 All records required shall be available during operating hours, for review by a representative of the Division. The following records for the operator and/or program were not on file for review: current Health and Safety trainings; a Ready to Go file, Safe Sleep Policy and poster not posted; updated health questionnaire; updated Emergency Preparedness and Response Plan review; EPR training certificate; and Emergency Medical Care Plan. The following children’s records were not on file for review: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the safe sleep policy for one child enrolled, and the signed receipt of NC Summary of Child Care Law for two children enrolled. The following children’s records were observed without a parent signature: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the receipt of NC Child Care Law for two children enrolled, and the infant feeding plan for one child enrolled. The file for the operator’s grandchild who is enrolled, but drop-in only, only contained an immunization record for review. .1721(f)(7) 1808 Signed statement did not include the date the operator's safe sleep policy was given and explained to the parent/guardian. The safe sleep policy for one child enrolled was not signed by a parent. 10A NCAC 09 .1724(c)(3) 1821 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. The operator did not maintain safe sleep records for a minimum of 30 days and did not record visual checks of two sleeping infants during the visit. .1724(a)(8)&(f) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. The notification of Tobacco Restriction was not on file for one child enrolled and on file, but not signed by a parent, for two children enrolled. .1719(a)(11) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 9/11/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were thoroughly discussed with Ms. Wilcox during the visit: 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (2) the age range of the children served; (7) a schedule of daily, weekly, and monthly cleaning duties. 10A NCAC 09 .1702 APPLICATION FOR A LICENSE FOR A FAMILY CHILD CARE HOME (b) The applicant for a family child care home license shall also submit supporting documentation with the application for a license to the Division. The supporting documentation shall include: (4) proof of negative results of the applicant's tuberculosis test or screening completed within the past 12 months; 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: (6) use sanitary procedures when preparing and serving food. The operator shall: (A) wash his or her hands before and after handling food and feeding the children; and (B) ensure the child's hands are washed before and after the child is fed; (7) wash his or her hands, and ensure the child's hands are washed, after toileting or handling bodily fluids; (8) handwashing procedures shall include: (A) using liquid soap and water; (B) rubbing hands vigorously with soap and water for 15 seconds; (C) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (D) rinsing well for 10 seconds; (E) drying hands with a paper towel or other hand drying device; and (F) turning off faucet with a paper towel or other method without re-contaminating hands 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. (18) not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities; 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (e) The operator shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) All substitute providers and volunteers who provide care to children shall be informed of the Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files. 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (15) conduct off-premise activities as follows: (a) before the operator walks children off premises for play or outings, the parent of each child shall give written permission for the child to participate in such activities; (b) parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis; and (c) each time the children are taken off premises, the operator shall take identifying information about each child including the child's name, photograph, emergency contact information, a copy of the emergency medical care information form required by 10A NCAC 09 .1721(a)(3) of this Section. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (i) The family child care home operator and staff members shall complete a professional development plan within one year of employment and at least thereafter. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework or training needed to meet the individual's planned goals; (4) be completed by the operator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. 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 .1706 NUTRITION STANDARDS (o) Baby food, snack items, and meal items sent from home shall be dated and labeled with individual child names. (r) Each infant shall be served only formula, breast milk, and bottles labeled with their individual name. 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; 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (7) a schedule of daily, weekly, and monthly cleaning duties • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ - Please check the box for each item on your facility’s safe sleep policy which the program follows; please also ensure that enrolled/enrolling parents receive a copy of this updated policy. • Please monitor the fencing surrounding the playground fencing for developing rust. • You may access Health and Safety trainings through the following link on the Division website: https://www.dcdee.moodle.nc.gov/ Please choose the Services tab, DCDEE Moodle, Professional Development, Regulatory, and then the 2023 CCDF Health and Safety trainings. - Please place a signed copy of the Shaken Baby Policy in your operator's file. • Please monitor all outdoor equipment and stationary structures for cobwebs prior to the children using the playground. - Please monitor the outdoor environment for mildew developing on equipment, mushrooms, and materials and any small pieces of foam or plastic which could present potential choking hazards. Please also pressure wash outdoor equipment with developing mildew. • Please use the most recently updated forms from the Division website for children, staff, and program records; these can be accessed at the following website: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms#FCCH - Please record all current completed Health and Safety trainings on the Health and Safety Training Log. - Please access the Risk Management Portal at the following website to update your plan to include a floor plan and evacuation plan and print the necessary changes in your Emergency Preparedness and Response Plan: https://rmp.nc.gov/portal/portal.aspx# • Please review all children’s records to ensure that all forms have been fully completed, inclusive of a recorded date of enrollment (when applicable) and date signed by the parent/guardian. • The Child Care Health Consultant for Forsyth County is Keturah Oglesby at Smart Start of Forsyth County. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org. • Please review all Written Plans of Care to ensure it is documented you do not complete Routine Tasks during operating hours. • Please ensure parents update infant feeding schedules as children get older. • Please place a copy of your education on file for review. • Please have all parents update current off-premise activity forms by 8/31/23. • Please remember to complete a lock-down/shelter-in-place drill by 8/31/23. • Please ensure a baby gate or other approved barrier is always secured (not just leaning) in place at the base of the stair leading to the upper level of the home, as well as at the opening between the bathroom and the area currently used for food preparation to prevent access by children. • Please document a route of exit/egress on your posted floor plan • Please order a First Aid poster to post at the following link (the first poster you order will be free): https://healthychildcare.unc.edu/resources/posters/ • Please update all Pet Acknowledgement forms to reflect the correct locations of pets and pets you currently have in the home. • Please only allow children to handle scissors when sitting down. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1725 · Violation

Name of Operation: OMEGA WILCOX CHILD CARE HOME Facility ID: 34000538 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 8/28/2023 Number Present: 4 Completed Date: 8/28/2023 Age: From 0 To 3 Total Minutes: 470 Time In: 09:10 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant, with Omega Wilcox, Operator. Investigations Consultant, Jaclyn Flowe, also was present during the visit. Your program currently operates with a 4-Star license. Restrictions include 1st and 2nd shift care, a maximum of five preschoolers at any time, and no more than four children under age one at one time. The license was observed, and the restrictions were found in compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Plastic bags charging cords were observed inside two storage cubes on shelves accessible to children under three years of age located to the right of the main entrance. Plastic diaper wrappers and bags of wipes were observed located on the lower two shelves of the diaper changing table in the bathroom used by children. One Ziploc bag was observed in a bin beneath the printer, and several charging cords plugged in were observed in a bin accessible to children in the room Ms. Wilcox uses as an office, sleep space for children using pack-and-plays, and additional caregiving space. Each of these items presented a potential choking/strangulation hazard. Four outlet covers were observed without a safety cover on a surge protector (where the charging cords were plugged in as well). A canister of disinfectant wipes labeled Keep Out of Reach of Children was observed in a bin beneath the printer, and an individual-sized pump of hand sanitizer was observed on Ms. Wilcox’s desk less than five feet from the ground. An ice pack labeled Keep Out of Reach of Children with additional warnings was observed in the First Aid kit in unlocked storage. A portion of the outdoor learning environment used by all children enrolled is surrounded by a four-foot fence. A nonstationary plastic food truck was observed to have peeling, plastic labels, which could present a choking hazard. Two orange cords were observed to be hanging on the inside of the fencing, presenting a potential strangulation hazard. A foam pad was observed to be torn, with foam exposed, presenting a potential choking hazard. Two pieces of rebar were observed to be rusting and positioned with the tops of the bars inside the fenced area. An adult-sized bench was observed to have flaking paint, exposing rust on the right arm rest (facing the bench). A small table and set of two chairs located directly off the screened-in patio of the home were observed to be rusting. A charcoal grill was observed to have an unsecured lid and charcoal ash in the catch tray, accessible to children. A bag of charcoal, a rusting charcoal chimney, and a wire grill brush were also observed accessible to children. At the entrance to the playground, a set of three steps had been built using wood, dirt, and slabs of slate. The wooden footing for one step was observed to be unstable when bearing weight, and a 4-inch gap was observed between the footing and the step, creating a potential tripping hazard. A slate slab step was observed to be unstable when bearing weight. A jagged space was observed beneath the concrete slab where the air conditioning unit is located, measuring 4 ¾ inches, presenting a potential safety and entrapment hazard. An air conditioning unit was observed located within the fenced area and accessible to children; this unit also did not contain a metal guard within the top of the unit. I stated to Ms. Wilcox she must submit a plan by September 11, 2023 to enclose this unit and make it inaccessible to children. Ms. Wilcox stated an additional outdoor space is regularly used by the children located parallel to the fenced-in playground consisting of asphalt and gravel. Ms. Wilcox additionally stated each parent completed an Off-Premise Activity form authorizing children to use this space. I stated to Ms. Wilcox she may not allow children to use this space for outdoor play until the following safety issues have been corrected, and I have been notified in writing of how each item was corrected: • Rust on door to lockable shed is treated; • Shed is locked; • Riding and push lawn mowers and pressure washer are stored in locked shed; • Sharp and/or rusting gardening and other tools are made inaccessible to children; • Standing water in large flower pots, buckets, rain barrels, toxic plants, and water irrigation system is made inaccessible to children. Flaking, peeling paint was observed bordering three large outdoor windows located near the ground and accessible to children which raised a concern of potential lead-based paint. Ms. Wilcox stated the home was built in 1961 and lead testing has been completed for the home in the past; however, this documentation was not available for review during the visit. I stated Ms. Wilcox must send me this documentation as soon as possible or by her compliance letter due date. Upon arrival, capacity was monitored as indicated on the attached worksheet. Times of arrival and departure were not recorded for children in care. Supervision was adequate during the visit. I observed positive interactions today. I observed the children in care playing with toys, engaging in conversations with Ms. Wilcox, participating in general routines, and eating lunch during the visit. Ms. Wilcox stated she uses Cape Fear food program. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 9/15/2022. A Verification of Required Information for Operator and Additional Caregivers form was completed during the visit for the operator. Ms. Wilcox does not use an additional caregiver at this time. Two former staff members stopped by during the visit to see Ms. Wilcox. The operator’s son was also present in the space designated for childcare during the visit for approximately one hour. Ms. Wilcox stated each of these individuals is not present on a daily basis, but will stop by randomly to check in. I recommended Ms. Wilcox consider keeping a Criminal Background Check on file for any individual who may routinely visit the FCCH during operating hours. 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 6/20/2023. The most recent shelter-in-place drill was documented on 5/08/2023. The last outdoor inspection was also documented on 5/10/2023. There is currently one pet (canine) at this facility. The vaccination records for this dog expired on 6/19/2023. Ms. Wilcox does not participate in aquatic activities with children enrolled at this time. Staff files and children’s records were monitored per DCDEE procedures. The following records for the operator and/or program were not on file for review: current Health and Safety trainings; a playground inspection for January, 2023, a Ready to Go file, Safe Sleep Policy and poster not posted; updated health questionnaire; updated Emergency Preparedness and Response Plan review; EPR training certificate; and Emergency Medical Care Plan. The following children’s records were not on file for review: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the signed receipt of NC Summary of Child Care Law for two children enrolled, the tobacco restriction policy for one child enrolled, and the safe sleep policy for one child enrolled. The following children’s records were observed without a parent signature: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the receipt of NC Child Care Law for two children enrolled, the tobacco restriction policy for two children enrolled, the infant feeding plan for one child enrolled, and the safe sleep policy for one child enrolled. The file for the operator’s grandchild who is enrolled, but drop-in only, only contained an immunization record for review. Ms. Wilcox stated no children enrolled take medication during operating hours. Ms. Wilcox does not provide transportation 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. Records of arrival and departure were not available for review. .1721(e)(6) 923 Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year. A playground inspection was not on file for January, 2023. The vaccination records for a dog expired on 6/19/2023. .1721 (e)(7) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Plastic bags charging cords were observed inside two storage cubes on shelves accessible to children under three years of age located to the right of the main entrance. Plastic diaper wrappers and bags of wipes were observed located on the lower two shelves of the diaper changing table in the bathroom used by children. One Ziploc bag was observed in a bin beneath the printer, and several charging cords plugged in were observed in a bin accessible to children in the room Ms. Wilcox uses as an office, sleep space for children using pack-and-plays, and additional caregiving space. Each of these items presented a potential choking/strangulation hazard. Four outlet covers were observed without a safety cover on a surge protector (where the charging cords were plugged in as well). A canister of disinfectant wipes labeled Keep Out of Reach of Children was observed in a bin beneath the printer, and an individual-sized pump of hand sanitizer was observed on Ms. Wilcox’s desk less than five feet from the ground. An ice pack labeled Keep Out of Reach of Children with additional warnings was observed in this room in unlocked storage. A portion of the outdoor learning environment used by all children enrolled is surrounded by a four-foot fence. A nonstationary plastic food truck was observed to have peeling, plastic labels, which could present a choking hazard. Two orange cords were observed to be hanging on the inside of the fencing, presenting a potential strangulation hazard. A foam pad was observed to be torn, with foam exposed, presenting a potential choking hazard. Two pieces of rebar were observed to be rusting and positioned with the tops of the bars inside the fenced area. An adult-sized bench was observed to have flaking paint, exposing rust on the right arm rest (facing the bench). A small table and set of two chairs located directly off the screened-in patio of the home were observed to be rusting. A charcoal grill was observed to have an unsecured lid and charcoal ash in the catch tray, accessible to children. A bag of charcoal, a rusting charcoal chimney, and a wire grill brush were also observed accessible to children. At the entrance to the playground, a set of three steps had been built using wood, dirt, and slabs of slate. The wooden footing for one step was observed to be unstable when bearing weight, and a 4-inch gap was observed between the footing and the step, creating a potential tripping hazard. A slate slab step was observed to be unstable when bearing weight. A jagged space was observed beneath the concrete slab where the air conditioning unit is located, measuring 4 ¾ inches, presenting a potential safety and entrapment hazard. A storage shed located outside of the fenced-in area, but accessible to children, was observed to be unlocked. 10A NCAC 09 .1719 (a) 1739 All records required shall be available during operating hours, for review by a representative of the Division. The following records for the operator and/or program were not on file for review: current Health and Safety trainings; a Ready to Go file, Safe Sleep Policy and poster not posted; updated health questionnaire; updated Emergency Preparedness and Response Plan review; EPR training certificate; and Emergency Medical Care Plan. The following children’s records were not on file for review: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the safe sleep policy for one child enrolled, and the signed receipt of NC Summary of Child Care Law for two children enrolled. The following children’s records were observed without a parent signature: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the receipt of NC Child Care Law for two children enrolled, and the infant feeding plan for one child enrolled. The file for the operator’s grandchild who is enrolled, but drop-in only, only contained an immunization record for review. .1721(f)(7) 1808 Signed statement did not include the date the operator's safe sleep policy was given and explained to the parent/guardian. The safe sleep policy for one child enrolled was not signed by a parent. 10A NCAC 09 .1724(c)(3) 1821 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. The operator did not maintain safe sleep records for a minimum of 30 days and did not record visual checks of two sleeping infants during the visit. .1724(a)(8)&(f) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. The notification of Tobacco Restriction was not on file for one child enrolled and on file, but not signed by a parent, for two children enrolled. .1719(a)(11) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 9/11/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were thoroughly discussed with Ms. Wilcox during the visit: 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (2) the age range of the children served; (7) a schedule of daily, weekly, and monthly cleaning duties. 10A NCAC 09 .1702 APPLICATION FOR A LICENSE FOR A FAMILY CHILD CARE HOME (b) The applicant for a family child care home license shall also submit supporting documentation with the application for a license to the Division. The supporting documentation shall include: (4) proof of negative results of the applicant's tuberculosis test or screening completed within the past 12 months; 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: (6) use sanitary procedures when preparing and serving food. The operator shall: (A) wash his or her hands before and after handling food and feeding the children; and (B) ensure the child's hands are washed before and after the child is fed; (7) wash his or her hands, and ensure the child's hands are washed, after toileting or handling bodily fluids; (8) handwashing procedures shall include: (A) using liquid soap and water; (B) rubbing hands vigorously with soap and water for 15 seconds; (C) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (D) rinsing well for 10 seconds; (E) drying hands with a paper towel or other hand drying device; and (F) turning off faucet with a paper towel or other method without re-contaminating hands 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. (18) not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities; 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (e) The operator shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) All substitute providers and volunteers who provide care to children shall be informed of the Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files. 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (15) conduct off-premise activities as follows: (a) before the operator walks children off premises for play or outings, the parent of each child shall give written permission for the child to participate in such activities; (b) parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis; and (c) each time the children are taken off premises, the operator shall take identifying information about each child including the child's name, photograph, emergency contact information, a copy of the emergency medical care information form required by 10A NCAC 09 .1721(a)(3) of this Section. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (i) The family child care home operator and staff members shall complete a professional development plan within one year of employment and at least thereafter. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework or training needed to meet the individual's planned goals; (4) be completed by the operator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. 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 .1706 NUTRITION STANDARDS (o) Baby food, snack items, and meal items sent from home shall be dated and labeled with individual child names. (r) Each infant shall be served only formula, breast milk, and bottles labeled with their individual name. 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; 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (7) a schedule of daily, weekly, and monthly cleaning duties • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ - Please check the box for each item on your facility’s safe sleep policy which the program follows; please also ensure that enrolled/enrolling parents receive a copy of this updated policy. • Please monitor the fencing surrounding the playground fencing for developing rust. • You may access Health and Safety trainings through the following link on the Division website: https://www.dcdee.moodle.nc.gov/ Please choose the Services tab, DCDEE Moodle, Professional Development, Regulatory, and then the 2023 CCDF Health and Safety trainings. - Please place a signed copy of the Shaken Baby Policy in your operator's file. • Please monitor all outdoor equipment and stationary structures for cobwebs prior to the children using the playground. - Please monitor the outdoor environment for mildew developing on equipment, mushrooms, and materials and any small pieces of foam or plastic which could present potential choking hazards. Please also pressure wash outdoor equipment with developing mildew. • Please use the most recently updated forms from the Division website for children, staff, and program records; these can be accessed at the following website: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms#FCCH - Please record all current completed Health and Safety trainings on the Health and Safety Training Log. - Please access the Risk Management Portal at the following website to update your plan to include a floor plan and evacuation plan and print the necessary changes in your Emergency Preparedness and Response Plan: https://rmp.nc.gov/portal/portal.aspx# • Please review all children’s records to ensure that all forms have been fully completed, inclusive of a recorded date of enrollment (when applicable) and date signed by the parent/guardian. • The Child Care Health Consultant for Forsyth County is Keturah Oglesby at Smart Start of Forsyth County. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org. • Please review all Written Plans of Care to ensure it is documented you do not complete Routine Tasks during operating hours. • Please ensure parents update infant feeding schedules as children get older. • Please place a copy of your education on file for review. • Please have all parents update current off-premise activity forms by 8/31/23. • Please remember to complete a lock-down/shelter-in-place drill by 8/31/23. • Please ensure a baby gate or other approved barrier is always secured (not just leaning) in place at the base of the stair leading to the upper level of the home, as well as at the opening between the bathroom and the area currently used for food preparation to prevent access by children. • Please document a route of exit/egress on your posted floor plan • Please order a First Aid poster to post at the following link (the first poster you order will be free): https://healthychildcare.unc.edu/resources/posters/ • Please update all Pet Acknowledgement forms to reflect the correct locations of pets and pets you currently have in the home. • Please only allow children to handle scissors when sitting down. 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: OMEGA WILCOX CHILD CARE HOME Facility ID: 34000538 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 8/28/2023 Number Present: 4 Completed Date: 8/28/2023 Age: From 0 To 3 Total Minutes: 470 Time In: 09:10 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant, with Omega Wilcox, Operator. Investigations Consultant, Jaclyn Flowe, also was present during the visit. Your program currently operates with a 4-Star license. Restrictions include 1st and 2nd shift care, a maximum of five preschoolers at any time, and no more than four children under age one at one time. The license was observed, and the restrictions were found in compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Plastic bags charging cords were observed inside two storage cubes on shelves accessible to children under three years of age located to the right of the main entrance. Plastic diaper wrappers and bags of wipes were observed located on the lower two shelves of the diaper changing table in the bathroom used by children. One Ziploc bag was observed in a bin beneath the printer, and several charging cords plugged in were observed in a bin accessible to children in the room Ms. Wilcox uses as an office, sleep space for children using pack-and-plays, and additional caregiving space. Each of these items presented a potential choking/strangulation hazard. Four outlet covers were observed without a safety cover on a surge protector (where the charging cords were plugged in as well). A canister of disinfectant wipes labeled Keep Out of Reach of Children was observed in a bin beneath the printer, and an individual-sized pump of hand sanitizer was observed on Ms. Wilcox’s desk less than five feet from the ground. An ice pack labeled Keep Out of Reach of Children with additional warnings was observed in the First Aid kit in unlocked storage. A portion of the outdoor learning environment used by all children enrolled is surrounded by a four-foot fence. A nonstationary plastic food truck was observed to have peeling, plastic labels, which could present a choking hazard. Two orange cords were observed to be hanging on the inside of the fencing, presenting a potential strangulation hazard. A foam pad was observed to be torn, with foam exposed, presenting a potential choking hazard. Two pieces of rebar were observed to be rusting and positioned with the tops of the bars inside the fenced area. An adult-sized bench was observed to have flaking paint, exposing rust on the right arm rest (facing the bench). A small table and set of two chairs located directly off the screened-in patio of the home were observed to be rusting. A charcoal grill was observed to have an unsecured lid and charcoal ash in the catch tray, accessible to children. A bag of charcoal, a rusting charcoal chimney, and a wire grill brush were also observed accessible to children. At the entrance to the playground, a set of three steps had been built using wood, dirt, and slabs of slate. The wooden footing for one step was observed to be unstable when bearing weight, and a 4-inch gap was observed between the footing and the step, creating a potential tripping hazard. A slate slab step was observed to be unstable when bearing weight. A jagged space was observed beneath the concrete slab where the air conditioning unit is located, measuring 4 ¾ inches, presenting a potential safety and entrapment hazard. An air conditioning unit was observed located within the fenced area and accessible to children; this unit also did not contain a metal guard within the top of the unit. I stated to Ms. Wilcox she must submit a plan by September 11, 2023 to enclose this unit and make it inaccessible to children. Ms. Wilcox stated an additional outdoor space is regularly used by the children located parallel to the fenced-in playground consisting of asphalt and gravel. Ms. Wilcox additionally stated each parent completed an Off-Premise Activity form authorizing children to use this space. I stated to Ms. Wilcox she may not allow children to use this space for outdoor play until the following safety issues have been corrected, and I have been notified in writing of how each item was corrected: • Rust on door to lockable shed is treated; • Shed is locked; • Riding and push lawn mowers and pressure washer are stored in locked shed; • Sharp and/or rusting gardening and other tools are made inaccessible to children; • Standing water in large flower pots, buckets, rain barrels, toxic plants, and water irrigation system is made inaccessible to children. Flaking, peeling paint was observed bordering three large outdoor windows located near the ground and accessible to children which raised a concern of potential lead-based paint. Ms. Wilcox stated the home was built in 1961 and lead testing has been completed for the home in the past; however, this documentation was not available for review during the visit. I stated Ms. Wilcox must send me this documentation as soon as possible or by her compliance letter due date. Upon arrival, capacity was monitored as indicated on the attached worksheet. Times of arrival and departure were not recorded for children in care. Supervision was adequate during the visit. I observed positive interactions today. I observed the children in care playing with toys, engaging in conversations with Ms. Wilcox, participating in general routines, and eating lunch during the visit. Ms. Wilcox stated she uses Cape Fear food program. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 9/15/2022. A Verification of Required Information for Operator and Additional Caregivers form was completed during the visit for the operator. Ms. Wilcox does not use an additional caregiver at this time. Two former staff members stopped by during the visit to see Ms. Wilcox. The operator’s son was also present in the space designated for childcare during the visit for approximately one hour. Ms. Wilcox stated each of these individuals is not present on a daily basis, but will stop by randomly to check in. I recommended Ms. Wilcox consider keeping a Criminal Background Check on file for any individual who may routinely visit the FCCH during operating hours. 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 6/20/2023. The most recent shelter-in-place drill was documented on 5/08/2023. The last outdoor inspection was also documented on 5/10/2023. There is currently one pet (canine) at this facility. The vaccination records for this dog expired on 6/19/2023. Ms. Wilcox does not participate in aquatic activities with children enrolled at this time. Staff files and children’s records were monitored per DCDEE procedures. The following records for the operator and/or program were not on file for review: current Health and Safety trainings; a playground inspection for January, 2023, a Ready to Go file, Safe Sleep Policy and poster not posted; updated health questionnaire; updated Emergency Preparedness and Response Plan review; EPR training certificate; and Emergency Medical Care Plan. The following children’s records were not on file for review: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the signed receipt of NC Summary of Child Care Law for two children enrolled, the tobacco restriction policy for one child enrolled, and the safe sleep policy for one child enrolled. The following children’s records were observed without a parent signature: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the receipt of NC Child Care Law for two children enrolled, the tobacco restriction policy for two children enrolled, the infant feeding plan for one child enrolled, and the safe sleep policy for one child enrolled. The file for the operator’s grandchild who is enrolled, but drop-in only, only contained an immunization record for review. Ms. Wilcox stated no children enrolled take medication during operating hours. Ms. Wilcox does not provide transportation 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. Records of arrival and departure were not available for review. .1721(e)(6) 923 Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year. A playground inspection was not on file for January, 2023. The vaccination records for a dog expired on 6/19/2023. .1721 (e)(7) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Plastic bags charging cords were observed inside two storage cubes on shelves accessible to children under three years of age located to the right of the main entrance. Plastic diaper wrappers and bags of wipes were observed located on the lower two shelves of the diaper changing table in the bathroom used by children. One Ziploc bag was observed in a bin beneath the printer, and several charging cords plugged in were observed in a bin accessible to children in the room Ms. Wilcox uses as an office, sleep space for children using pack-and-plays, and additional caregiving space. Each of these items presented a potential choking/strangulation hazard. Four outlet covers were observed without a safety cover on a surge protector (where the charging cords were plugged in as well). A canister of disinfectant wipes labeled Keep Out of Reach of Children was observed in a bin beneath the printer, and an individual-sized pump of hand sanitizer was observed on Ms. Wilcox’s desk less than five feet from the ground. An ice pack labeled Keep Out of Reach of Children with additional warnings was observed in this room in unlocked storage. A portion of the outdoor learning environment used by all children enrolled is surrounded by a four-foot fence. A nonstationary plastic food truck was observed to have peeling, plastic labels, which could present a choking hazard. Two orange cords were observed to be hanging on the inside of the fencing, presenting a potential strangulation hazard. A foam pad was observed to be torn, with foam exposed, presenting a potential choking hazard. Two pieces of rebar were observed to be rusting and positioned with the tops of the bars inside the fenced area. An adult-sized bench was observed to have flaking paint, exposing rust on the right arm rest (facing the bench). A small table and set of two chairs located directly off the screened-in patio of the home were observed to be rusting. A charcoal grill was observed to have an unsecured lid and charcoal ash in the catch tray, accessible to children. A bag of charcoal, a rusting charcoal chimney, and a wire grill brush were also observed accessible to children. At the entrance to the playground, a set of three steps had been built using wood, dirt, and slabs of slate. The wooden footing for one step was observed to be unstable when bearing weight, and a 4-inch gap was observed between the footing and the step, creating a potential tripping hazard. A slate slab step was observed to be unstable when bearing weight. A jagged space was observed beneath the concrete slab where the air conditioning unit is located, measuring 4 ¾ inches, presenting a potential safety and entrapment hazard. A storage shed located outside of the fenced-in area, but accessible to children, was observed to be unlocked. 10A NCAC 09 .1719 (a) 1739 All records required shall be available during operating hours, for review by a representative of the Division. The following records for the operator and/or program were not on file for review: current Health and Safety trainings; a Ready to Go file, Safe Sleep Policy and poster not posted; updated health questionnaire; updated Emergency Preparedness and Response Plan review; EPR training certificate; and Emergency Medical Care Plan. The following children’s records were not on file for review: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the safe sleep policy for one child enrolled, and the signed receipt of NC Summary of Child Care Law for two children enrolled. The following children’s records were observed without a parent signature: the off-premise form for one child enrolled, the discipline policy for one child enrolled, the receipt of NC Child Care Law for two children enrolled, and the infant feeding plan for one child enrolled. The file for the operator’s grandchild who is enrolled, but drop-in only, only contained an immunization record for review. .1721(f)(7) 1808 Signed statement did not include the date the operator's safe sleep policy was given and explained to the parent/guardian. The safe sleep policy for one child enrolled was not signed by a parent. 10A NCAC 09 .1724(c)(3) 1821 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. The operator did not maintain safe sleep records for a minimum of 30 days and did not record visual checks of two sleeping infants during the visit. .1724(a)(8)&(f) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. The notification of Tobacco Restriction was not on file for one child enrolled and on file, but not signed by a parent, for two children enrolled. .1719(a)(11) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 9/11/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were thoroughly discussed with Ms. Wilcox during the visit: 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (2) the age range of the children served; (7) a schedule of daily, weekly, and monthly cleaning duties. 10A NCAC 09 .1702 APPLICATION FOR A LICENSE FOR A FAMILY CHILD CARE HOME (b) The applicant for a family child care home license shall also submit supporting documentation with the application for a license to the Division. The supporting documentation shall include: (4) proof of negative results of the applicant's tuberculosis test or screening completed within the past 12 months; 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: (6) use sanitary procedures when preparing and serving food. The operator shall: (A) wash his or her hands before and after handling food and feeding the children; and (B) ensure the child's hands are washed before and after the child is fed; (7) wash his or her hands, and ensure the child's hands are washed, after toileting or handling bodily fluids; (8) handwashing procedures shall include: (A) using liquid soap and water; (B) rubbing hands vigorously with soap and water for 15 seconds; (C) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (D) rinsing well for 10 seconds; (E) drying hands with a paper towel or other hand drying device; and (F) turning off faucet with a paper towel or other method without re-contaminating hands 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. (18) not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities; 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (e) The operator shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) All substitute providers and volunteers who provide care to children shall be informed of the Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files. 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (15) conduct off-premise activities as follows: (a) before the operator walks children off premises for play or outings, the parent of each child shall give written permission for the child to participate in such activities; (b) parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis; and (c) each time the children are taken off premises, the operator shall take identifying information about each child including the child's name, photograph, emergency contact information, a copy of the emergency medical care information form required by 10A NCAC 09 .1721(a)(3) of this Section. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (i) The family child care home operator and staff members shall complete a professional development plan within one year of employment and at least thereafter. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework or training needed to meet the individual's planned goals; (4) be completed by the operator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. 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 .1706 NUTRITION STANDARDS (o) Baby food, snack items, and meal items sent from home shall be dated and labeled with individual child names. (r) Each infant shall be served only formula, breast milk, and bottles labeled with their individual name. 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; 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (7) a schedule of daily, weekly, and monthly cleaning duties • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ - Please check the box for each item on your facility’s safe sleep policy which the program follows; please also ensure that enrolled/enrolling parents receive a copy of this updated policy. • Please monitor the fencing surrounding the playground fencing for developing rust. • You may access Health and Safety trainings through the following link on the Division website: https://www.dcdee.moodle.nc.gov/ Please choose the Services tab, DCDEE Moodle, Professional Development, Regulatory, and then the 2023 CCDF Health and Safety trainings. - Please place a signed copy of the Shaken Baby Policy in your operator's file. • Please monitor all outdoor equipment and stationary structures for cobwebs prior to the children using the playground. - Please monitor the outdoor environment for mildew developing on equipment, mushrooms, and materials and any small pieces of foam or plastic which could present potential choking hazards. Please also pressure wash outdoor equipment with developing mildew. • Please use the most recently updated forms from the Division website for children, staff, and program records; these can be accessed at the following website: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms#FCCH - Please record all current completed Health and Safety trainings on the Health and Safety Training Log. - Please access the Risk Management Portal at the following website to update your plan to include a floor plan and evacuation plan and print the necessary changes in your Emergency Preparedness and Response Plan: https://rmp.nc.gov/portal/portal.aspx# • Please review all children’s records to ensure that all forms have been fully completed, inclusive of a recorded date of enrollment (when applicable) and date signed by the parent/guardian. • The Child Care Health Consultant for Forsyth County is Keturah Oglesby at Smart Start of Forsyth County. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org. • Please review all Written Plans of Care to ensure it is documented you do not complete Routine Tasks during operating hours. • Please ensure parents update infant feeding schedules as children get older. • Please place a copy of your education on file for review. • Please have all parents update current off-premise activity forms by 8/31/23. • Please remember to complete a lock-down/shelter-in-place drill by 8/31/23. • Please ensure a baby gate or other approved barrier is always secured (not just leaning) in place at the base of the stair leading to the upper level of the home, as well as at the opening between the bathroom and the area currently used for food preparation to prevent access by children. • Please document a route of exit/egress on your posted floor plan • Please order a First Aid poster to post at the following link (the first poster you order will be free): https://healthychildcare.unc.edu/resources/posters/ • Please update all Pet Acknowledgement forms to reflect the correct locations of pets and pets you currently have in the home. • Please only allow children to handle scissors when sitting down. 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