10A NCAC 09 .1704 · Violation

Name of Operation: R-U HAPPY CHILD CARE Facility ID: 34000863 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 7/30/2025 Number Present: 6 Completed Date: 7/30/2025 Age: From 2 To 11 Total Minutes: 255 Time In: 10:00 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted with Edith Jones, Operator. Joyce Poindexter, Additional Caregiver, was also present during the visit. Your program currently operates with a 4-Star license. Restrictions include 1st, 2nd, and 3rd shift care, a maximum of five preschoolers at any time, children in care on ground level only, children in fenced play area only, and serves no more than four infants. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 88% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Six children were present during the visit; they were observed playing with toys, participating in general routines, playing outdoors, engaging in conversations and activities with Ms. Jones and Ms. Poindexter, eating lunch, and napping during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 9/04/2024. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator and Additional Caregiver during the visit. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The most recent fire drill was documented on 7/08/2025. The most recent lockdown drill was documented on 6/12/2025. The last outdoor inspection was documented on 7/03/2025 There are no pets currently 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. Ms. Jones stated the program does not transport children or participate in aquatic activities at this time. Ms. Jones stated they occasionally walk to a nearby splash pad with children enrolled for a water play experience. The following violations were cited during today’s visit: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. One canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed in an unlatched cupboard located less than five feet from the ground. One aerosol canister of scented room spray was observed located on the top of the refrigerator, greater than five feet from the ground, but in unlocked storage. One small tube of Aquaphor lip ointment belonging to a child enrolled was observed on a chair in the space designated for childcare. .1719 (a)(7) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. One child's time of arrival was not observed to be recorded. .1721(e)(6) 1301 Operator did not complete the required number of on-going training hours as specified in rule. The additional caregiver completed two (2) of the required twenty (20) on-going training hours for last year; she has completed twelve (12) of twenty (20) required hours for the current compliance year. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Two unlatched desk drawers belonging to the operator and located in the space designated for child care were observed to contain a staple remover sharp to the touch. 10A NCAC 09 .1719 (a) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, the operator and additional caregiver CBCs were also not yet linked to this profile. G.S. 110-90.2 & .2703(r) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Two unlatched desk drawers belonging to the operator and located in the space designated for child care were observed to contain small paper clips, pennies, and other items small enough to be swallowed; one child two years of age was present in care today. One plastic wrapper containing disposable pads for the changing table was observed on the lower shelf of the diaper table in the bathroom accessed by children enrolled. Two plastic bags containing materials for the children were observed located less than five feet from the ground and accessible to children under the age of three. .1719(a)(18) 2025 Operator and/or staff members did not complete a professional development plan within one year of employment. A Professional Development Plan was not observed on file for the operator or additional caregiver. .1703(i) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 8/13/2025. 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 and additional caregiver CBCs were also not yet linked to this profile. It is necessary for all staff members to be linked to the FCCH’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Ms. Jones stated she has the instructions I sent via email to complete this process. I also stated I would resend all ABCMS emails to Ms. Jones 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. • The additional caregiver completed two (2) of the required twenty (20) on-going training hours for last year; she has completed twelve (12) of twenty (20) required hours for the current compliance year. Ms. Poindexter must complete twenty-six hours of on-going training – 18 hours by 8/13/25 and another 8 hours by 9/04/2025. A Professional Development Plan was not observed on file for the operator or additional caregiver. Consultation provided following today’s visit: The following Child Care Rules were reviewed and discussed with Ms. Jones during the visit: 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (5)(f) and (6)(d) regarding disposal of used diapers and proper cleaning of diapering services 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (b)(c) regarding screen time logs and age requirements for screen time 10A NCAC 09 .1704 CAREGIVER INTERACTIONS IN A FAMILY CHILD CARE HOME (a) regarding engaging with children in care with a respectful tone of voice 10A NCAC 09 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS (a)(2) regarding additional caregiver high school diploma being on file 10A NCAC 09 .1712 WRITTEN PLAN OF CARE 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS (15) regarding off-premise activities forms and required content You stated children do not access the kitchen for any reason; this includes children of School Age. You may consider inspecting the playground daily, prior to use to ensure the outdoor learning environment is safe and prepared for children’s play. Please contact Amia Eaton, Training and Program Development Consultant, at the following phone number and/or email address for guidance on challenges you are having marking current 2025 CCDF Health & Safety courses as complete and accessing your training certificates: (919) 814-6365 or Amia.Eaton@dhhs.nc.gov • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was reviewed with you, and you were provided the opportunity to ask questions during and at the conclusion of the visit. You had to leave for an appointment prior to the end of the visit, so we scheduled a phone call following the visit for a final review of all visit documentation. You stated you would sign all documentation necessary and return it following our phone review. Thank you for your time and assistance with this visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1705 · Violation

Name of Operation: R-U HAPPY CHILD CARE Facility ID: 34000863 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 7/30/2025 Number Present: 6 Completed Date: 7/30/2025 Age: From 2 To 11 Total Minutes: 255 Time In: 10:00 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted with Edith Jones, Operator. Joyce Poindexter, Additional Caregiver, was also present during the visit. Your program currently operates with a 4-Star license. Restrictions include 1st, 2nd, and 3rd shift care, a maximum of five preschoolers at any time, children in care on ground level only, children in fenced play area only, and serves no more than four infants. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 88% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Six children were present during the visit; they were observed playing with toys, participating in general routines, playing outdoors, engaging in conversations and activities with Ms. Jones and Ms. Poindexter, eating lunch, and napping during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 9/04/2024. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator and Additional Caregiver during the visit. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The most recent fire drill was documented on 7/08/2025. The most recent lockdown drill was documented on 6/12/2025. The last outdoor inspection was documented on 7/03/2025 There are no pets currently 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. Ms. Jones stated the program does not transport children or participate in aquatic activities at this time. Ms. Jones stated they occasionally walk to a nearby splash pad with children enrolled for a water play experience. The following violations were cited during today’s visit: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. One canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed in an unlatched cupboard located less than five feet from the ground. One aerosol canister of scented room spray was observed located on the top of the refrigerator, greater than five feet from the ground, but in unlocked storage. One small tube of Aquaphor lip ointment belonging to a child enrolled was observed on a chair in the space designated for childcare. .1719 (a)(7) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. One child's time of arrival was not observed to be recorded. .1721(e)(6) 1301 Operator did not complete the required number of on-going training hours as specified in rule. The additional caregiver completed two (2) of the required twenty (20) on-going training hours for last year; she has completed twelve (12) of twenty (20) required hours for the current compliance year. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Two unlatched desk drawers belonging to the operator and located in the space designated for child care were observed to contain a staple remover sharp to the touch. 10A NCAC 09 .1719 (a) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, the operator and additional caregiver CBCs were also not yet linked to this profile. G.S. 110-90.2 & .2703(r) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Two unlatched desk drawers belonging to the operator and located in the space designated for child care were observed to contain small paper clips, pennies, and other items small enough to be swallowed; one child two years of age was present in care today. One plastic wrapper containing disposable pads for the changing table was observed on the lower shelf of the diaper table in the bathroom accessed by children enrolled. Two plastic bags containing materials for the children were observed located less than five feet from the ground and accessible to children under the age of three. .1719(a)(18) 2025 Operator and/or staff members did not complete a professional development plan within one year of employment. A Professional Development Plan was not observed on file for the operator or additional caregiver. .1703(i) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 8/13/2025. 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 and additional caregiver CBCs were also not yet linked to this profile. It is necessary for all staff members to be linked to the FCCH’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Ms. Jones stated she has the instructions I sent via email to complete this process. I also stated I would resend all ABCMS emails to Ms. Jones 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. • The additional caregiver completed two (2) of the required twenty (20) on-going training hours for last year; she has completed twelve (12) of twenty (20) required hours for the current compliance year. Ms. Poindexter must complete twenty-six hours of on-going training – 18 hours by 8/13/25 and another 8 hours by 9/04/2025. A Professional Development Plan was not observed on file for the operator or additional caregiver. Consultation provided following today’s visit: The following Child Care Rules were reviewed and discussed with Ms. Jones during the visit: 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (5)(f) and (6)(d) regarding disposal of used diapers and proper cleaning of diapering services 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (b)(c) regarding screen time logs and age requirements for screen time 10A NCAC 09 .1704 CAREGIVER INTERACTIONS IN A FAMILY CHILD CARE HOME (a) regarding engaging with children in care with a respectful tone of voice 10A NCAC 09 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS (a)(2) regarding additional caregiver high school diploma being on file 10A NCAC 09 .1712 WRITTEN PLAN OF CARE 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS (15) regarding off-premise activities forms and required content You stated children do not access the kitchen for any reason; this includes children of School Age. You may consider inspecting the playground daily, prior to use to ensure the outdoor learning environment is safe and prepared for children’s play. Please contact Amia Eaton, Training and Program Development Consultant, at the following phone number and/or email address for guidance on challenges you are having marking current 2025 CCDF Health & Safety courses as complete and accessing your training certificates: (919) 814-6365 or Amia.Eaton@dhhs.nc.gov • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was reviewed with you, and you were provided the opportunity to ask questions during and at the conclusion of the visit. You had to leave for an appointment prior to the end of the visit, so we scheduled a phone call following the visit for a final review of all visit documentation. You stated you would sign all documentation necessary and return it following our phone review. Thank you for your time and assistance with this visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1712 · Violation

Name of Operation: R-U HAPPY CHILD CARE Facility ID: 34000863 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 7/30/2025 Number Present: 6 Completed Date: 7/30/2025 Age: From 2 To 11 Total Minutes: 255 Time In: 10:00 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted with Edith Jones, Operator. Joyce Poindexter, Additional Caregiver, was also present during the visit. Your program currently operates with a 4-Star license. Restrictions include 1st, 2nd, and 3rd shift care, a maximum of five preschoolers at any time, children in care on ground level only, children in fenced play area only, and serves no more than four infants. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 88% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Six children were present during the visit; they were observed playing with toys, participating in general routines, playing outdoors, engaging in conversations and activities with Ms. Jones and Ms. Poindexter, eating lunch, and napping during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 9/04/2024. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator and Additional Caregiver during the visit. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The most recent fire drill was documented on 7/08/2025. The most recent lockdown drill was documented on 6/12/2025. The last outdoor inspection was documented on 7/03/2025 There are no pets currently 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. Ms. Jones stated the program does not transport children or participate in aquatic activities at this time. Ms. Jones stated they occasionally walk to a nearby splash pad with children enrolled for a water play experience. The following violations were cited during today’s visit: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. One canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed in an unlatched cupboard located less than five feet from the ground. One aerosol canister of scented room spray was observed located on the top of the refrigerator, greater than five feet from the ground, but in unlocked storage. One small tube of Aquaphor lip ointment belonging to a child enrolled was observed on a chair in the space designated for childcare. .1719 (a)(7) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. One child's time of arrival was not observed to be recorded. .1721(e)(6) 1301 Operator did not complete the required number of on-going training hours as specified in rule. The additional caregiver completed two (2) of the required twenty (20) on-going training hours for last year; she has completed twelve (12) of twenty (20) required hours for the current compliance year. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Two unlatched desk drawers belonging to the operator and located in the space designated for child care were observed to contain a staple remover sharp to the touch. 10A NCAC 09 .1719 (a) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, the operator and additional caregiver CBCs were also not yet linked to this profile. G.S. 110-90.2 & .2703(r) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Two unlatched desk drawers belonging to the operator and located in the space designated for child care were observed to contain small paper clips, pennies, and other items small enough to be swallowed; one child two years of age was present in care today. One plastic wrapper containing disposable pads for the changing table was observed on the lower shelf of the diaper table in the bathroom accessed by children enrolled. Two plastic bags containing materials for the children were observed located less than five feet from the ground and accessible to children under the age of three. .1719(a)(18) 2025 Operator and/or staff members did not complete a professional development plan within one year of employment. A Professional Development Plan was not observed on file for the operator or additional caregiver. .1703(i) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 8/13/2025. 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 and additional caregiver CBCs were also not yet linked to this profile. It is necessary for all staff members to be linked to the FCCH’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Ms. Jones stated she has the instructions I sent via email to complete this process. I also stated I would resend all ABCMS emails to Ms. Jones 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. • The additional caregiver completed two (2) of the required twenty (20) on-going training hours for last year; she has completed twelve (12) of twenty (20) required hours for the current compliance year. Ms. Poindexter must complete twenty-six hours of on-going training – 18 hours by 8/13/25 and another 8 hours by 9/04/2025. A Professional Development Plan was not observed on file for the operator or additional caregiver. Consultation provided following today’s visit: The following Child Care Rules were reviewed and discussed with Ms. Jones during the visit: 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (5)(f) and (6)(d) regarding disposal of used diapers and proper cleaning of diapering services 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (b)(c) regarding screen time logs and age requirements for screen time 10A NCAC 09 .1704 CAREGIVER INTERACTIONS IN A FAMILY CHILD CARE HOME (a) regarding engaging with children in care with a respectful tone of voice 10A NCAC 09 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS (a)(2) regarding additional caregiver high school diploma being on file 10A NCAC 09 .1712 WRITTEN PLAN OF CARE 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS (15) regarding off-premise activities forms and required content You stated children do not access the kitchen for any reason; this includes children of School Age. You may consider inspecting the playground daily, prior to use to ensure the outdoor learning environment is safe and prepared for children’s play. Please contact Amia Eaton, Training and Program Development Consultant, at the following phone number and/or email address for guidance on challenges you are having marking current 2025 CCDF Health & Safety courses as complete and accessing your training certificates: (919) 814-6365 or Amia.Eaton@dhhs.nc.gov • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was reviewed with you, and you were provided the opportunity to ask questions during and at the conclusion of the visit. You had to leave for an appointment prior to the end of the visit, so we scheduled a phone call following the visit for a final review of all visit documentation. You stated you would sign all documentation necessary and return it following our phone review. Thank you for your time and assistance with this visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1718 · Violation

Name of Operation: R-U HAPPY CHILD CARE Facility ID: 34000863 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 7/30/2025 Number Present: 6 Completed Date: 7/30/2025 Age: From 2 To 11 Total Minutes: 255 Time In: 10:00 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted with Edith Jones, Operator. Joyce Poindexter, Additional Caregiver, was also present during the visit. Your program currently operates with a 4-Star license. Restrictions include 1st, 2nd, and 3rd shift care, a maximum of five preschoolers at any time, children in care on ground level only, children in fenced play area only, and serves no more than four infants. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 88% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Six children were present during the visit; they were observed playing with toys, participating in general routines, playing outdoors, engaging in conversations and activities with Ms. Jones and Ms. Poindexter, eating lunch, and napping during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 9/04/2024. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator and Additional Caregiver during the visit. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The most recent fire drill was documented on 7/08/2025. The most recent lockdown drill was documented on 6/12/2025. The last outdoor inspection was documented on 7/03/2025 There are no pets currently 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. Ms. Jones stated the program does not transport children or participate in aquatic activities at this time. Ms. Jones stated they occasionally walk to a nearby splash pad with children enrolled for a water play experience. The following violations were cited during today’s visit: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. One canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed in an unlatched cupboard located less than five feet from the ground. One aerosol canister of scented room spray was observed located on the top of the refrigerator, greater than five feet from the ground, but in unlocked storage. One small tube of Aquaphor lip ointment belonging to a child enrolled was observed on a chair in the space designated for childcare. .1719 (a)(7) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. One child's time of arrival was not observed to be recorded. .1721(e)(6) 1301 Operator did not complete the required number of on-going training hours as specified in rule. The additional caregiver completed two (2) of the required twenty (20) on-going training hours for last year; she has completed twelve (12) of twenty (20) required hours for the current compliance year. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Two unlatched desk drawers belonging to the operator and located in the space designated for child care were observed to contain a staple remover sharp to the touch. 10A NCAC 09 .1719 (a) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, the operator and additional caregiver CBCs were also not yet linked to this profile. G.S. 110-90.2 & .2703(r) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Two unlatched desk drawers belonging to the operator and located in the space designated for child care were observed to contain small paper clips, pennies, and other items small enough to be swallowed; one child two years of age was present in care today. One plastic wrapper containing disposable pads for the changing table was observed on the lower shelf of the diaper table in the bathroom accessed by children enrolled. Two plastic bags containing materials for the children were observed located less than five feet from the ground and accessible to children under the age of three. .1719(a)(18) 2025 Operator and/or staff members did not complete a professional development plan within one year of employment. A Professional Development Plan was not observed on file for the operator or additional caregiver. .1703(i) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 8/13/2025. 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 and additional caregiver CBCs were also not yet linked to this profile. It is necessary for all staff members to be linked to the FCCH’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Ms. Jones stated she has the instructions I sent via email to complete this process. I also stated I would resend all ABCMS emails to Ms. Jones 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. • The additional caregiver completed two (2) of the required twenty (20) on-going training hours for last year; she has completed twelve (12) of twenty (20) required hours for the current compliance year. Ms. Poindexter must complete twenty-six hours of on-going training – 18 hours by 8/13/25 and another 8 hours by 9/04/2025. A Professional Development Plan was not observed on file for the operator or additional caregiver. Consultation provided following today’s visit: The following Child Care Rules were reviewed and discussed with Ms. Jones during the visit: 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (5)(f) and (6)(d) regarding disposal of used diapers and proper cleaning of diapering services 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (b)(c) regarding screen time logs and age requirements for screen time 10A NCAC 09 .1704 CAREGIVER INTERACTIONS IN A FAMILY CHILD CARE HOME (a) regarding engaging with children in care with a respectful tone of voice 10A NCAC 09 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS (a)(2) regarding additional caregiver high school diploma being on file 10A NCAC 09 .1712 WRITTEN PLAN OF CARE 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS (15) regarding off-premise activities forms and required content You stated children do not access the kitchen for any reason; this includes children of School Age. You may consider inspecting the playground daily, prior to use to ensure the outdoor learning environment is safe and prepared for children’s play. Please contact Amia Eaton, Training and Program Development Consultant, at the following phone number and/or email address for guidance on challenges you are having marking current 2025 CCDF Health & Safety courses as complete and accessing your training certificates: (919) 814-6365 or Amia.Eaton@dhhs.nc.gov • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was reviewed with you, and you were provided the opportunity to ask questions during and at the conclusion of the visit. You had to leave for an appointment prior to the end of the visit, so we scheduled a phone call following the visit for a final review of all visit documentation. You stated you would sign all documentation necessary and return it following our phone review. Thank you for your time and assistance with this visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1719 · Violation

Name of Operation: R-U HAPPY CHILD CARE Facility ID: 34000863 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 7/30/2025 Number Present: 6 Completed Date: 7/30/2025 Age: From 2 To 11 Total Minutes: 255 Time In: 10:00 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted with Edith Jones, Operator. Joyce Poindexter, Additional Caregiver, was also present during the visit. Your program currently operates with a 4-Star license. Restrictions include 1st, 2nd, and 3rd shift care, a maximum of five preschoolers at any time, children in care on ground level only, children in fenced play area only, and serves no more than four infants. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 88% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Six children were present during the visit; they were observed playing with toys, participating in general routines, playing outdoors, engaging in conversations and activities with Ms. Jones and Ms. Poindexter, eating lunch, and napping during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 9/04/2024. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator and Additional Caregiver during the visit. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The most recent fire drill was documented on 7/08/2025. The most recent lockdown drill was documented on 6/12/2025. The last outdoor inspection was documented on 7/03/2025 There are no pets currently 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. Ms. Jones stated the program does not transport children or participate in aquatic activities at this time. Ms. Jones stated they occasionally walk to a nearby splash pad with children enrolled for a water play experience. The following violations were cited during today’s visit: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. One canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed in an unlatched cupboard located less than five feet from the ground. One aerosol canister of scented room spray was observed located on the top of the refrigerator, greater than five feet from the ground, but in unlocked storage. One small tube of Aquaphor lip ointment belonging to a child enrolled was observed on a chair in the space designated for childcare. .1719 (a)(7) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. One child's time of arrival was not observed to be recorded. .1721(e)(6) 1301 Operator did not complete the required number of on-going training hours as specified in rule. The additional caregiver completed two (2) of the required twenty (20) on-going training hours for last year; she has completed twelve (12) of twenty (20) required hours for the current compliance year. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Two unlatched desk drawers belonging to the operator and located in the space designated for child care were observed to contain a staple remover sharp to the touch. 10A NCAC 09 .1719 (a) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, the operator and additional caregiver CBCs were also not yet linked to this profile. G.S. 110-90.2 & .2703(r) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Two unlatched desk drawers belonging to the operator and located in the space designated for child care were observed to contain small paper clips, pennies, and other items small enough to be swallowed; one child two years of age was present in care today. One plastic wrapper containing disposable pads for the changing table was observed on the lower shelf of the diaper table in the bathroom accessed by children enrolled. Two plastic bags containing materials for the children were observed located less than five feet from the ground and accessible to children under the age of three. .1719(a)(18) 2025 Operator and/or staff members did not complete a professional development plan within one year of employment. A Professional Development Plan was not observed on file for the operator or additional caregiver. .1703(i) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 8/13/2025. 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 and additional caregiver CBCs were also not yet linked to this profile. It is necessary for all staff members to be linked to the FCCH’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Ms. Jones stated she has the instructions I sent via email to complete this process. I also stated I would resend all ABCMS emails to Ms. Jones 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. • The additional caregiver completed two (2) of the required twenty (20) on-going training hours for last year; she has completed twelve (12) of twenty (20) required hours for the current compliance year. Ms. Poindexter must complete twenty-six hours of on-going training – 18 hours by 8/13/25 and another 8 hours by 9/04/2025. A Professional Development Plan was not observed on file for the operator or additional caregiver. Consultation provided following today’s visit: The following Child Care Rules were reviewed and discussed with Ms. Jones during the visit: 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (5)(f) and (6)(d) regarding disposal of used diapers and proper cleaning of diapering services 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (b)(c) regarding screen time logs and age requirements for screen time 10A NCAC 09 .1704 CAREGIVER INTERACTIONS IN A FAMILY CHILD CARE HOME (a) regarding engaging with children in care with a respectful tone of voice 10A NCAC 09 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS (a)(2) regarding additional caregiver high school diploma being on file 10A NCAC 09 .1712 WRITTEN PLAN OF CARE 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS (15) regarding off-premise activities forms and required content You stated children do not access the kitchen for any reason; this includes children of School Age. You may consider inspecting the playground daily, prior to use to ensure the outdoor learning environment is safe and prepared for children’s play. Please contact Amia Eaton, Training and Program Development Consultant, at the following phone number and/or email address for guidance on challenges you are having marking current 2025 CCDF Health & Safety courses as complete and accessing your training certificates: (919) 814-6365 or Amia.Eaton@dhhs.nc.gov • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was reviewed with you, and you were provided the opportunity to ask questions during and at the conclusion of the visit. You had to leave for an appointment prior to the end of the visit, so we scheduled a phone call following the visit for a final review of all visit documentation. You stated you would sign all documentation necessary and return it following our phone review. Thank you for your time and assistance with this visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1723 · Violation

Name of Operation: R-U HAPPY CHILD CARE Facility ID: 34000863 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 7/30/2025 Number Present: 6 Completed Date: 7/30/2025 Age: From 2 To 11 Total Minutes: 255 Time In: 10:00 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted with Edith Jones, Operator. Joyce Poindexter, Additional Caregiver, was also present during the visit. Your program currently operates with a 4-Star license. Restrictions include 1st, 2nd, and 3rd shift care, a maximum of five preschoolers at any time, children in care on ground level only, children in fenced play area only, and serves no more than four infants. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 88% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Six children were present during the visit; they were observed playing with toys, participating in general routines, playing outdoors, engaging in conversations and activities with Ms. Jones and Ms. Poindexter, eating lunch, and napping during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 9/04/2024. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator and Additional Caregiver during the visit. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The most recent fire drill was documented on 7/08/2025. The most recent lockdown drill was documented on 6/12/2025. The last outdoor inspection was documented on 7/03/2025 There are no pets currently 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. Ms. Jones stated the program does not transport children or participate in aquatic activities at this time. Ms. Jones stated they occasionally walk to a nearby splash pad with children enrolled for a water play experience. The following violations were cited during today’s visit: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. One canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed in an unlatched cupboard located less than five feet from the ground. One aerosol canister of scented room spray was observed located on the top of the refrigerator, greater than five feet from the ground, but in unlocked storage. One small tube of Aquaphor lip ointment belonging to a child enrolled was observed on a chair in the space designated for childcare. .1719 (a)(7) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. One child's time of arrival was not observed to be recorded. .1721(e)(6) 1301 Operator did not complete the required number of on-going training hours as specified in rule. The additional caregiver completed two (2) of the required twenty (20) on-going training hours for last year; she has completed twelve (12) of twenty (20) required hours for the current compliance year. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Two unlatched desk drawers belonging to the operator and located in the space designated for child care were observed to contain a staple remover sharp to the touch. 10A NCAC 09 .1719 (a) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, the operator and additional caregiver CBCs were also not yet linked to this profile. G.S. 110-90.2 & .2703(r) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Two unlatched desk drawers belonging to the operator and located in the space designated for child care were observed to contain small paper clips, pennies, and other items small enough to be swallowed; one child two years of age was present in care today. One plastic wrapper containing disposable pads for the changing table was observed on the lower shelf of the diaper table in the bathroom accessed by children enrolled. Two plastic bags containing materials for the children were observed located less than five feet from the ground and accessible to children under the age of three. .1719(a)(18) 2025 Operator and/or staff members did not complete a professional development plan within one year of employment. A Professional Development Plan was not observed on file for the operator or additional caregiver. .1703(i) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 8/13/2025. 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 and additional caregiver CBCs were also not yet linked to this profile. It is necessary for all staff members to be linked to the FCCH’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Ms. Jones stated she has the instructions I sent via email to complete this process. I also stated I would resend all ABCMS emails to Ms. Jones 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. • The additional caregiver completed two (2) of the required twenty (20) on-going training hours for last year; she has completed twelve (12) of twenty (20) required hours for the current compliance year. Ms. Poindexter must complete twenty-six hours of on-going training – 18 hours by 8/13/25 and another 8 hours by 9/04/2025. A Professional Development Plan was not observed on file for the operator or additional caregiver. Consultation provided following today’s visit: The following Child Care Rules were reviewed and discussed with Ms. Jones during the visit: 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (5)(f) and (6)(d) regarding disposal of used diapers and proper cleaning of diapering services 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (b)(c) regarding screen time logs and age requirements for screen time 10A NCAC 09 .1704 CAREGIVER INTERACTIONS IN A FAMILY CHILD CARE HOME (a) regarding engaging with children in care with a respectful tone of voice 10A NCAC 09 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS (a)(2) regarding additional caregiver high school diploma being on file 10A NCAC 09 .1712 WRITTEN PLAN OF CARE 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS (15) regarding off-premise activities forms and required content You stated children do not access the kitchen for any reason; this includes children of School Age. You may consider inspecting the playground daily, prior to use to ensure the outdoor learning environment is safe and prepared for children’s play. Please contact Amia Eaton, Training and Program Development Consultant, at the following phone number and/or email address for guidance on challenges you are having marking current 2025 CCDF Health & Safety courses as complete and accessing your training certificates: (919) 814-6365 or Amia.Eaton@dhhs.nc.gov • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was reviewed with you, and you were provided the opportunity to ask questions during and at the conclusion of the visit. You had to leave for an appointment prior to the end of the visit, so we scheduled a phone call following the visit for a final review of all visit documentation. You stated you would sign all documentation necessary and return it following our phone review. Thank you for your time and assistance with this visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1725 · Violation

Name of Operation: R-U HAPPY CHILD CARE Facility ID: 34000863 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 7/30/2025 Number Present: 6 Completed Date: 7/30/2025 Age: From 2 To 11 Total Minutes: 255 Time In: 10:00 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted with Edith Jones, Operator. Joyce Poindexter, Additional Caregiver, was also present during the visit. Your program currently operates with a 4-Star license. Restrictions include 1st, 2nd, and 3rd shift care, a maximum of five preschoolers at any time, children in care on ground level only, children in fenced play area only, and serves no more than four infants. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 88% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Six children were present during the visit; they were observed playing with toys, participating in general routines, playing outdoors, engaging in conversations and activities with Ms. Jones and Ms. Poindexter, eating lunch, and napping during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 9/04/2024. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator and Additional Caregiver during the visit. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The most recent fire drill was documented on 7/08/2025. The most recent lockdown drill was documented on 6/12/2025. The last outdoor inspection was documented on 7/03/2025 There are no pets currently 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. Ms. Jones stated the program does not transport children or participate in aquatic activities at this time. Ms. Jones stated they occasionally walk to a nearby splash pad with children enrolled for a water play experience. The following violations were cited during today’s visit: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. One canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed in an unlatched cupboard located less than five feet from the ground. One aerosol canister of scented room spray was observed located on the top of the refrigerator, greater than five feet from the ground, but in unlocked storage. One small tube of Aquaphor lip ointment belonging to a child enrolled was observed on a chair in the space designated for childcare. .1719 (a)(7) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. One child's time of arrival was not observed to be recorded. .1721(e)(6) 1301 Operator did not complete the required number of on-going training hours as specified in rule. The additional caregiver completed two (2) of the required twenty (20) on-going training hours for last year; she has completed twelve (12) of twenty (20) required hours for the current compliance year. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Two unlatched desk drawers belonging to the operator and located in the space designated for child care were observed to contain a staple remover sharp to the touch. 10A NCAC 09 .1719 (a) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, the operator and additional caregiver CBCs were also not yet linked to this profile. G.S. 110-90.2 & .2703(r) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Two unlatched desk drawers belonging to the operator and located in the space designated for child care were observed to contain small paper clips, pennies, and other items small enough to be swallowed; one child two years of age was present in care today. One plastic wrapper containing disposable pads for the changing table was observed on the lower shelf of the diaper table in the bathroom accessed by children enrolled. Two plastic bags containing materials for the children were observed located less than five feet from the ground and accessible to children under the age of three. .1719(a)(18) 2025 Operator and/or staff members did not complete a professional development plan within one year of employment. A Professional Development Plan was not observed on file for the operator or additional caregiver. .1703(i) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 8/13/2025. 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 and additional caregiver CBCs were also not yet linked to this profile. It is necessary for all staff members to be linked to the FCCH’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Ms. Jones stated she has the instructions I sent via email to complete this process. I also stated I would resend all ABCMS emails to Ms. Jones 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. • The additional caregiver completed two (2) of the required twenty (20) on-going training hours for last year; she has completed twelve (12) of twenty (20) required hours for the current compliance year. Ms. Poindexter must complete twenty-six hours of on-going training – 18 hours by 8/13/25 and another 8 hours by 9/04/2025. A Professional Development Plan was not observed on file for the operator or additional caregiver. Consultation provided following today’s visit: The following Child Care Rules were reviewed and discussed with Ms. Jones during the visit: 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (5)(f) and (6)(d) regarding disposal of used diapers and proper cleaning of diapering services 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (b)(c) regarding screen time logs and age requirements for screen time 10A NCAC 09 .1704 CAREGIVER INTERACTIONS IN A FAMILY CHILD CARE HOME (a) regarding engaging with children in care with a respectful tone of voice 10A NCAC 09 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS (a)(2) regarding additional caregiver high school diploma being on file 10A NCAC 09 .1712 WRITTEN PLAN OF CARE 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS (15) regarding off-premise activities forms and required content You stated children do not access the kitchen for any reason; this includes children of School Age. You may consider inspecting the playground daily, prior to use to ensure the outdoor learning environment is safe and prepared for children’s play. Please contact Amia Eaton, Training and Program Development Consultant, at the following phone number and/or email address for guidance on challenges you are having marking current 2025 CCDF Health & Safety courses as complete and accessing your training certificates: (919) 814-6365 or Amia.Eaton@dhhs.nc.gov • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was reviewed with you, and you were provided the opportunity to ask questions during and at the conclusion of the visit. You had to leave for an appointment prior to the end of the visit, so we scheduled a phone call following the visit for a final review of all visit documentation. You stated you would sign all documentation necessary and return it following our phone review. Thank you for your time and assistance with this visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1729 · Violation

Name of Operation: R-U HAPPY CHILD CARE Facility ID: 34000863 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 7/30/2025 Number Present: 6 Completed Date: 7/30/2025 Age: From 2 To 11 Total Minutes: 255 Time In: 10:00 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted with Edith Jones, Operator. Joyce Poindexter, Additional Caregiver, was also present during the visit. Your program currently operates with a 4-Star license. Restrictions include 1st, 2nd, and 3rd shift care, a maximum of five preschoolers at any time, children in care on ground level only, children in fenced play area only, and serves no more than four infants. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 88% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Six children were present during the visit; they were observed playing with toys, participating in general routines, playing outdoors, engaging in conversations and activities with Ms. Jones and Ms. Poindexter, eating lunch, and napping during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 9/04/2024. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator and Additional Caregiver during the visit. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The most recent fire drill was documented on 7/08/2025. The most recent lockdown drill was documented on 6/12/2025. The last outdoor inspection was documented on 7/03/2025 There are no pets currently 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. Ms. Jones stated the program does not transport children or participate in aquatic activities at this time. Ms. Jones stated they occasionally walk to a nearby splash pad with children enrolled for a water play experience. The following violations were cited during today’s visit: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. One canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed in an unlatched cupboard located less than five feet from the ground. One aerosol canister of scented room spray was observed located on the top of the refrigerator, greater than five feet from the ground, but in unlocked storage. One small tube of Aquaphor lip ointment belonging to a child enrolled was observed on a chair in the space designated for childcare. .1719 (a)(7) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. One child's time of arrival was not observed to be recorded. .1721(e)(6) 1301 Operator did not complete the required number of on-going training hours as specified in rule. The additional caregiver completed two (2) of the required twenty (20) on-going training hours for last year; she has completed twelve (12) of twenty (20) required hours for the current compliance year. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Two unlatched desk drawers belonging to the operator and located in the space designated for child care were observed to contain a staple remover sharp to the touch. 10A NCAC 09 .1719 (a) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, the operator and additional caregiver CBCs were also not yet linked to this profile. G.S. 110-90.2 & .2703(r) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Two unlatched desk drawers belonging to the operator and located in the space designated for child care were observed to contain small paper clips, pennies, and other items small enough to be swallowed; one child two years of age was present in care today. One plastic wrapper containing disposable pads for the changing table was observed on the lower shelf of the diaper table in the bathroom accessed by children enrolled. Two plastic bags containing materials for the children were observed located less than five feet from the ground and accessible to children under the age of three. .1719(a)(18) 2025 Operator and/or staff members did not complete a professional development plan within one year of employment. A Professional Development Plan was not observed on file for the operator or additional caregiver. .1703(i) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 8/13/2025. 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 and additional caregiver CBCs were also not yet linked to this profile. It is necessary for all staff members to be linked to the FCCH’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Ms. Jones stated she has the instructions I sent via email to complete this process. I also stated I would resend all ABCMS emails to Ms. Jones 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. • The additional caregiver completed two (2) of the required twenty (20) on-going training hours for last year; she has completed twelve (12) of twenty (20) required hours for the current compliance year. Ms. Poindexter must complete twenty-six hours of on-going training – 18 hours by 8/13/25 and another 8 hours by 9/04/2025. A Professional Development Plan was not observed on file for the operator or additional caregiver. Consultation provided following today’s visit: The following Child Care Rules were reviewed and discussed with Ms. Jones during the visit: 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (5)(f) and (6)(d) regarding disposal of used diapers and proper cleaning of diapering services 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (b)(c) regarding screen time logs and age requirements for screen time 10A NCAC 09 .1704 CAREGIVER INTERACTIONS IN A FAMILY CHILD CARE HOME (a) regarding engaging with children in care with a respectful tone of voice 10A NCAC 09 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS (a)(2) regarding additional caregiver high school diploma being on file 10A NCAC 09 .1712 WRITTEN PLAN OF CARE 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS (15) regarding off-premise activities forms and required content You stated children do not access the kitchen for any reason; this includes children of School Age. You may consider inspecting the playground daily, prior to use to ensure the outdoor learning environment is safe and prepared for children’s play. Please contact Amia Eaton, Training and Program Development Consultant, at the following phone number and/or email address for guidance on challenges you are having marking current 2025 CCDF Health & Safety courses as complete and accessing your training certificates: (919) 814-6365 or Amia.Eaton@dhhs.nc.gov • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was reviewed with you, and you were provided the opportunity to ask questions during and at the conclusion of the visit. You had to leave for an appointment prior to the end of the visit, so we scheduled a phone call following the visit for a final review of all visit documentation. You stated you would sign all documentation necessary and return it following our phone review. Thank you for your time and assistance with this visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: R-U HAPPY CHILD CARE Facility ID: 34000863 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 7/30/2025 Number Present: 6 Completed Date: 7/30/2025 Age: From 2 To 11 Total Minutes: 255 Time In: 10:00 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted with Edith Jones, Operator. Joyce Poindexter, Additional Caregiver, was also present during the visit. Your program currently operates with a 4-Star license. Restrictions include 1st, 2nd, and 3rd shift care, a maximum of five preschoolers at any time, children in care on ground level only, children in fenced play area only, and serves no more than four infants. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 88% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Six children were present during the visit; they were observed playing with toys, participating in general routines, playing outdoors, engaging in conversations and activities with Ms. Jones and Ms. Poindexter, eating lunch, and napping during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 9/04/2024. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator and Additional Caregiver during the visit. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The most recent fire drill was documented on 7/08/2025. The most recent lockdown drill was documented on 6/12/2025. The last outdoor inspection was documented on 7/03/2025 There are no pets currently 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. Ms. Jones stated the program does not transport children or participate in aquatic activities at this time. Ms. Jones stated they occasionally walk to a nearby splash pad with children enrolled for a water play experience. The following violations were cited during today’s visit: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. One canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed in an unlatched cupboard located less than five feet from the ground. One aerosol canister of scented room spray was observed located on the top of the refrigerator, greater than five feet from the ground, but in unlocked storage. One small tube of Aquaphor lip ointment belonging to a child enrolled was observed on a chair in the space designated for childcare. .1719 (a)(7) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. One child's time of arrival was not observed to be recorded. .1721(e)(6) 1301 Operator did not complete the required number of on-going training hours as specified in rule. The additional caregiver completed two (2) of the required twenty (20) on-going training hours for last year; she has completed twelve (12) of twenty (20) required hours for the current compliance year. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Two unlatched desk drawers belonging to the operator and located in the space designated for child care were observed to contain a staple remover sharp to the touch. 10A NCAC 09 .1719 (a) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, the operator and additional caregiver CBCs were also not yet linked to this profile. G.S. 110-90.2 & .2703(r) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Two unlatched desk drawers belonging to the operator and located in the space designated for child care were observed to contain small paper clips, pennies, and other items small enough to be swallowed; one child two years of age was present in care today. One plastic wrapper containing disposable pads for the changing table was observed on the lower shelf of the diaper table in the bathroom accessed by children enrolled. Two plastic bags containing materials for the children were observed located less than five feet from the ground and accessible to children under the age of three. .1719(a)(18) 2025 Operator and/or staff members did not complete a professional development plan within one year of employment. A Professional Development Plan was not observed on file for the operator or additional caregiver. .1703(i) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 8/13/2025. 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 and additional caregiver CBCs were also not yet linked to this profile. It is necessary for all staff members to be linked to the FCCH’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Ms. Jones stated she has the instructions I sent via email to complete this process. I also stated I would resend all ABCMS emails to Ms. Jones 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. • The additional caregiver completed two (2) of the required twenty (20) on-going training hours for last year; she has completed twelve (12) of twenty (20) required hours for the current compliance year. Ms. Poindexter must complete twenty-six hours of on-going training – 18 hours by 8/13/25 and another 8 hours by 9/04/2025. A Professional Development Plan was not observed on file for the operator or additional caregiver. Consultation provided following today’s visit: The following Child Care Rules were reviewed and discussed with Ms. Jones during the visit: 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (5)(f) and (6)(d) regarding disposal of used diapers and proper cleaning of diapering services 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (b)(c) regarding screen time logs and age requirements for screen time 10A NCAC 09 .1704 CAREGIVER INTERACTIONS IN A FAMILY CHILD CARE HOME (a) regarding engaging with children in care with a respectful tone of voice 10A NCAC 09 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS (a)(2) regarding additional caregiver high school diploma being on file 10A NCAC 09 .1712 WRITTEN PLAN OF CARE 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS (15) regarding off-premise activities forms and required content You stated children do not access the kitchen for any reason; this includes children of School Age. You may consider inspecting the playground daily, prior to use to ensure the outdoor learning environment is safe and prepared for children’s play. Please contact Amia Eaton, Training and Program Development Consultant, at the following phone number and/or email address for guidance on challenges you are having marking current 2025 CCDF Health & Safety courses as complete and accessing your training certificates: (919) 814-6365 or Amia.Eaton@dhhs.nc.gov • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was reviewed with you, and you were provided the opportunity to ask questions during and at the conclusion of the visit. You had to leave for an appointment prior to the end of the visit, so we scheduled a phone call following the visit for a final review of all visit documentation. You stated you would sign all documentation necessary and return it following our phone review. Thank you for your time and assistance with this visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: R-U HAPPY CHILD CARE Facility ID: 34000863 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 7/30/2025 Number Present: 6 Completed Date: 7/30/2025 Age: From 2 To 11 Total Minutes: 255 Time In: 10:00 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted with Edith Jones, Operator. Joyce Poindexter, Additional Caregiver, was also present during the visit. Your program currently operates with a 4-Star license. Restrictions include 1st, 2nd, and 3rd shift care, a maximum of five preschoolers at any time, children in care on ground level only, children in fenced play area only, and serves no more than four infants. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 88% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Six children were present during the visit; they were observed playing with toys, participating in general routines, playing outdoors, engaging in conversations and activities with Ms. Jones and Ms. Poindexter, eating lunch, and napping during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 9/04/2024. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator and Additional Caregiver during the visit. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The most recent fire drill was documented on 7/08/2025. The most recent lockdown drill was documented on 6/12/2025. The last outdoor inspection was documented on 7/03/2025 There are no pets currently 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. Ms. Jones stated the program does not transport children or participate in aquatic activities at this time. Ms. Jones stated they occasionally walk to a nearby splash pad with children enrolled for a water play experience. The following violations were cited during today’s visit: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. One canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed in an unlatched cupboard located less than five feet from the ground. One aerosol canister of scented room spray was observed located on the top of the refrigerator, greater than five feet from the ground, but in unlocked storage. One small tube of Aquaphor lip ointment belonging to a child enrolled was observed on a chair in the space designated for childcare. .1719 (a)(7) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. One child's time of arrival was not observed to be recorded. .1721(e)(6) 1301 Operator did not complete the required number of on-going training hours as specified in rule. The additional caregiver completed two (2) of the required twenty (20) on-going training hours for last year; she has completed twelve (12) of twenty (20) required hours for the current compliance year. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Two unlatched desk drawers belonging to the operator and located in the space designated for child care were observed to contain a staple remover sharp to the touch. 10A NCAC 09 .1719 (a) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, the operator and additional caregiver CBCs were also not yet linked to this profile. G.S. 110-90.2 & .2703(r) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Two unlatched desk drawers belonging to the operator and located in the space designated for child care were observed to contain small paper clips, pennies, and other items small enough to be swallowed; one child two years of age was present in care today. One plastic wrapper containing disposable pads for the changing table was observed on the lower shelf of the diaper table in the bathroom accessed by children enrolled. Two plastic bags containing materials for the children were observed located less than five feet from the ground and accessible to children under the age of three. .1719(a)(18) 2025 Operator and/or staff members did not complete a professional development plan within one year of employment. A Professional Development Plan was not observed on file for the operator or additional caregiver. .1703(i) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 8/13/2025. 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 and additional caregiver CBCs were also not yet linked to this profile. It is necessary for all staff members to be linked to the FCCH’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Ms. Jones stated she has the instructions I sent via email to complete this process. I also stated I would resend all ABCMS emails to Ms. Jones 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. • The additional caregiver completed two (2) of the required twenty (20) on-going training hours for last year; she has completed twelve (12) of twenty (20) required hours for the current compliance year. Ms. Poindexter must complete twenty-six hours of on-going training – 18 hours by 8/13/25 and another 8 hours by 9/04/2025. A Professional Development Plan was not observed on file for the operator or additional caregiver. Consultation provided following today’s visit: The following Child Care Rules were reviewed and discussed with Ms. Jones during the visit: 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (5)(f) and (6)(d) regarding disposal of used diapers and proper cleaning of diapering services 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (b)(c) regarding screen time logs and age requirements for screen time 10A NCAC 09 .1704 CAREGIVER INTERACTIONS IN A FAMILY CHILD CARE HOME (a) regarding engaging with children in care with a respectful tone of voice 10A NCAC 09 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS (a)(2) regarding additional caregiver high school diploma being on file 10A NCAC 09 .1712 WRITTEN PLAN OF CARE 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS (15) regarding off-premise activities forms and required content You stated children do not access the kitchen for any reason; this includes children of School Age. You may consider inspecting the playground daily, prior to use to ensure the outdoor learning environment is safe and prepared for children’s play. Please contact Amia Eaton, Training and Program Development Consultant, at the following phone number and/or email address for guidance on challenges you are having marking current 2025 CCDF Health & Safety courses as complete and accessing your training certificates: (919) 814-6365 or Amia.Eaton@dhhs.nc.gov • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was reviewed with you, and you were provided the opportunity to ask questions during and at the conclusion of the visit. You had to leave for an appointment prior to the end of the visit, so we scheduled a phone call following the visit for a final review of all visit documentation. You stated you would sign all documentation necessary and return it following our phone review. Thank you for your time and assistance with this visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: R-U HAPPY CHILD CARE Facility ID: 34000863 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 7/30/2025 Number Present: 6 Completed Date: 7/30/2025 Age: From 2 To 11 Total Minutes: 255 Time In: 10:00 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted with Edith Jones, Operator. Joyce Poindexter, Additional Caregiver, was also present during the visit. Your program currently operates with a 4-Star license. Restrictions include 1st, 2nd, and 3rd shift care, a maximum of five preschoolers at any time, children in care on ground level only, children in fenced play area only, and serves no more than four infants. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 88% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Six children were present during the visit; they were observed playing with toys, participating in general routines, playing outdoors, engaging in conversations and activities with Ms. Jones and Ms. Poindexter, eating lunch, and napping during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 9/04/2024. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator and Additional Caregiver during the visit. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The most recent fire drill was documented on 7/08/2025. The most recent lockdown drill was documented on 6/12/2025. The last outdoor inspection was documented on 7/03/2025 There are no pets currently 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. Ms. Jones stated the program does not transport children or participate in aquatic activities at this time. Ms. Jones stated they occasionally walk to a nearby splash pad with children enrolled for a water play experience. The following violations were cited during today’s visit: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. One canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed in an unlatched cupboard located less than five feet from the ground. One aerosol canister of scented room spray was observed located on the top of the refrigerator, greater than five feet from the ground, but in unlocked storage. One small tube of Aquaphor lip ointment belonging to a child enrolled was observed on a chair in the space designated for childcare. .1719 (a)(7) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. One child's time of arrival was not observed to be recorded. .1721(e)(6) 1301 Operator did not complete the required number of on-going training hours as specified in rule. The additional caregiver completed two (2) of the required twenty (20) on-going training hours for last year; she has completed twelve (12) of twenty (20) required hours for the current compliance year. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Two unlatched desk drawers belonging to the operator and located in the space designated for child care were observed to contain a staple remover sharp to the touch. 10A NCAC 09 .1719 (a) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, the operator and additional caregiver CBCs were also not yet linked to this profile. G.S. 110-90.2 & .2703(r) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Two unlatched desk drawers belonging to the operator and located in the space designated for child care were observed to contain small paper clips, pennies, and other items small enough to be swallowed; one child two years of age was present in care today. One plastic wrapper containing disposable pads for the changing table was observed on the lower shelf of the diaper table in the bathroom accessed by children enrolled. Two plastic bags containing materials for the children were observed located less than five feet from the ground and accessible to children under the age of three. .1719(a)(18) 2025 Operator and/or staff members did not complete a professional development plan within one year of employment. A Professional Development Plan was not observed on file for the operator or additional caregiver. .1703(i) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 8/13/2025. 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 and additional caregiver CBCs were also not yet linked to this profile. It is necessary for all staff members to be linked to the FCCH’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Ms. Jones stated she has the instructions I sent via email to complete this process. I also stated I would resend all ABCMS emails to Ms. Jones 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. • The additional caregiver completed two (2) of the required twenty (20) on-going training hours for last year; she has completed twelve (12) of twenty (20) required hours for the current compliance year. Ms. Poindexter must complete twenty-six hours of on-going training – 18 hours by 8/13/25 and another 8 hours by 9/04/2025. A Professional Development Plan was not observed on file for the operator or additional caregiver. Consultation provided following today’s visit: The following Child Care Rules were reviewed and discussed with Ms. Jones during the visit: 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (5)(f) and (6)(d) regarding disposal of used diapers and proper cleaning of diapering services 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (b)(c) regarding screen time logs and age requirements for screen time 10A NCAC 09 .1704 CAREGIVER INTERACTIONS IN A FAMILY CHILD CARE HOME (a) regarding engaging with children in care with a respectful tone of voice 10A NCAC 09 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS (a)(2) regarding additional caregiver high school diploma being on file 10A NCAC 09 .1712 WRITTEN PLAN OF CARE 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS (15) regarding off-premise activities forms and required content You stated children do not access the kitchen for any reason; this includes children of School Age. You may consider inspecting the playground daily, prior to use to ensure the outdoor learning environment is safe and prepared for children’s play. Please contact Amia Eaton, Training and Program Development Consultant, at the following phone number and/or email address for guidance on challenges you are having marking current 2025 CCDF Health & Safety courses as complete and accessing your training certificates: (919) 814-6365 or Amia.Eaton@dhhs.nc.gov • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was reviewed with you, and you were provided the opportunity to ask questions during and at the conclusion of the visit. You had to leave for an appointment prior to the end of the visit, so we scheduled a phone call following the visit for a final review of all visit documentation. You stated you would sign all documentation necessary and return it following our phone review. Thank you for your time and assistance with this visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: R-U HAPPY CHILD CARE Facility ID: 34000863 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 4/4/2025 Number Present: 6 Completed Date: 4/4/2025 Age: From 0 To 4 Total Minutes: 85 Time In: 01:20 PM Time Out: 02:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced An unannounced follow-up visit was conducted at this childcare center to verify the correction of violations documented during my Routine Unannounced visit on 3/18/2025; a compliance letter was due to be submitted by 4/01/2025 and had not been received. Today’s visit was conducted by Cara McKeown-Stewart, childcare consultant with Edith Jones, Operator and Joyce Poindexter, Additional Caregiver. Ms. Jones stated she had received my second email reminder sent on 4/01/25 stating the compliance letter was due by the end of the day and that she had emailed a compliance letter to my office email address twice on 3/30/25. Today, the following items were monitored: • Supervision • Staff / Child Ratio • Adequate / Approved Space • Permit Restrictions The license was observed, and the restrictions were monitored for compliance. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. The following violations documented during the Routine Unannounced visit on 3/18/2025 were monitored for compliance during this visit: • Item # 1875: The EPR Plan did not include the location of the Ready to Go File and/or required information. The Ready to Go file was not available for review. The Ready to Go file was observed to be missing the emergency contact information for the additional caregiver and blank incident reports during today's visit. This is a repeat violation. Each of these items was added to the file during the visit. • Item #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 observed to be last updated in the Risk Management Portal on 8/29/2023. The Emergency Preparedness and Response Plan was observed to have been updated on March 26, 2025. The following violations were cited during today's visit: Violation Number Comment Rule 102 Number of preschool children exceeded five children, including the provider's own preschool children. Six children (infant through four years of age) were observed in care during the visit. One child enrolled was picked up by a family member during the visit. GS 110-91(7)(b) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The Ready to Go file was observed to be missing the emergency contact information for the additional caregiver and blank incident reports. This is a repeat violation. .1714(d)(10) 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 immediately and send me documentation verifying compliance on or before 4/18/2025. 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: 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. An unannounced follow-up visit will be conducted to monitor group size. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. 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-stewart@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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: R-U HAPPY CHILD CARE Facility ID: 34000863 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 4/4/2025 Number Present: 6 Completed Date: 4/4/2025 Age: From 0 To 4 Total Minutes: 85 Time In: 01:20 PM Time Out: 02:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced An unannounced follow-up visit was conducted at this childcare center to verify the correction of violations documented during my Routine Unannounced visit on 3/18/2025; a compliance letter was due to be submitted by 4/01/2025 and had not been received. Today’s visit was conducted by Cara McKeown-Stewart, childcare consultant with Edith Jones, Operator and Joyce Poindexter, Additional Caregiver. Ms. Jones stated she had received my second email reminder sent on 4/01/25 stating the compliance letter was due by the end of the day and that she had emailed a compliance letter to my office email address twice on 3/30/25. Today, the following items were monitored: • Supervision • Staff / Child Ratio • Adequate / Approved Space • Permit Restrictions The license was observed, and the restrictions were monitored for compliance. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. The following violations documented during the Routine Unannounced visit on 3/18/2025 were monitored for compliance during this visit: • Item # 1875: The EPR Plan did not include the location of the Ready to Go File and/or required information. The Ready to Go file was not available for review. The Ready to Go file was observed to be missing the emergency contact information for the additional caregiver and blank incident reports during today's visit. This is a repeat violation. Each of these items was added to the file during the visit. • Item #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 observed to be last updated in the Risk Management Portal on 8/29/2023. The Emergency Preparedness and Response Plan was observed to have been updated on March 26, 2025. The following violations were cited during today's visit: Violation Number Comment Rule 102 Number of preschool children exceeded five children, including the provider's own preschool children. Six children (infant through four years of age) were observed in care during the visit. One child enrolled was picked up by a family member during the visit. GS 110-91(7)(b) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The Ready to Go file was observed to be missing the emergency contact information for the additional caregiver and blank incident reports. This is a repeat violation. .1714(d)(10) 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 immediately and send me documentation verifying compliance on or before 4/18/2025. 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: 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. An unannounced follow-up visit will be conducted to monitor group size. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. 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-stewart@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: R-U HAPPY CHILD CARE Facility ID: 34000863 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/18/2025 Number Present: 5 Completed Date: 3/18/2025 Age: From 1 To 4 Total Minutes: 195 Time In: 10:15 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Edith Jones, Operator, assisted me with the visit. Joyce Poindexter, Ms. Jones’ daughter and Additional Caregiver, was also present during the visit. Your program currently operates with a 4-Star license effective 9/10/2024. Restrictions include 1st, 2nd, and 3rd shift care, a maximum of five preschool children at any time, children on ground level only, fireplace/ woodstove cannot be used during operating hours, children in fenced play area only, and no more than four children less than one year of age. Ms. Jones stated she is only providing first shift care at this time. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Ms. Jones stated she is the only person 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, playing outdoors, and engaging in conversations, general routines and other activities with Ms. Poindexter and Ms. Jones during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, ITS-SIDS, and Criminal Background Checks. No medications were observed, nor reported. Storage of hazardous items was monitored today. The most recent playground inspection was recorded 1/04/2025; a playground inspection for March was conducted during the visit. A fire drill was last observed recorded 2/04/2025. A shelter in place drill for the facility was recorded on 12/15/2024. 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 can of aerosol Febreeze spray was observed located greater than five feet from the ground on a shelf in the bathroom used by children, but in unlocked storage. One can of aerosol disinfectant spray was observed stored greater than five feet up, but in unlocked storage on top of the refrigerator. One can of aerosol disinfectant spray was observed in an unlocked cabinet located in the space designated for child care. One small bottle of liquid White Out labeled Keep Out of Reach of Children with additional warnings was observed inside an unlocked desk drawer located in the space designated for child care. .1719 (a)(7) 714 Monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division. A playground inspection for the month of February, 2025 was not available for review. 10A NCAC .1721(e)(5)(A-F) 716 Electrical outlets not in use were not covered. Two outlets in a power strip located beneath a desk in the space designated for child care were observed without safety covers. 10A NCAC .1719(a)(27) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. A pair of adult scissors was observed inside an unlatched desk drawer located in the child care space, accessible to children under the age of three. 10A NCAC 09 .1719 (a) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The Ready to Go file was not available for review. .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 observed to be last updated in the Risk Management Portal on 8/29/2023. .1714(e ) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Two open plastic diaper wrappers were observed beneath the changing table, less than five feet from the ground, in the bathroom used by children under three years of age. Three sealed plastic sandwich bags were observed to contain markers and other materials and to be stored on a shelf and in cubbies less than five feet from the ground, accessible to children under three years of age. .1719(a)(18) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 4/01/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided during today’s visit: One can of aerosol Febreeze spray was observed located greater than five feet from the ground on a shelf in the bathroom used by children, but in unlocked storage. One can of aerosol disinfectant spray was observed stored greater than five feet up, but in unlocked storage on top of the refrigerator. One can of aerosol disinfectant spray was observed in an unlocked cabinet located in the space designated for child care. One small bottle of liquid White Out was observed inside an unlocked desk drawer located in the space designated for child care. Ms. Jones placed each of these items into locked storage during the visit. The Emergency Preparedness and Response Plan was observed to be last updated in the Risk Management Portal on 8/29/2023, and a Ready to Go file was not available for review. It is important for all emergency information to remain updated and on file to ensure you have this immediately accessible in the event of an emergency evacuation. Ms. Jones stated she remembers she and I discussed these items during my last visit, and she feels she has completed both of these, but just needs to locate them. We discussed Ms. Jones has the link for the Risk Management Portal and feels comfortable updating the plan online. You may consider setting a calendar reminder each year at least one month prior to the required renewal date for this plan to ensure you have enough time to update the EPR plan yearly. Consultation provided during today’s visit: The following Child Care Rules were reviewed with Ms. Jones during the visit: § 110-91. Mandatory standards for a license regarding that any operator of a licensed family child care home shall be the person on-site providing child care. 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (7) 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (b)(c) regarding screen time logs and age requirements for screen time 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (d)(10) The location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. During the visit, Ms. Jones and I discussed she is considering hiring another additional caregiver to support daily operation. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. At the completion of the visit, this visit summary was reviewed with and provided to you. 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1718 · Violation

Name of Operation: R-U HAPPY CHILD CARE Facility ID: 34000863 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/18/2025 Number Present: 5 Completed Date: 3/18/2025 Age: From 1 To 4 Total Minutes: 195 Time In: 10:15 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Edith Jones, Operator, assisted me with the visit. Joyce Poindexter, Ms. Jones’ daughter and Additional Caregiver, was also present during the visit. Your program currently operates with a 4-Star license effective 9/10/2024. Restrictions include 1st, 2nd, and 3rd shift care, a maximum of five preschool children at any time, children on ground level only, fireplace/ woodstove cannot be used during operating hours, children in fenced play area only, and no more than four children less than one year of age. Ms. Jones stated she is only providing first shift care at this time. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Ms. Jones stated she is the only person 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, playing outdoors, and engaging in conversations, general routines and other activities with Ms. Poindexter and Ms. Jones during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, ITS-SIDS, and Criminal Background Checks. No medications were observed, nor reported. Storage of hazardous items was monitored today. The most recent playground inspection was recorded 1/04/2025; a playground inspection for March was conducted during the visit. A fire drill was last observed recorded 2/04/2025. A shelter in place drill for the facility was recorded on 12/15/2024. 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 can of aerosol Febreeze spray was observed located greater than five feet from the ground on a shelf in the bathroom used by children, but in unlocked storage. One can of aerosol disinfectant spray was observed stored greater than five feet up, but in unlocked storage on top of the refrigerator. One can of aerosol disinfectant spray was observed in an unlocked cabinet located in the space designated for child care. One small bottle of liquid White Out labeled Keep Out of Reach of Children with additional warnings was observed inside an unlocked desk drawer located in the space designated for child care. .1719 (a)(7) 714 Monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division. A playground inspection for the month of February, 2025 was not available for review. 10A NCAC .1721(e)(5)(A-F) 716 Electrical outlets not in use were not covered. Two outlets in a power strip located beneath a desk in the space designated for child care were observed without safety covers. 10A NCAC .1719(a)(27) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. A pair of adult scissors was observed inside an unlatched desk drawer located in the child care space, accessible to children under the age of three. 10A NCAC 09 .1719 (a) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The Ready to Go file was not available for review. .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 observed to be last updated in the Risk Management Portal on 8/29/2023. .1714(e ) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Two open plastic diaper wrappers were observed beneath the changing table, less than five feet from the ground, in the bathroom used by children under three years of age. Three sealed plastic sandwich bags were observed to contain markers and other materials and to be stored on a shelf and in cubbies less than five feet from the ground, accessible to children under three years of age. .1719(a)(18) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 4/01/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided during today’s visit: One can of aerosol Febreeze spray was observed located greater than five feet from the ground on a shelf in the bathroom used by children, but in unlocked storage. One can of aerosol disinfectant spray was observed stored greater than five feet up, but in unlocked storage on top of the refrigerator. One can of aerosol disinfectant spray was observed in an unlocked cabinet located in the space designated for child care. One small bottle of liquid White Out was observed inside an unlocked desk drawer located in the space designated for child care. Ms. Jones placed each of these items into locked storage during the visit. The Emergency Preparedness and Response Plan was observed to be last updated in the Risk Management Portal on 8/29/2023, and a Ready to Go file was not available for review. It is important for all emergency information to remain updated and on file to ensure you have this immediately accessible in the event of an emergency evacuation. Ms. Jones stated she remembers she and I discussed these items during my last visit, and she feels she has completed both of these, but just needs to locate them. We discussed Ms. Jones has the link for the Risk Management Portal and feels comfortable updating the plan online. You may consider setting a calendar reminder each year at least one month prior to the required renewal date for this plan to ensure you have enough time to update the EPR plan yearly. Consultation provided during today’s visit: The following Child Care Rules were reviewed with Ms. Jones during the visit: § 110-91. Mandatory standards for a license regarding that any operator of a licensed family child care home shall be the person on-site providing child care. 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (7) 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (b)(c) regarding screen time logs and age requirements for screen time 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (d)(10) The location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. During the visit, Ms. Jones and I discussed she is considering hiring another additional caregiver to support daily operation. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. At the completion of the visit, this visit summary was reviewed with and provided to you. 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: R-U HAPPY CHILD CARE Facility ID: 34000863 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/18/2025 Number Present: 5 Completed Date: 3/18/2025 Age: From 1 To 4 Total Minutes: 195 Time In: 10:15 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Edith Jones, Operator, assisted me with the visit. Joyce Poindexter, Ms. Jones’ daughter and Additional Caregiver, was also present during the visit. Your program currently operates with a 4-Star license effective 9/10/2024. Restrictions include 1st, 2nd, and 3rd shift care, a maximum of five preschool children at any time, children on ground level only, fireplace/ woodstove cannot be used during operating hours, children in fenced play area only, and no more than four children less than one year of age. Ms. Jones stated she is only providing first shift care at this time. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Ms. Jones stated she is the only person 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, playing outdoors, and engaging in conversations, general routines and other activities with Ms. Poindexter and Ms. Jones during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, ITS-SIDS, and Criminal Background Checks. No medications were observed, nor reported. Storage of hazardous items was monitored today. The most recent playground inspection was recorded 1/04/2025; a playground inspection for March was conducted during the visit. A fire drill was last observed recorded 2/04/2025. A shelter in place drill for the facility was recorded on 12/15/2024. 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 can of aerosol Febreeze spray was observed located greater than five feet from the ground on a shelf in the bathroom used by children, but in unlocked storage. One can of aerosol disinfectant spray was observed stored greater than five feet up, but in unlocked storage on top of the refrigerator. One can of aerosol disinfectant spray was observed in an unlocked cabinet located in the space designated for child care. One small bottle of liquid White Out labeled Keep Out of Reach of Children with additional warnings was observed inside an unlocked desk drawer located in the space designated for child care. .1719 (a)(7) 714 Monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division. A playground inspection for the month of February, 2025 was not available for review. 10A NCAC .1721(e)(5)(A-F) 716 Electrical outlets not in use were not covered. Two outlets in a power strip located beneath a desk in the space designated for child care were observed without safety covers. 10A NCAC .1719(a)(27) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. A pair of adult scissors was observed inside an unlatched desk drawer located in the child care space, accessible to children under the age of three. 10A NCAC 09 .1719 (a) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The Ready to Go file was not available for review. .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 observed to be last updated in the Risk Management Portal on 8/29/2023. .1714(e ) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Two open plastic diaper wrappers were observed beneath the changing table, less than five feet from the ground, in the bathroom used by children under three years of age. Three sealed plastic sandwich bags were observed to contain markers and other materials and to be stored on a shelf and in cubbies less than five feet from the ground, accessible to children under three years of age. .1719(a)(18) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 4/01/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided during today’s visit: One can of aerosol Febreeze spray was observed located greater than five feet from the ground on a shelf in the bathroom used by children, but in unlocked storage. One can of aerosol disinfectant spray was observed stored greater than five feet up, but in unlocked storage on top of the refrigerator. One can of aerosol disinfectant spray was observed in an unlocked cabinet located in the space designated for child care. One small bottle of liquid White Out was observed inside an unlocked desk drawer located in the space designated for child care. Ms. Jones placed each of these items into locked storage during the visit. The Emergency Preparedness and Response Plan was observed to be last updated in the Risk Management Portal on 8/29/2023, and a Ready to Go file was not available for review. It is important for all emergency information to remain updated and on file to ensure you have this immediately accessible in the event of an emergency evacuation. Ms. Jones stated she remembers she and I discussed these items during my last visit, and she feels she has completed both of these, but just needs to locate them. We discussed Ms. Jones has the link for the Risk Management Portal and feels comfortable updating the plan online. You may consider setting a calendar reminder each year at least one month prior to the required renewal date for this plan to ensure you have enough time to update the EPR plan yearly. Consultation provided during today’s visit: The following Child Care Rules were reviewed with Ms. Jones during the visit: § 110-91. Mandatory standards for a license regarding that any operator of a licensed family child care home shall be the person on-site providing child care. 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (7) 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (b)(c) regarding screen time logs and age requirements for screen time 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (d)(10) The location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. During the visit, Ms. Jones and I discussed she is considering hiring another additional caregiver to support daily operation. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. At the completion of the visit, this visit summary was reviewed with and provided to you. 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: R-U HAPPY CHILD CARE Facility ID: 34000863 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/18/2025 Number Present: 5 Completed Date: 3/18/2025 Age: From 1 To 4 Total Minutes: 195 Time In: 10:15 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Edith Jones, Operator, assisted me with the visit. Joyce Poindexter, Ms. Jones’ daughter and Additional Caregiver, was also present during the visit. Your program currently operates with a 4-Star license effective 9/10/2024. Restrictions include 1st, 2nd, and 3rd shift care, a maximum of five preschool children at any time, children on ground level only, fireplace/ woodstove cannot be used during operating hours, children in fenced play area only, and no more than four children less than one year of age. Ms. Jones stated she is only providing first shift care at this time. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Ms. Jones stated she is the only person 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, playing outdoors, and engaging in conversations, general routines and other activities with Ms. Poindexter and Ms. Jones during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, ITS-SIDS, and Criminal Background Checks. No medications were observed, nor reported. Storage of hazardous items was monitored today. The most recent playground inspection was recorded 1/04/2025; a playground inspection for March was conducted during the visit. A fire drill was last observed recorded 2/04/2025. A shelter in place drill for the facility was recorded on 12/15/2024. 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 can of aerosol Febreeze spray was observed located greater than five feet from the ground on a shelf in the bathroom used by children, but in unlocked storage. One can of aerosol disinfectant spray was observed stored greater than five feet up, but in unlocked storage on top of the refrigerator. One can of aerosol disinfectant spray was observed in an unlocked cabinet located in the space designated for child care. One small bottle of liquid White Out labeled Keep Out of Reach of Children with additional warnings was observed inside an unlocked desk drawer located in the space designated for child care. .1719 (a)(7) 714 Monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division. A playground inspection for the month of February, 2025 was not available for review. 10A NCAC .1721(e)(5)(A-F) 716 Electrical outlets not in use were not covered. Two outlets in a power strip located beneath a desk in the space designated for child care were observed without safety covers. 10A NCAC .1719(a)(27) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. A pair of adult scissors was observed inside an unlatched desk drawer located in the child care space, accessible to children under the age of three. 10A NCAC 09 .1719 (a) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The Ready to Go file was not available for review. .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 observed to be last updated in the Risk Management Portal on 8/29/2023. .1714(e ) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Two open plastic diaper wrappers were observed beneath the changing table, less than five feet from the ground, in the bathroom used by children under three years of age. Three sealed plastic sandwich bags were observed to contain markers and other materials and to be stored on a shelf and in cubbies less than five feet from the ground, accessible to children under three years of age. .1719(a)(18) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 4/01/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided during today’s visit: One can of aerosol Febreeze spray was observed located greater than five feet from the ground on a shelf in the bathroom used by children, but in unlocked storage. One can of aerosol disinfectant spray was observed stored greater than five feet up, but in unlocked storage on top of the refrigerator. One can of aerosol disinfectant spray was observed in an unlocked cabinet located in the space designated for child care. One small bottle of liquid White Out was observed inside an unlocked desk drawer located in the space designated for child care. Ms. Jones placed each of these items into locked storage during the visit. The Emergency Preparedness and Response Plan was observed to be last updated in the Risk Management Portal on 8/29/2023, and a Ready to Go file was not available for review. It is important for all emergency information to remain updated and on file to ensure you have this immediately accessible in the event of an emergency evacuation. Ms. Jones stated she remembers she and I discussed these items during my last visit, and she feels she has completed both of these, but just needs to locate them. We discussed Ms. Jones has the link for the Risk Management Portal and feels comfortable updating the plan online. You may consider setting a calendar reminder each year at least one month prior to the required renewal date for this plan to ensure you have enough time to update the EPR plan yearly. Consultation provided during today’s visit: The following Child Care Rules were reviewed with Ms. Jones during the visit: § 110-91. Mandatory standards for a license regarding that any operator of a licensed family child care home shall be the person on-site providing child care. 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (7) 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (b)(c) regarding screen time logs and age requirements for screen time 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (d)(10) The location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. During the visit, Ms. Jones and I discussed she is considering hiring another additional caregiver to support daily operation. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. At the completion of the visit, this visit summary was reviewed with and provided to you. 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: R-U HAPPY CHILD CARE Facility ID: 34000863 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/18/2025 Number Present: 5 Completed Date: 3/18/2025 Age: From 1 To 4 Total Minutes: 195 Time In: 10:15 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Edith Jones, Operator, assisted me with the visit. Joyce Poindexter, Ms. Jones’ daughter and Additional Caregiver, was also present during the visit. Your program currently operates with a 4-Star license effective 9/10/2024. Restrictions include 1st, 2nd, and 3rd shift care, a maximum of five preschool children at any time, children on ground level only, fireplace/ woodstove cannot be used during operating hours, children in fenced play area only, and no more than four children less than one year of age. Ms. Jones stated she is only providing first shift care at this time. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Ms. Jones stated she is the only person 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, playing outdoors, and engaging in conversations, general routines and other activities with Ms. Poindexter and Ms. Jones during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, ITS-SIDS, and Criminal Background Checks. No medications were observed, nor reported. Storage of hazardous items was monitored today. The most recent playground inspection was recorded 1/04/2025; a playground inspection for March was conducted during the visit. A fire drill was last observed recorded 2/04/2025. A shelter in place drill for the facility was recorded on 12/15/2024. 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 can of aerosol Febreeze spray was observed located greater than five feet from the ground on a shelf in the bathroom used by children, but in unlocked storage. One can of aerosol disinfectant spray was observed stored greater than five feet up, but in unlocked storage on top of the refrigerator. One can of aerosol disinfectant spray was observed in an unlocked cabinet located in the space designated for child care. One small bottle of liquid White Out labeled Keep Out of Reach of Children with additional warnings was observed inside an unlocked desk drawer located in the space designated for child care. .1719 (a)(7) 714 Monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division. A playground inspection for the month of February, 2025 was not available for review. 10A NCAC .1721(e)(5)(A-F) 716 Electrical outlets not in use were not covered. Two outlets in a power strip located beneath a desk in the space designated for child care were observed without safety covers. 10A NCAC .1719(a)(27) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. A pair of adult scissors was observed inside an unlatched desk drawer located in the child care space, accessible to children under the age of three. 10A NCAC 09 .1719 (a) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The Ready to Go file was not available for review. .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 observed to be last updated in the Risk Management Portal on 8/29/2023. .1714(e ) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Two open plastic diaper wrappers were observed beneath the changing table, less than five feet from the ground, in the bathroom used by children under three years of age. Three sealed plastic sandwich bags were observed to contain markers and other materials and to be stored on a shelf and in cubbies less than five feet from the ground, accessible to children under three years of age. .1719(a)(18) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 4/01/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided during today’s visit: One can of aerosol Febreeze spray was observed located greater than five feet from the ground on a shelf in the bathroom used by children, but in unlocked storage. One can of aerosol disinfectant spray was observed stored greater than five feet up, but in unlocked storage on top of the refrigerator. One can of aerosol disinfectant spray was observed in an unlocked cabinet located in the space designated for child care. One small bottle of liquid White Out was observed inside an unlocked desk drawer located in the space designated for child care. Ms. Jones placed each of these items into locked storage during the visit. The Emergency Preparedness and Response Plan was observed to be last updated in the Risk Management Portal on 8/29/2023, and a Ready to Go file was not available for review. It is important for all emergency information to remain updated and on file to ensure you have this immediately accessible in the event of an emergency evacuation. Ms. Jones stated she remembers she and I discussed these items during my last visit, and she feels she has completed both of these, but just needs to locate them. We discussed Ms. Jones has the link for the Risk Management Portal and feels comfortable updating the plan online. You may consider setting a calendar reminder each year at least one month prior to the required renewal date for this plan to ensure you have enough time to update the EPR plan yearly. Consultation provided during today’s visit: The following Child Care Rules were reviewed with Ms. Jones during the visit: § 110-91. Mandatory standards for a license regarding that any operator of a licensed family child care home shall be the person on-site providing child care. 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (7) 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (b)(c) regarding screen time logs and age requirements for screen time 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (d)(10) The location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. During the visit, Ms. Jones and I discussed she is considering hiring another additional caregiver to support daily operation. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. At the completion of the visit, this visit summary was reviewed with and provided to you. 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 .1714 · Violation

Name of Operation: R-U HAPPY CHILD CARE Facility ID: 34000863 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 9/4/2024 Number Present: 5 Completed Date: 9/4/2024 Age: From 1 To 3 Total Minutes: 325 Time In: 09:35 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced An unannounced Annual Compliance visit with Rated License Assessment was conducted at this family childcare home to monitor compliance with applicable childcare requirements. Additionally, during today’s visit, a review of the results of your Environment Rating Scale (ERS) conducted on 8/21/2024 was completed to finalize your rated license assessment. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant, with Edith Jones, Operator. Joyce Poindexter, Additional Caregiver, was also present during the visit. The facility completed the initial request for the Environment Rating Scales and submitted it on 7/30/2024. A reassessment packet for the ERS was completed on 9/04/24 by Ms. Jones during the visit. The FCCERS was administered on 8/21/2024. The assessment report was received on 8/22/2024 and submitted to the provider on 8/28/2024. Your program currently operates with a 4-Star license. Restrictions include 1st, 2nd, and 3rd shift care; serves no more than four children less than one year of age; children in fenced play area only, a maximum of five preschoolers at any time; and children in care on ground level only. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 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. Supervision was adequate during the visit. I observed five children in care playing with toys, reading books, and engaging in conversations and activities and playing outdoors with Ms. Jones and Ms. Poindexter. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 2/06/2024. A Verification of Required Information for Operator and Additional Caregivers form for the operator and additional caregiver were completed during the visit. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The last fire drill was conducted on 8/01/2024. The most recent shelter-in-place drill was documented on 6/24/2024. The last outdoor inspection was documented on 8/31/2024. There are currently no pets at the home. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and found to be in compliance. The program does not provide transportation, participate in off-premise activities, or participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. On the playground, one chair was observed to have developing rust. 10A NCAC 09 .1719 (a) 1855 The operator did not review the FCCH EPR Plan with additional caregivers on an annual basis. An signed annual review of the Emergency Preparedness and Response Plan was not observed on file for the additional caregiver. .1729(a )(10) 1891 Individuals providing care to children did not receive 16 hours of orientation prior to beginning caregiving activities. A record of orientation was observed on file for the additional caregiver, but it was not complete. .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. In the bathroom accessed by children under the age of three years old, one plastic bag was observed behind a sliding curtain in this bathroom, less than five feet from the ground. One plastic Ziploc bag containing magnetic letters was observed less than five feet from the ground inside a cubby. .1719(a)(18) 2015 Operator did not review the abusive head trauma and shaken baby syndrome policy with staff and/or the acknowledgement of the review did not contain required items or was not available for review. A signed Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy was not observed on file for the additional caregiver. .1726(d)(1-4) 2025 Operator and/or staff members did not complete a professional development plan within one year of employment. A Professional Development Plan was not observed on file for review for the operator and additional caregiver. .1703(i) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided following today’s visit: In the bathroom accessed by children under the age of three years old, one plastic bag was observed behind a sliding curtain in this bathroom, less than five feet from the ground. One plastic Ziploc bag containing magnetic letters was observed less than five feet from the ground inside a cubby. Each of these bags was made inaccessible to children during the visit. An signed annual review of the Emergency Preparedness and Response Plan and Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy were not observed on file for the additional caregiver. This annual review and Shaken Baby Policy were signed by the additional caregiver during the visit. A Professional Development Plan was not observed on file for review for the operator and additional caregiver. A Professional Development Plan was completed by both the operator, and the additional caregiver, during the visit. On the playground, one chair was observed to have developing rust; this chair was removed from the outdoor learning environment during the visit. A record of orientation was observed on file for the additional caregiver, but it was not complete. Ms. Poindexter completed this record during the visit. Consultation provided during today’s visit: 10A NCAC 09 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS (a) (2) 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (e ) Ms. Poindexter stated she is interested in completing her NC Early Childhood Credential course. We discussed Ms. Poindexter reaching out to Forsyth Technical Community College (https://www.forsythtech.edu/program_tracks/early-childhood-education-early-childhood/ ) for further information regarding enrollment in this course. Ms. Poindexter also stated she is interested in completing early childhood courses through Child Care Lounge (https://childcarelounge.com/pages/online-child-care-training-approved-in-north-carolina#:~:text=Child%20Care%20Lounge%20%7C%20Child%20Care%20Training%20Approved%20in%20North%20Carolina ); I stated to Ms. Poindexter I would follow up with her once I confirmed whether these courses were accredited through the DCDEE. • You must notify your consultant 30 days prior to changing the ownership status of your facility. I will process your application for a 4-Star License based on the following information: Ms. Jones had no questions and stated that she did not plan to file a grievance regarding the score received with the North Carolina Rated License Assessment Project. It is recommended that Ms. Jones review the Facility Summary Report along with this visit summary and obtain any needed training and technical assistance from your local resource and referral agency, which will serve to assist you in providing enhanced care and improve future assessment scores. ERS summaries were reviewed today and items scoring less than a four could constitute a violation of childcare requirements and therefore were monitored. These items are noted below: FCCERS-R assessment: Date: 8/21/2024 Total score: 4.76 Item:_8 Indicator: 3.2 (see page: 23 in the FCCERS) Score: 2 Assessor Comments: The three cots in the soft area were stepped on by 3 of the 5 children before nap time. The bedding was not replaced on the cots prior to nap time. ERS Requirements: If cots are stepped on by children prior to nap time, the bedding on these cots should be replaced prior to being used by children at nap time. Observations today: Ms. Jones stated the children’s cot sheets are normally changed if a child steps on them prior to nap time; she stated this was just overlooked on the day of the FCCERS assessment. One child stepped on a cot sheet during preparation for nap today, and I observed Ms. Jones changed the child’s sheet immediately. Item: 9 Indicator: 1.4 (see pages: 24-25 in the FCCERS) Score: 1 Assessor Comments: During outdoor play children were given cups of water and some of the children drank from the cups as they walked around the playground or rode in the wagon. ERS Requirements: Children should not eat or drink while walking, playing, or lying down. Children should be sitting down and supervised while eating or drinking. Observations today: I observed Ms. Poindexter serving water to children after they came indoors from outdoor play and washed their hands. Ms. Jones stated it was extremely hot on the day of the FCCERS assessment. She stated the children had been running and playing, picked up their water bottles, and walked around while drinking them. Ms. Jones and Ms. Poindexter shared they were not aware of this ERS requirement until they received the assessment report. Item:_10 Indicator: 3.1 (see pages: 26-27 in the FCCERS) Score: 1 Assessor Comments: The children and the providers used the sink in the bathroom to wash their hands when returning from the playground, before and after lunch, and following toileting/diapering and pull-up routines. The sink was not disinfected following toileting/diapering and pull-up routines before it was used for another purpose. Two pull-up routines occurred as a child toileted. In addition, four diaper changes occurred on the diapering table. Preparations: During the pull-up routines the pull-up remained in the cubby until after the child toileted. Preparations were made prior to 2 of the 4 diaper routines. Disposal: In all of the routines the soiled diapers/pull-ups were disposed of properly. Wipes: The use of wipes to clean hands was not required during the pull-up routines. During the diapering routines, the use of diaper wipes to clean the children's and provider's hands before handling the clean diaper did not occur. Clean/Disinfect: Following one routine on the diapering table the surface was cleaned and disinfected as required. After one routine, the table was cleaned with soapy water; however, it was not then sprayed with a disinfectant that was allowed to air dry on the surface for at least 2 minutes. Following the other two routines, the surface was not cleaned or disinfected. For more information on procedures required during diapering routines, please refer to the diapering procedure poster from the North Carolina Child Care Health and Safety Resource Center. ERS Requirements: The bathroom sink must be disinfected following toileting/diapering and pull-up routines before it is used for another purpose. If the same sink is used by either children or adults for both diapering/toileting and food-related purposes (including toothbrushing) or for other purposes (to wash toys/ other classroom equipment; after wiping a nose), it must be sanitized by spraying the sink and faucets with a bleach solution after diapering/toileting use. As an exception to this rule, in order to avoid requiring children to wash hands in quick succession between toileting and being fed, the following applies: if children use the toilet, wash hands and then immediately sit down for a meal/snack, contamination of children’s hands at the toileting sink must be minimized by having children/adults turn off the faucet with a paper towel. When preparing for a diaper change, before bringing the child to the changing area, have ready enough wipes for the change, a clean diaper or underwear, plastic bag for soiled clothes, and clean clothes, gloves, and diaper cream on a disposable paper or tissue, if needed. During a diaper change, after a caregiver cleans a child’s bottom, he/she must use a wipe to wipe his/her hands and another wipe to wipe the child’s hands before placing a clean diaper or underwear on the child. After a caregiver changes a diaper, the diapering surface must be sprayed and cleaned with a soap-water solution and wiped dry with a disposable towel. Next, the diapering surface must be sprayed with a bleach-water solution, and the caregiver must wait at least two minutes before wiping the surface dry with a disposable towel or letting it air dry. Observations today: I observed Ms. Jones sanitize the bathroom sink in between uses, after the children washed their hands following using the bathroom during my visit. Ms. Jones and Ms. Poindexter shared the day of the assessment was an extremely busy one, and neither could remember the details of the specific changes. Item: 23 Indicator: 3.2 (see pages: 48-49 in the FCCERS) Score: 2 Assessor Comments: During outdoor play, two children ate sand from the sand table several times. Once the provider reminded children not to eat the sand. However, when the provider engaged with other children, the behavior continued until the sand table was closed. ERS Requirements: Sand play must be closely supervised at all times; a child should not be able to consume sand and/or water used for play. Observations today: The children were not observed to have sand play during today’s visit. Ms. Jones stated the children were playing in the sand on the day of the assessment. She stated she observed one child put sand in his mouth and that when this occurred, she closed the sand table and redirected the children to another activity. Ms. Jones stated she was by herself outdoors during this time and that she normally has Ms. Poindexter with her to help supervise sand play. Item: 25 Indicator: 1.4 (see pages: 52-53 in the FCCERS) Score: 1 Assessor Comments: The provider reported that the children, including the child under 24 months of age, watch a video for 30 minutes monthly. Observations today: Ms. Jones stated during today’s visit that screen time has been used for educational purposes in the past with children three years of age or older, but that she and Ms. Poindexter are not currently using screen time at all with children enrolled. Ms. Poindexter stated the ages of children using screen time was never discussed during the assessment. Ms. Jones stated she shared with the assessor screen time was used once per month with children three years of age or older. Item: 26 Indicator: 3.2 (see pages: 54-55 in the FCCERS) Score: 2 Assessor Comments: The outdoor safety concern described in item 12 applies here as well (the yellow slide was placed on grass, rather than an approved cushioning surface). ERS Requirements: Approved cushioning surfaces include wood mulch, wood chips, double shredded bark mulch, pea gravel, fine and coarse sand, and manufactured (ex. Tiles, poured-in-place, shredded tires, etc.) surfacing. Observations today: The yellow slide is currently located on grass surfacing. Ms. Jones stated she will look into possible approved cushioning options. Item: 31 Indicator: 3.2 (see pages: 60 in the FCCERS) Score: 2 Assessor Comments: As described in item 10, three children did not have diaper or pull-up checks/changes or toileting routines within a 2-hour time period. ERS Requirements: Children’s diapers and/or pull-ups must be checked and/or changed every two hours. Observations today: Children’s diapers and/or pull-ups were observed to be changed less than every two hours during today’s visit. Ms. Poindexter and Ms. Jones stated the children were not changed every two hours on the date of the assessment, but that close attention would be paid to this moving forward. Your three-year re-assessment was due by 8/04/2020. You had prepared to submit your application for re-assessment just prior to COVID-19 beginning. Your new 4-Star License is based on the following: • Education: The operator has NCECC, is qualified as a Lead Teacher, and has 19 years’ experience in licensed childcare. Based on the information noted above, your program earned 3 points in the Education component. • Program Standards: The program meets minimum requirements, has operational policies, and serves no more than four children less than one year of age. The facility completed the request for the Environment Rating Scales and submitted it with the initial assessment packet on 7/30/2024. A reassessment packet was completed during the visit and submitted. The FCCERS-R was administered on 8/21/2024. The assessment report was reviewed during a rated license visit on 9/04/2024. The score was 4.76 earning this facility 6 points in this component. • Quality Point: You have chosen to change your Quality Point, due to not being able to locate documentation of the business training course you completed in 2017 with 30 clock hours. You stated at this time you will meet an infant capacity restricted to no more than two children under one year of age. I verified only one child one year of age or younger is currently enrolled at the program and this Quality Point is being implemented; therefore your program earned 1 Quality Point. • Total: 3 + 6 + 1 = 10 = 4-Star License. A new license will be mailed directly to you and must be posted upon receipt. At that time, return the old license to me as it remains the property of the State of North Carolina. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1719 · Violation

Name of Operation: R-U HAPPY CHILD CARE Facility ID: 34000863 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 9/4/2024 Number Present: 5 Completed Date: 9/4/2024 Age: From 1 To 3 Total Minutes: 325 Time In: 09:35 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced An unannounced Annual Compliance visit with Rated License Assessment was conducted at this family childcare home to monitor compliance with applicable childcare requirements. Additionally, during today’s visit, a review of the results of your Environment Rating Scale (ERS) conducted on 8/21/2024 was completed to finalize your rated license assessment. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant, with Edith Jones, Operator. Joyce Poindexter, Additional Caregiver, was also present during the visit. The facility completed the initial request for the Environment Rating Scales and submitted it on 7/30/2024. A reassessment packet for the ERS was completed on 9/04/24 by Ms. Jones during the visit. The FCCERS was administered on 8/21/2024. The assessment report was received on 8/22/2024 and submitted to the provider on 8/28/2024. Your program currently operates with a 4-Star license. Restrictions include 1st, 2nd, and 3rd shift care; serves no more than four children less than one year of age; children in fenced play area only, a maximum of five preschoolers at any time; and children in care on ground level only. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 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. Supervision was adequate during the visit. I observed five children in care playing with toys, reading books, and engaging in conversations and activities and playing outdoors with Ms. Jones and Ms. Poindexter. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 2/06/2024. A Verification of Required Information for Operator and Additional Caregivers form for the operator and additional caregiver were completed during the visit. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The last fire drill was conducted on 8/01/2024. The most recent shelter-in-place drill was documented on 6/24/2024. The last outdoor inspection was documented on 8/31/2024. There are currently no pets at the home. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and found to be in compliance. The program does not provide transportation, participate in off-premise activities, or participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. On the playground, one chair was observed to have developing rust. 10A NCAC 09 .1719 (a) 1855 The operator did not review the FCCH EPR Plan with additional caregivers on an annual basis. An signed annual review of the Emergency Preparedness and Response Plan was not observed on file for the additional caregiver. .1729(a )(10) 1891 Individuals providing care to children did not receive 16 hours of orientation prior to beginning caregiving activities. A record of orientation was observed on file for the additional caregiver, but it was not complete. .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. In the bathroom accessed by children under the age of three years old, one plastic bag was observed behind a sliding curtain in this bathroom, less than five feet from the ground. One plastic Ziploc bag containing magnetic letters was observed less than five feet from the ground inside a cubby. .1719(a)(18) 2015 Operator did not review the abusive head trauma and shaken baby syndrome policy with staff and/or the acknowledgement of the review did not contain required items or was not available for review. A signed Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy was not observed on file for the additional caregiver. .1726(d)(1-4) 2025 Operator and/or staff members did not complete a professional development plan within one year of employment. A Professional Development Plan was not observed on file for review for the operator and additional caregiver. .1703(i) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided following today’s visit: In the bathroom accessed by children under the age of three years old, one plastic bag was observed behind a sliding curtain in this bathroom, less than five feet from the ground. One plastic Ziploc bag containing magnetic letters was observed less than five feet from the ground inside a cubby. Each of these bags was made inaccessible to children during the visit. An signed annual review of the Emergency Preparedness and Response Plan and Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy were not observed on file for the additional caregiver. This annual review and Shaken Baby Policy were signed by the additional caregiver during the visit. A Professional Development Plan was not observed on file for review for the operator and additional caregiver. A Professional Development Plan was completed by both the operator, and the additional caregiver, during the visit. On the playground, one chair was observed to have developing rust; this chair was removed from the outdoor learning environment during the visit. A record of orientation was observed on file for the additional caregiver, but it was not complete. Ms. Poindexter completed this record during the visit. Consultation provided during today’s visit: 10A NCAC 09 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS (a) (2) 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (e ) Ms. Poindexter stated she is interested in completing her NC Early Childhood Credential course. We discussed Ms. Poindexter reaching out to Forsyth Technical Community College (https://www.forsythtech.edu/program_tracks/early-childhood-education-early-childhood/ ) for further information regarding enrollment in this course. Ms. Poindexter also stated she is interested in completing early childhood courses through Child Care Lounge (https://childcarelounge.com/pages/online-child-care-training-approved-in-north-carolina#:~:text=Child%20Care%20Lounge%20%7C%20Child%20Care%20Training%20Approved%20in%20North%20Carolina ); I stated to Ms. Poindexter I would follow up with her once I confirmed whether these courses were accredited through the DCDEE. • You must notify your consultant 30 days prior to changing the ownership status of your facility. I will process your application for a 4-Star License based on the following information: Ms. Jones had no questions and stated that she did not plan to file a grievance regarding the score received with the North Carolina Rated License Assessment Project. It is recommended that Ms. Jones review the Facility Summary Report along with this visit summary and obtain any needed training and technical assistance from your local resource and referral agency, which will serve to assist you in providing enhanced care and improve future assessment scores. ERS summaries were reviewed today and items scoring less than a four could constitute a violation of childcare requirements and therefore were monitored. These items are noted below: FCCERS-R assessment: Date: 8/21/2024 Total score: 4.76 Item:_8 Indicator: 3.2 (see page: 23 in the FCCERS) Score: 2 Assessor Comments: The three cots in the soft area were stepped on by 3 of the 5 children before nap time. The bedding was not replaced on the cots prior to nap time. ERS Requirements: If cots are stepped on by children prior to nap time, the bedding on these cots should be replaced prior to being used by children at nap time. Observations today: Ms. Jones stated the children’s cot sheets are normally changed if a child steps on them prior to nap time; she stated this was just overlooked on the day of the FCCERS assessment. One child stepped on a cot sheet during preparation for nap today, and I observed Ms. Jones changed the child’s sheet immediately. Item: 9 Indicator: 1.4 (see pages: 24-25 in the FCCERS) Score: 1 Assessor Comments: During outdoor play children were given cups of water and some of the children drank from the cups as they walked around the playground or rode in the wagon. ERS Requirements: Children should not eat or drink while walking, playing, or lying down. Children should be sitting down and supervised while eating or drinking. Observations today: I observed Ms. Poindexter serving water to children after they came indoors from outdoor play and washed their hands. Ms. Jones stated it was extremely hot on the day of the FCCERS assessment. She stated the children had been running and playing, picked up their water bottles, and walked around while drinking them. Ms. Jones and Ms. Poindexter shared they were not aware of this ERS requirement until they received the assessment report. Item:_10 Indicator: 3.1 (see pages: 26-27 in the FCCERS) Score: 1 Assessor Comments: The children and the providers used the sink in the bathroom to wash their hands when returning from the playground, before and after lunch, and following toileting/diapering and pull-up routines. The sink was not disinfected following toileting/diapering and pull-up routines before it was used for another purpose. Two pull-up routines occurred as a child toileted. In addition, four diaper changes occurred on the diapering table. Preparations: During the pull-up routines the pull-up remained in the cubby until after the child toileted. Preparations were made prior to 2 of the 4 diaper routines. Disposal: In all of the routines the soiled diapers/pull-ups were disposed of properly. Wipes: The use of wipes to clean hands was not required during the pull-up routines. During the diapering routines, the use of diaper wipes to clean the children's and provider's hands before handling the clean diaper did not occur. Clean/Disinfect: Following one routine on the diapering table the surface was cleaned and disinfected as required. After one routine, the table was cleaned with soapy water; however, it was not then sprayed with a disinfectant that was allowed to air dry on the surface for at least 2 minutes. Following the other two routines, the surface was not cleaned or disinfected. For more information on procedures required during diapering routines, please refer to the diapering procedure poster from the North Carolina Child Care Health and Safety Resource Center. ERS Requirements: The bathroom sink must be disinfected following toileting/diapering and pull-up routines before it is used for another purpose. If the same sink is used by either children or adults for both diapering/toileting and food-related purposes (including toothbrushing) or for other purposes (to wash toys/ other classroom equipment; after wiping a nose), it must be sanitized by spraying the sink and faucets with a bleach solution after diapering/toileting use. As an exception to this rule, in order to avoid requiring children to wash hands in quick succession between toileting and being fed, the following applies: if children use the toilet, wash hands and then immediately sit down for a meal/snack, contamination of children’s hands at the toileting sink must be minimized by having children/adults turn off the faucet with a paper towel. When preparing for a diaper change, before bringing the child to the changing area, have ready enough wipes for the change, a clean diaper or underwear, plastic bag for soiled clothes, and clean clothes, gloves, and diaper cream on a disposable paper or tissue, if needed. During a diaper change, after a caregiver cleans a child’s bottom, he/she must use a wipe to wipe his/her hands and another wipe to wipe the child’s hands before placing a clean diaper or underwear on the child. After a caregiver changes a diaper, the diapering surface must be sprayed and cleaned with a soap-water solution and wiped dry with a disposable towel. Next, the diapering surface must be sprayed with a bleach-water solution, and the caregiver must wait at least two minutes before wiping the surface dry with a disposable towel or letting it air dry. Observations today: I observed Ms. Jones sanitize the bathroom sink in between uses, after the children washed their hands following using the bathroom during my visit. Ms. Jones and Ms. Poindexter shared the day of the assessment was an extremely busy one, and neither could remember the details of the specific changes. Item: 23 Indicator: 3.2 (see pages: 48-49 in the FCCERS) Score: 2 Assessor Comments: During outdoor play, two children ate sand from the sand table several times. Once the provider reminded children not to eat the sand. However, when the provider engaged with other children, the behavior continued until the sand table was closed. ERS Requirements: Sand play must be closely supervised at all times; a child should not be able to consume sand and/or water used for play. Observations today: The children were not observed to have sand play during today’s visit. Ms. Jones stated the children were playing in the sand on the day of the assessment. She stated she observed one child put sand in his mouth and that when this occurred, she closed the sand table and redirected the children to another activity. Ms. Jones stated she was by herself outdoors during this time and that she normally has Ms. Poindexter with her to help supervise sand play. Item: 25 Indicator: 1.4 (see pages: 52-53 in the FCCERS) Score: 1 Assessor Comments: The provider reported that the children, including the child under 24 months of age, watch a video for 30 minutes monthly. Observations today: Ms. Jones stated during today’s visit that screen time has been used for educational purposes in the past with children three years of age or older, but that she and Ms. Poindexter are not currently using screen time at all with children enrolled. Ms. Poindexter stated the ages of children using screen time was never discussed during the assessment. Ms. Jones stated she shared with the assessor screen time was used once per month with children three years of age or older. Item: 26 Indicator: 3.2 (see pages: 54-55 in the FCCERS) Score: 2 Assessor Comments: The outdoor safety concern described in item 12 applies here as well (the yellow slide was placed on grass, rather than an approved cushioning surface). ERS Requirements: Approved cushioning surfaces include wood mulch, wood chips, double shredded bark mulch, pea gravel, fine and coarse sand, and manufactured (ex. Tiles, poured-in-place, shredded tires, etc.) surfacing. Observations today: The yellow slide is currently located on grass surfacing. Ms. Jones stated she will look into possible approved cushioning options. Item: 31 Indicator: 3.2 (see pages: 60 in the FCCERS) Score: 2 Assessor Comments: As described in item 10, three children did not have diaper or pull-up checks/changes or toileting routines within a 2-hour time period. ERS Requirements: Children’s diapers and/or pull-ups must be checked and/or changed every two hours. Observations today: Children’s diapers and/or pull-ups were observed to be changed less than every two hours during today’s visit. Ms. Poindexter and Ms. Jones stated the children were not changed every two hours on the date of the assessment, but that close attention would be paid to this moving forward. Your three-year re-assessment was due by 8/04/2020. You had prepared to submit your application for re-assessment just prior to COVID-19 beginning. Your new 4-Star License is based on the following: • Education: The operator has NCECC, is qualified as a Lead Teacher, and has 19 years’ experience in licensed childcare. Based on the information noted above, your program earned 3 points in the Education component. • Program Standards: The program meets minimum requirements, has operational policies, and serves no more than four children less than one year of age. The facility completed the request for the Environment Rating Scales and submitted it with the initial assessment packet on 7/30/2024. A reassessment packet was completed during the visit and submitted. The FCCERS-R was administered on 8/21/2024. The assessment report was reviewed during a rated license visit on 9/04/2024. The score was 4.76 earning this facility 6 points in this component. • Quality Point: You have chosen to change your Quality Point, due to not being able to locate documentation of the business training course you completed in 2017 with 30 clock hours. You stated at this time you will meet an infant capacity restricted to no more than two children under one year of age. I verified only one child one year of age or younger is currently enrolled at the program and this Quality Point is being implemented; therefore your program earned 1 Quality Point. • Total: 3 + 6 + 1 = 10 = 4-Star License. A new license will be mailed directly to you and must be posted upon receipt. At that time, return the old license to me as it remains the property of the State of North Carolina. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1729 · Violation

Name of Operation: R-U HAPPY CHILD CARE Facility ID: 34000863 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 9/4/2024 Number Present: 5 Completed Date: 9/4/2024 Age: From 1 To 3 Total Minutes: 325 Time In: 09:35 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced An unannounced Annual Compliance visit with Rated License Assessment was conducted at this family childcare home to monitor compliance with applicable childcare requirements. Additionally, during today’s visit, a review of the results of your Environment Rating Scale (ERS) conducted on 8/21/2024 was completed to finalize your rated license assessment. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant, with Edith Jones, Operator. Joyce Poindexter, Additional Caregiver, was also present during the visit. The facility completed the initial request for the Environment Rating Scales and submitted it on 7/30/2024. A reassessment packet for the ERS was completed on 9/04/24 by Ms. Jones during the visit. The FCCERS was administered on 8/21/2024. The assessment report was received on 8/22/2024 and submitted to the provider on 8/28/2024. Your program currently operates with a 4-Star license. Restrictions include 1st, 2nd, and 3rd shift care; serves no more than four children less than one year of age; children in fenced play area only, a maximum of five preschoolers at any time; and children in care on ground level only. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 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. Supervision was adequate during the visit. I observed five children in care playing with toys, reading books, and engaging in conversations and activities and playing outdoors with Ms. Jones and Ms. Poindexter. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 2/06/2024. A Verification of Required Information for Operator and Additional Caregivers form for the operator and additional caregiver were completed during the visit. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The last fire drill was conducted on 8/01/2024. The most recent shelter-in-place drill was documented on 6/24/2024. The last outdoor inspection was documented on 8/31/2024. There are currently no pets at the home. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and found to be in compliance. The program does not provide transportation, participate in off-premise activities, or participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. On the playground, one chair was observed to have developing rust. 10A NCAC 09 .1719 (a) 1855 The operator did not review the FCCH EPR Plan with additional caregivers on an annual basis. An signed annual review of the Emergency Preparedness and Response Plan was not observed on file for the additional caregiver. .1729(a )(10) 1891 Individuals providing care to children did not receive 16 hours of orientation prior to beginning caregiving activities. A record of orientation was observed on file for the additional caregiver, but it was not complete. .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. In the bathroom accessed by children under the age of three years old, one plastic bag was observed behind a sliding curtain in this bathroom, less than five feet from the ground. One plastic Ziploc bag containing magnetic letters was observed less than five feet from the ground inside a cubby. .1719(a)(18) 2015 Operator did not review the abusive head trauma and shaken baby syndrome policy with staff and/or the acknowledgement of the review did not contain required items or was not available for review. A signed Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy was not observed on file for the additional caregiver. .1726(d)(1-4) 2025 Operator and/or staff members did not complete a professional development plan within one year of employment. A Professional Development Plan was not observed on file for review for the operator and additional caregiver. .1703(i) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided following today’s visit: In the bathroom accessed by children under the age of three years old, one plastic bag was observed behind a sliding curtain in this bathroom, less than five feet from the ground. One plastic Ziploc bag containing magnetic letters was observed less than five feet from the ground inside a cubby. Each of these bags was made inaccessible to children during the visit. An signed annual review of the Emergency Preparedness and Response Plan and Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy were not observed on file for the additional caregiver. This annual review and Shaken Baby Policy were signed by the additional caregiver during the visit. A Professional Development Plan was not observed on file for review for the operator and additional caregiver. A Professional Development Plan was completed by both the operator, and the additional caregiver, during the visit. On the playground, one chair was observed to have developing rust; this chair was removed from the outdoor learning environment during the visit. A record of orientation was observed on file for the additional caregiver, but it was not complete. Ms. Poindexter completed this record during the visit. Consultation provided during today’s visit: 10A NCAC 09 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS (a) (2) 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (e ) Ms. Poindexter stated she is interested in completing her NC Early Childhood Credential course. We discussed Ms. Poindexter reaching out to Forsyth Technical Community College (https://www.forsythtech.edu/program_tracks/early-childhood-education-early-childhood/ ) for further information regarding enrollment in this course. Ms. Poindexter also stated she is interested in completing early childhood courses through Child Care Lounge (https://childcarelounge.com/pages/online-child-care-training-approved-in-north-carolina#:~:text=Child%20Care%20Lounge%20%7C%20Child%20Care%20Training%20Approved%20in%20North%20Carolina ); I stated to Ms. Poindexter I would follow up with her once I confirmed whether these courses were accredited through the DCDEE. • You must notify your consultant 30 days prior to changing the ownership status of your facility. I will process your application for a 4-Star License based on the following information: Ms. Jones had no questions and stated that she did not plan to file a grievance regarding the score received with the North Carolina Rated License Assessment Project. It is recommended that Ms. Jones review the Facility Summary Report along with this visit summary and obtain any needed training and technical assistance from your local resource and referral agency, which will serve to assist you in providing enhanced care and improve future assessment scores. ERS summaries were reviewed today and items scoring less than a four could constitute a violation of childcare requirements and therefore were monitored. These items are noted below: FCCERS-R assessment: Date: 8/21/2024 Total score: 4.76 Item:_8 Indicator: 3.2 (see page: 23 in the FCCERS) Score: 2 Assessor Comments: The three cots in the soft area were stepped on by 3 of the 5 children before nap time. The bedding was not replaced on the cots prior to nap time. ERS Requirements: If cots are stepped on by children prior to nap time, the bedding on these cots should be replaced prior to being used by children at nap time. Observations today: Ms. Jones stated the children’s cot sheets are normally changed if a child steps on them prior to nap time; she stated this was just overlooked on the day of the FCCERS assessment. One child stepped on a cot sheet during preparation for nap today, and I observed Ms. Jones changed the child’s sheet immediately. Item: 9 Indicator: 1.4 (see pages: 24-25 in the FCCERS) Score: 1 Assessor Comments: During outdoor play children were given cups of water and some of the children drank from the cups as they walked around the playground or rode in the wagon. ERS Requirements: Children should not eat or drink while walking, playing, or lying down. Children should be sitting down and supervised while eating or drinking. Observations today: I observed Ms. Poindexter serving water to children after they came indoors from outdoor play and washed their hands. Ms. Jones stated it was extremely hot on the day of the FCCERS assessment. She stated the children had been running and playing, picked up their water bottles, and walked around while drinking them. Ms. Jones and Ms. Poindexter shared they were not aware of this ERS requirement until they received the assessment report. Item:_10 Indicator: 3.1 (see pages: 26-27 in the FCCERS) Score: 1 Assessor Comments: The children and the providers used the sink in the bathroom to wash their hands when returning from the playground, before and after lunch, and following toileting/diapering and pull-up routines. The sink was not disinfected following toileting/diapering and pull-up routines before it was used for another purpose. Two pull-up routines occurred as a child toileted. In addition, four diaper changes occurred on the diapering table. Preparations: During the pull-up routines the pull-up remained in the cubby until after the child toileted. Preparations were made prior to 2 of the 4 diaper routines. Disposal: In all of the routines the soiled diapers/pull-ups were disposed of properly. Wipes: The use of wipes to clean hands was not required during the pull-up routines. During the diapering routines, the use of diaper wipes to clean the children's and provider's hands before handling the clean diaper did not occur. Clean/Disinfect: Following one routine on the diapering table the surface was cleaned and disinfected as required. After one routine, the table was cleaned with soapy water; however, it was not then sprayed with a disinfectant that was allowed to air dry on the surface for at least 2 minutes. Following the other two routines, the surface was not cleaned or disinfected. For more information on procedures required during diapering routines, please refer to the diapering procedure poster from the North Carolina Child Care Health and Safety Resource Center. ERS Requirements: The bathroom sink must be disinfected following toileting/diapering and pull-up routines before it is used for another purpose. If the same sink is used by either children or adults for both diapering/toileting and food-related purposes (including toothbrushing) or for other purposes (to wash toys/ other classroom equipment; after wiping a nose), it must be sanitized by spraying the sink and faucets with a bleach solution after diapering/toileting use. As an exception to this rule, in order to avoid requiring children to wash hands in quick succession between toileting and being fed, the following applies: if children use the toilet, wash hands and then immediately sit down for a meal/snack, contamination of children’s hands at the toileting sink must be minimized by having children/adults turn off the faucet with a paper towel. When preparing for a diaper change, before bringing the child to the changing area, have ready enough wipes for the change, a clean diaper or underwear, plastic bag for soiled clothes, and clean clothes, gloves, and diaper cream on a disposable paper or tissue, if needed. During a diaper change, after a caregiver cleans a child’s bottom, he/she must use a wipe to wipe his/her hands and another wipe to wipe the child’s hands before placing a clean diaper or underwear on the child. After a caregiver changes a diaper, the diapering surface must be sprayed and cleaned with a soap-water solution and wiped dry with a disposable towel. Next, the diapering surface must be sprayed with a bleach-water solution, and the caregiver must wait at least two minutes before wiping the surface dry with a disposable towel or letting it air dry. Observations today: I observed Ms. Jones sanitize the bathroom sink in between uses, after the children washed their hands following using the bathroom during my visit. Ms. Jones and Ms. Poindexter shared the day of the assessment was an extremely busy one, and neither could remember the details of the specific changes. Item: 23 Indicator: 3.2 (see pages: 48-49 in the FCCERS) Score: 2 Assessor Comments: During outdoor play, two children ate sand from the sand table several times. Once the provider reminded children not to eat the sand. However, when the provider engaged with other children, the behavior continued until the sand table was closed. ERS Requirements: Sand play must be closely supervised at all times; a child should not be able to consume sand and/or water used for play. Observations today: The children were not observed to have sand play during today’s visit. Ms. Jones stated the children were playing in the sand on the day of the assessment. She stated she observed one child put sand in his mouth and that when this occurred, she closed the sand table and redirected the children to another activity. Ms. Jones stated she was by herself outdoors during this time and that she normally has Ms. Poindexter with her to help supervise sand play. Item: 25 Indicator: 1.4 (see pages: 52-53 in the FCCERS) Score: 1 Assessor Comments: The provider reported that the children, including the child under 24 months of age, watch a video for 30 minutes monthly. Observations today: Ms. Jones stated during today’s visit that screen time has been used for educational purposes in the past with children three years of age or older, but that she and Ms. Poindexter are not currently using screen time at all with children enrolled. Ms. Poindexter stated the ages of children using screen time was never discussed during the assessment. Ms. Jones stated she shared with the assessor screen time was used once per month with children three years of age or older. Item: 26 Indicator: 3.2 (see pages: 54-55 in the FCCERS) Score: 2 Assessor Comments: The outdoor safety concern described in item 12 applies here as well (the yellow slide was placed on grass, rather than an approved cushioning surface). ERS Requirements: Approved cushioning surfaces include wood mulch, wood chips, double shredded bark mulch, pea gravel, fine and coarse sand, and manufactured (ex. Tiles, poured-in-place, shredded tires, etc.) surfacing. Observations today: The yellow slide is currently located on grass surfacing. Ms. Jones stated she will look into possible approved cushioning options. Item: 31 Indicator: 3.2 (see pages: 60 in the FCCERS) Score: 2 Assessor Comments: As described in item 10, three children did not have diaper or pull-up checks/changes or toileting routines within a 2-hour time period. ERS Requirements: Children’s diapers and/or pull-ups must be checked and/or changed every two hours. Observations today: Children’s diapers and/or pull-ups were observed to be changed less than every two hours during today’s visit. Ms. Poindexter and Ms. Jones stated the children were not changed every two hours on the date of the assessment, but that close attention would be paid to this moving forward. Your three-year re-assessment was due by 8/04/2020. You had prepared to submit your application for re-assessment just prior to COVID-19 beginning. Your new 4-Star License is based on the following: • Education: The operator has NCECC, is qualified as a Lead Teacher, and has 19 years’ experience in licensed childcare. Based on the information noted above, your program earned 3 points in the Education component. • Program Standards: The program meets minimum requirements, has operational policies, and serves no more than four children less than one year of age. The facility completed the request for the Environment Rating Scales and submitted it with the initial assessment packet on 7/30/2024. A reassessment packet was completed during the visit and submitted. The FCCERS-R was administered on 8/21/2024. The assessment report was reviewed during a rated license visit on 9/04/2024. The score was 4.76 earning this facility 6 points in this component. • Quality Point: You have chosen to change your Quality Point, due to not being able to locate documentation of the business training course you completed in 2017 with 30 clock hours. You stated at this time you will meet an infant capacity restricted to no more than two children under one year of age. I verified only one child one year of age or younger is currently enrolled at the program and this Quality Point is being implemented; therefore your program earned 1 Quality Point. • Total: 3 + 6 + 1 = 10 = 4-Star License. A new license will be mailed directly to you and must be posted upon receipt. At that time, return the old license to me as it remains the property of the State of North Carolina. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: R-U HAPPY CHILD CARE Facility ID: 34000863 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 9/4/2024 Number Present: 5 Completed Date: 9/4/2024 Age: From 1 To 3 Total Minutes: 325 Time In: 09:35 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced An unannounced Annual Compliance visit with Rated License Assessment was conducted at this family childcare home to monitor compliance with applicable childcare requirements. Additionally, during today’s visit, a review of the results of your Environment Rating Scale (ERS) conducted on 8/21/2024 was completed to finalize your rated license assessment. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant, with Edith Jones, Operator. Joyce Poindexter, Additional Caregiver, was also present during the visit. The facility completed the initial request for the Environment Rating Scales and submitted it on 7/30/2024. A reassessment packet for the ERS was completed on 9/04/24 by Ms. Jones during the visit. The FCCERS was administered on 8/21/2024. The assessment report was received on 8/22/2024 and submitted to the provider on 8/28/2024. Your program currently operates with a 4-Star license. Restrictions include 1st, 2nd, and 3rd shift care; serves no more than four children less than one year of age; children in fenced play area only, a maximum of five preschoolers at any time; and children in care on ground level only. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 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. Supervision was adequate during the visit. I observed five children in care playing with toys, reading books, and engaging in conversations and activities and playing outdoors with Ms. Jones and Ms. Poindexter. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 2/06/2024. A Verification of Required Information for Operator and Additional Caregivers form for the operator and additional caregiver were completed during the visit. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The last fire drill was conducted on 8/01/2024. The most recent shelter-in-place drill was documented on 6/24/2024. The last outdoor inspection was documented on 8/31/2024. There are currently no pets at the home. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and found to be in compliance. The program does not provide transportation, participate in off-premise activities, or participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. On the playground, one chair was observed to have developing rust. 10A NCAC 09 .1719 (a) 1855 The operator did not review the FCCH EPR Plan with additional caregivers on an annual basis. An signed annual review of the Emergency Preparedness and Response Plan was not observed on file for the additional caregiver. .1729(a )(10) 1891 Individuals providing care to children did not receive 16 hours of orientation prior to beginning caregiving activities. A record of orientation was observed on file for the additional caregiver, but it was not complete. .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. In the bathroom accessed by children under the age of three years old, one plastic bag was observed behind a sliding curtain in this bathroom, less than five feet from the ground. One plastic Ziploc bag containing magnetic letters was observed less than five feet from the ground inside a cubby. .1719(a)(18) 2015 Operator did not review the abusive head trauma and shaken baby syndrome policy with staff and/or the acknowledgement of the review did not contain required items or was not available for review. A signed Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy was not observed on file for the additional caregiver. .1726(d)(1-4) 2025 Operator and/or staff members did not complete a professional development plan within one year of employment. A Professional Development Plan was not observed on file for review for the operator and additional caregiver. .1703(i) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided following today’s visit: In the bathroom accessed by children under the age of three years old, one plastic bag was observed behind a sliding curtain in this bathroom, less than five feet from the ground. One plastic Ziploc bag containing magnetic letters was observed less than five feet from the ground inside a cubby. Each of these bags was made inaccessible to children during the visit. An signed annual review of the Emergency Preparedness and Response Plan and Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy were not observed on file for the additional caregiver. This annual review and Shaken Baby Policy were signed by the additional caregiver during the visit. A Professional Development Plan was not observed on file for review for the operator and additional caregiver. A Professional Development Plan was completed by both the operator, and the additional caregiver, during the visit. On the playground, one chair was observed to have developing rust; this chair was removed from the outdoor learning environment during the visit. A record of orientation was observed on file for the additional caregiver, but it was not complete. Ms. Poindexter completed this record during the visit. Consultation provided during today’s visit: 10A NCAC 09 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS (a) (2) 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (e ) Ms. Poindexter stated she is interested in completing her NC Early Childhood Credential course. We discussed Ms. Poindexter reaching out to Forsyth Technical Community College (https://www.forsythtech.edu/program_tracks/early-childhood-education-early-childhood/ ) for further information regarding enrollment in this course. Ms. Poindexter also stated she is interested in completing early childhood courses through Child Care Lounge (https://childcarelounge.com/pages/online-child-care-training-approved-in-north-carolina#:~:text=Child%20Care%20Lounge%20%7C%20Child%20Care%20Training%20Approved%20in%20North%20Carolina ); I stated to Ms. Poindexter I would follow up with her once I confirmed whether these courses were accredited through the DCDEE. • You must notify your consultant 30 days prior to changing the ownership status of your facility. I will process your application for a 4-Star License based on the following information: Ms. Jones had no questions and stated that she did not plan to file a grievance regarding the score received with the North Carolina Rated License Assessment Project. It is recommended that Ms. Jones review the Facility Summary Report along with this visit summary and obtain any needed training and technical assistance from your local resource and referral agency, which will serve to assist you in providing enhanced care and improve future assessment scores. ERS summaries were reviewed today and items scoring less than a four could constitute a violation of childcare requirements and therefore were monitored. These items are noted below: FCCERS-R assessment: Date: 8/21/2024 Total score: 4.76 Item:_8 Indicator: 3.2 (see page: 23 in the FCCERS) Score: 2 Assessor Comments: The three cots in the soft area were stepped on by 3 of the 5 children before nap time. The bedding was not replaced on the cots prior to nap time. ERS Requirements: If cots are stepped on by children prior to nap time, the bedding on these cots should be replaced prior to being used by children at nap time. Observations today: Ms. Jones stated the children’s cot sheets are normally changed if a child steps on them prior to nap time; she stated this was just overlooked on the day of the FCCERS assessment. One child stepped on a cot sheet during preparation for nap today, and I observed Ms. Jones changed the child’s sheet immediately. Item: 9 Indicator: 1.4 (see pages: 24-25 in the FCCERS) Score: 1 Assessor Comments: During outdoor play children were given cups of water and some of the children drank from the cups as they walked around the playground or rode in the wagon. ERS Requirements: Children should not eat or drink while walking, playing, or lying down. Children should be sitting down and supervised while eating or drinking. Observations today: I observed Ms. Poindexter serving water to children after they came indoors from outdoor play and washed their hands. Ms. Jones stated it was extremely hot on the day of the FCCERS assessment. She stated the children had been running and playing, picked up their water bottles, and walked around while drinking them. Ms. Jones and Ms. Poindexter shared they were not aware of this ERS requirement until they received the assessment report. Item:_10 Indicator: 3.1 (see pages: 26-27 in the FCCERS) Score: 1 Assessor Comments: The children and the providers used the sink in the bathroom to wash their hands when returning from the playground, before and after lunch, and following toileting/diapering and pull-up routines. The sink was not disinfected following toileting/diapering and pull-up routines before it was used for another purpose. Two pull-up routines occurred as a child toileted. In addition, four diaper changes occurred on the diapering table. Preparations: During the pull-up routines the pull-up remained in the cubby until after the child toileted. Preparations were made prior to 2 of the 4 diaper routines. Disposal: In all of the routines the soiled diapers/pull-ups were disposed of properly. Wipes: The use of wipes to clean hands was not required during the pull-up routines. During the diapering routines, the use of diaper wipes to clean the children's and provider's hands before handling the clean diaper did not occur. Clean/Disinfect: Following one routine on the diapering table the surface was cleaned and disinfected as required. After one routine, the table was cleaned with soapy water; however, it was not then sprayed with a disinfectant that was allowed to air dry on the surface for at least 2 minutes. Following the other two routines, the surface was not cleaned or disinfected. For more information on procedures required during diapering routines, please refer to the diapering procedure poster from the North Carolina Child Care Health and Safety Resource Center. ERS Requirements: The bathroom sink must be disinfected following toileting/diapering and pull-up routines before it is used for another purpose. If the same sink is used by either children or adults for both diapering/toileting and food-related purposes (including toothbrushing) or for other purposes (to wash toys/ other classroom equipment; after wiping a nose), it must be sanitized by spraying the sink and faucets with a bleach solution after diapering/toileting use. As an exception to this rule, in order to avoid requiring children to wash hands in quick succession between toileting and being fed, the following applies: if children use the toilet, wash hands and then immediately sit down for a meal/snack, contamination of children’s hands at the toileting sink must be minimized by having children/adults turn off the faucet with a paper towel. When preparing for a diaper change, before bringing the child to the changing area, have ready enough wipes for the change, a clean diaper or underwear, plastic bag for soiled clothes, and clean clothes, gloves, and diaper cream on a disposable paper or tissue, if needed. During a diaper change, after a caregiver cleans a child’s bottom, he/she must use a wipe to wipe his/her hands and another wipe to wipe the child’s hands before placing a clean diaper or underwear on the child. After a caregiver changes a diaper, the diapering surface must be sprayed and cleaned with a soap-water solution and wiped dry with a disposable towel. Next, the diapering surface must be sprayed with a bleach-water solution, and the caregiver must wait at least two minutes before wiping the surface dry with a disposable towel or letting it air dry. Observations today: I observed Ms. Jones sanitize the bathroom sink in between uses, after the children washed their hands following using the bathroom during my visit. Ms. Jones and Ms. Poindexter shared the day of the assessment was an extremely busy one, and neither could remember the details of the specific changes. Item: 23 Indicator: 3.2 (see pages: 48-49 in the FCCERS) Score: 2 Assessor Comments: During outdoor play, two children ate sand from the sand table several times. Once the provider reminded children not to eat the sand. However, when the provider engaged with other children, the behavior continued until the sand table was closed. ERS Requirements: Sand play must be closely supervised at all times; a child should not be able to consume sand and/or water used for play. Observations today: The children were not observed to have sand play during today’s visit. Ms. Jones stated the children were playing in the sand on the day of the assessment. She stated she observed one child put sand in his mouth and that when this occurred, she closed the sand table and redirected the children to another activity. Ms. Jones stated she was by herself outdoors during this time and that she normally has Ms. Poindexter with her to help supervise sand play. Item: 25 Indicator: 1.4 (see pages: 52-53 in the FCCERS) Score: 1 Assessor Comments: The provider reported that the children, including the child under 24 months of age, watch a video for 30 minutes monthly. Observations today: Ms. Jones stated during today’s visit that screen time has been used for educational purposes in the past with children three years of age or older, but that she and Ms. Poindexter are not currently using screen time at all with children enrolled. Ms. Poindexter stated the ages of children using screen time was never discussed during the assessment. Ms. Jones stated she shared with the assessor screen time was used once per month with children three years of age or older. Item: 26 Indicator: 3.2 (see pages: 54-55 in the FCCERS) Score: 2 Assessor Comments: The outdoor safety concern described in item 12 applies here as well (the yellow slide was placed on grass, rather than an approved cushioning surface). ERS Requirements: Approved cushioning surfaces include wood mulch, wood chips, double shredded bark mulch, pea gravel, fine and coarse sand, and manufactured (ex. Tiles, poured-in-place, shredded tires, etc.) surfacing. Observations today: The yellow slide is currently located on grass surfacing. Ms. Jones stated she will look into possible approved cushioning options. Item: 31 Indicator: 3.2 (see pages: 60 in the FCCERS) Score: 2 Assessor Comments: As described in item 10, three children did not have diaper or pull-up checks/changes or toileting routines within a 2-hour time period. ERS Requirements: Children’s diapers and/or pull-ups must be checked and/or changed every two hours. Observations today: Children’s diapers and/or pull-ups were observed to be changed less than every two hours during today’s visit. Ms. Poindexter and Ms. Jones stated the children were not changed every two hours on the date of the assessment, but that close attention would be paid to this moving forward. Your three-year re-assessment was due by 8/04/2020. You had prepared to submit your application for re-assessment just prior to COVID-19 beginning. Your new 4-Star License is based on the following: • Education: The operator has NCECC, is qualified as a Lead Teacher, and has 19 years’ experience in licensed childcare. Based on the information noted above, your program earned 3 points in the Education component. • Program Standards: The program meets minimum requirements, has operational policies, and serves no more than four children less than one year of age. The facility completed the request for the Environment Rating Scales and submitted it with the initial assessment packet on 7/30/2024. A reassessment packet was completed during the visit and submitted. The FCCERS-R was administered on 8/21/2024. The assessment report was reviewed during a rated license visit on 9/04/2024. The score was 4.76 earning this facility 6 points in this component. • Quality Point: You have chosen to change your Quality Point, due to not being able to locate documentation of the business training course you completed in 2017 with 30 clock hours. You stated at this time you will meet an infant capacity restricted to no more than two children under one year of age. I verified only one child one year of age or younger is currently enrolled at the program and this Quality Point is being implemented; therefore your program earned 1 Quality Point. • Total: 3 + 6 + 1 = 10 = 4-Star License. A new license will be mailed directly to you and must be posted upon receipt. At that time, return the old license to me as it remains the property of the State of North Carolina. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0606 · Violation

Name of Operation: R-U HAPPY CHILD CARE Facility ID: 34000863 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 8/20/2024 Number Present: 5 Completed Date: 8/20/2024 Age: From 1 To 3 Total Minutes: 130 Time In: 09:20 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Edith Jones, Operator, assisted me with the visit. Joyce Poindexter, Additional Caregiver, was also present during the visit. Your program currently operates with a 4-Star license effective 8/04/2017. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschool children at any time; children in care on ground level only; children play in fenced area only; and serves no more than four infants under age one. Ms. Jones stated she is currently only operating first shift care. The program’s compliance history was 93 % prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Ms. Jones stated she is the only person living in the home. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing with toys, engaging in conversations, general routines and other activities with Ms. Jones and Ms. Poindexter during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, ITS-SIDS, and Criminal Background Checks. No medications were observed nor reported. Storage of hazardous items was monitored today. A playground inspection was recorded 7/30/2024. A fire drill was recorded 8/01/2024. The most recent shelter in place drill for the facility was recorded 6/24/2024. There are currently no pets at the home. The program does not provide transportation or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. On the playground, one chair was observed to have developing rust. 10A NCAC 09 .1719 (a) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The Ready to Go file was not available for review during the visit. .1714(d)(10) 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. In the bathroom accessed by children under the age of three years old, one open package of diapers was observed beneath the diaper table, less than five feet from the ground. One plastic bag and one plastic wrapper were observed behind a sliding curtain in this bathroom, less than five feet from the ground. .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 canister of disinfectant wipes was observed labeled Keep Out of Reach of Children with additional warnings and stored greater than five feet from the ground, on top of the refrigerator, but in unlocked storage. The First Aid Kit was observed to contain antibiotic ointments and an ice pack labeled Keep Out of Reach of Children with additional warnings; the kit was greater than five feet from the ground and in latched, but unlocked storage. 10A NCAC 09 .1719(a)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 9/03/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided during today’s visit: One canister of disinfectant wipes was observed labeled Keep Out of Reach of Children with additional warnings was observed stored greater than five feet from the ground, on top of the refrigerator, but in unlocked storage. The First Aid Kit was observed to contain antibiotic ointments and an ice pack; the kit was greater than five feet from the ground and in latched, but unlocked storage. Each of these items was placed into locked storage during the visit. In the bathroom accessed by children under the age of three years old, one open package of diapers was observed beneath the diaper table, less than five feet from the ground. One plastic bag and one plastic wrapper were observed behind a sliding curtain in this bathroom, less than five feet from the ground. Ms. Jones made each of these bags and wrappers inaccessible to children during the visit. Ms. Jones was unable to locate the Ready to Go file during the visit; she stated she has been working on updating this file recently, but was just unable to locate it during the visit. It is important for all information required in the event of an emergency evacuation be updated and easily accessible at all times. You may consider keeping your Ready to Go file in the same binder as your Emergency Preparedness and Response plan and updating all children’s applications in the binder as soon as children enroll in care. On the playground, one chair was observed to have developing rust; this chair was removed from the outdoor environment during the visit. Consultation provided during today’s visit: The following Child Care Rule was reviewed with Ms. Jones during the visit: 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (b) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Ms. Jones confirmed during today’s visit that the email was received and provided information that she completed the webinar on 5/09/2024. Please update my telephone number in your EPR Plan: My office number is (336) 408-4849. 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1719 · Violation

Name of Operation: R-U HAPPY CHILD CARE Facility ID: 34000863 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 8/20/2024 Number Present: 5 Completed Date: 8/20/2024 Age: From 1 To 3 Total Minutes: 130 Time In: 09:20 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Edith Jones, Operator, assisted me with the visit. Joyce Poindexter, Additional Caregiver, was also present during the visit. Your program currently operates with a 4-Star license effective 8/04/2017. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschool children at any time; children in care on ground level only; children play in fenced area only; and serves no more than four infants under age one. Ms. Jones stated she is currently only operating first shift care. The program’s compliance history was 93 % prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Ms. Jones stated she is the only person living in the home. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing with toys, engaging in conversations, general routines and other activities with Ms. Jones and Ms. Poindexter during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, ITS-SIDS, and Criminal Background Checks. No medications were observed nor reported. Storage of hazardous items was monitored today. A playground inspection was recorded 7/30/2024. A fire drill was recorded 8/01/2024. The most recent shelter in place drill for the facility was recorded 6/24/2024. There are currently no pets at the home. The program does not provide transportation or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. On the playground, one chair was observed to have developing rust. 10A NCAC 09 .1719 (a) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The Ready to Go file was not available for review during the visit. .1714(d)(10) 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. In the bathroom accessed by children under the age of three years old, one open package of diapers was observed beneath the diaper table, less than five feet from the ground. One plastic bag and one plastic wrapper were observed behind a sliding curtain in this bathroom, less than five feet from the ground. .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 canister of disinfectant wipes was observed labeled Keep Out of Reach of Children with additional warnings and stored greater than five feet from the ground, on top of the refrigerator, but in unlocked storage. The First Aid Kit was observed to contain antibiotic ointments and an ice pack labeled Keep Out of Reach of Children with additional warnings; the kit was greater than five feet from the ground and in latched, but unlocked storage. 10A NCAC 09 .1719(a)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 9/03/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided during today’s visit: One canister of disinfectant wipes was observed labeled Keep Out of Reach of Children with additional warnings was observed stored greater than five feet from the ground, on top of the refrigerator, but in unlocked storage. The First Aid Kit was observed to contain antibiotic ointments and an ice pack; the kit was greater than five feet from the ground and in latched, but unlocked storage. Each of these items was placed into locked storage during the visit. In the bathroom accessed by children under the age of three years old, one open package of diapers was observed beneath the diaper table, less than five feet from the ground. One plastic bag and one plastic wrapper were observed behind a sliding curtain in this bathroom, less than five feet from the ground. Ms. Jones made each of these bags and wrappers inaccessible to children during the visit. Ms. Jones was unable to locate the Ready to Go file during the visit; she stated she has been working on updating this file recently, but was just unable to locate it during the visit. It is important for all information required in the event of an emergency evacuation be updated and easily accessible at all times. You may consider keeping your Ready to Go file in the same binder as your Emergency Preparedness and Response plan and updating all children’s applications in the binder as soon as children enroll in care. On the playground, one chair was observed to have developing rust; this chair was removed from the outdoor environment during the visit. Consultation provided during today’s visit: The following Child Care Rule was reviewed with Ms. Jones during the visit: 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (b) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Ms. Jones confirmed during today’s visit that the email was received and provided information that she completed the webinar on 5/09/2024. Please update my telephone number in your EPR Plan: My office number is (336) 408-4849. 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: R-U HAPPY CHILD CARE Facility ID: 34000863 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 8/20/2024 Number Present: 5 Completed Date: 8/20/2024 Age: From 1 To 3 Total Minutes: 130 Time In: 09:20 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Edith Jones, Operator, assisted me with the visit. Joyce Poindexter, Additional Caregiver, was also present during the visit. Your program currently operates with a 4-Star license effective 8/04/2017. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschool children at any time; children in care on ground level only; children play in fenced area only; and serves no more than four infants under age one. Ms. Jones stated she is currently only operating first shift care. The program’s compliance history was 93 % prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Ms. Jones stated she is the only person living in the home. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing with toys, engaging in conversations, general routines and other activities with Ms. Jones and Ms. Poindexter during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, ITS-SIDS, and Criminal Background Checks. No medications were observed nor reported. Storage of hazardous items was monitored today. A playground inspection was recorded 7/30/2024. A fire drill was recorded 8/01/2024. The most recent shelter in place drill for the facility was recorded 6/24/2024. There are currently no pets at the home. The program does not provide transportation or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. On the playground, one chair was observed to have developing rust. 10A NCAC 09 .1719 (a) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The Ready to Go file was not available for review during the visit. .1714(d)(10) 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. In the bathroom accessed by children under the age of three years old, one open package of diapers was observed beneath the diaper table, less than five feet from the ground. One plastic bag and one plastic wrapper were observed behind a sliding curtain in this bathroom, less than five feet from the ground. .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 canister of disinfectant wipes was observed labeled Keep Out of Reach of Children with additional warnings and stored greater than five feet from the ground, on top of the refrigerator, but in unlocked storage. The First Aid Kit was observed to contain antibiotic ointments and an ice pack labeled Keep Out of Reach of Children with additional warnings; the kit was greater than five feet from the ground and in latched, but unlocked storage. 10A NCAC 09 .1719(a)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 9/03/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided during today’s visit: One canister of disinfectant wipes was observed labeled Keep Out of Reach of Children with additional warnings was observed stored greater than five feet from the ground, on top of the refrigerator, but in unlocked storage. The First Aid Kit was observed to contain antibiotic ointments and an ice pack; the kit was greater than five feet from the ground and in latched, but unlocked storage. Each of these items was placed into locked storage during the visit. In the bathroom accessed by children under the age of three years old, one open package of diapers was observed beneath the diaper table, less than five feet from the ground. One plastic bag and one plastic wrapper were observed behind a sliding curtain in this bathroom, less than five feet from the ground. Ms. Jones made each of these bags and wrappers inaccessible to children during the visit. Ms. Jones was unable to locate the Ready to Go file during the visit; she stated she has been working on updating this file recently, but was just unable to locate it during the visit. It is important for all information required in the event of an emergency evacuation be updated and easily accessible at all times. You may consider keeping your Ready to Go file in the same binder as your Emergency Preparedness and Response plan and updating all children’s applications in the binder as soon as children enroll in care. On the playground, one chair was observed to have developing rust; this chair was removed from the outdoor environment during the visit. Consultation provided during today’s visit: The following Child Care Rule was reviewed with Ms. Jones during the visit: 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (b) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Ms. Jones confirmed during today’s visit that the email was received and provided information that she completed the webinar on 5/09/2024. Please update my telephone number in your EPR Plan: My office number is (336) 408-4849. 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: R-U HAPPY CHILD CARE Facility ID: 34000863 Consultant: JENNIFER DAVIS Operation Type: Family CC Home Case Number: Visit Date: 2/6/2024 Number Present: 5 Completed Date: 2/6/2024 Age: From 0 To 3 Total Minutes: 195 Time In: 09:00 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Jennifer Davis, Childcare Consultant, with Edith Jones, Operator. Additional caregiver, Joyce Poindexter, was also present during the visit. Your program currently operates with a 4-Star license. Restrictions include 1st, 2nd, and 3rd shift care, children in care on ground level only, a maximum of five preschoolers at any time, children in fenced play area only, and no more than four children less than one year old. 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. 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, participating in general routines, and engaged with the caregiver's activities during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 2/08/2023. A Verification of Required Information for Operator and Additional Caregivers form was completed prior to the visit for the operator and the Additional Care Giver. Ms. Jones stated she is the only person who lives in the home. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was completed by the operator during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. A fire drill was completed on 1/12/2024. A lockdown drill was documented on 12/8/2023. An outdoor inspection was documented on 1/06/2024. The electrically operated smoke detector (with battery back-up) was tested and observed to be functioning properly during the visit. There are currently no pets at this facility. Ms. Jones does not provide transportation, participate in aquatic activities, or off-premise activities with children enrolled at this time. Staff files and children’s records were monitored per DCDEE procedures. Ms. Jones stated no children enrolled take medication during operating hours. 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. Two aerosol cans were inaccessible but not in locked storage. .1719 (a)(7) 908 Health questionnaire was not completed annually. The operator and additional caregiver did not have a current health questionnaire on file. .1703(a)(1) 1964 Activity plan did not reflect that children have at least four different activities daily, at least one of which is outdoors. The weekly activity plan was not completed out fully with at least four different activities including gross motor. 10A NCAC 09 .1718(a)(8)(C)(i-v) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 2/21/2024. 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: - Children’s applications should be updated when there are changes are at least annually. - The operator and additional caregiver’s health questionnaire should be updated annually. - Aerosol cans of spray should be kept in locked storage and not sprayed while children in care. A written activity plan that shall: - (A) Include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at https://www.ncchildcare.ncdhhs.gov//pdf_forms/nc_foundations.pdf:n locked storage. - I emailed an infant-toddler activity plan during the visit today. Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. -Ms. Poindexter stated she works 20 hours per week. You are required to completed 10 in-service annual training hours. If you work additional hours, you will be required to completed additional hours. Please contact your consultant if you change your schedule. -Ms. Jones stated that provider specialists from Child Care Resource Center are going to conduct an observation Thursday in preparation for the FCCERS-R. We discussed the prep year assessment. You will need to contact your consultant if you would like to request the FCCERS-R. The prep year assessments need to be completed by June 2024. -In preparation for the FCCERS-R, we discussed during the visit incorporating free art and free play. In addition, putting up children’s artwork. -Activity plans should be filled out completely and posted. At the completion of the visit, all visit summary documentation 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: R-U HAPPY CHILD CARE Facility ID: 34000863 Consultant: JENNIFER DAVIS Operation Type: Family CC Home Case Number: Visit Date: 2/6/2024 Number Present: 5 Completed Date: 2/6/2024 Age: From 0 To 3 Total Minutes: 195 Time In: 09:00 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Jennifer Davis, Childcare Consultant, with Edith Jones, Operator. Additional caregiver, Joyce Poindexter, was also present during the visit. Your program currently operates with a 4-Star license. Restrictions include 1st, 2nd, and 3rd shift care, children in care on ground level only, a maximum of five preschoolers at any time, children in fenced play area only, and no more than four children less than one year old. 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. 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, participating in general routines, and engaged with the caregiver's activities during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 2/08/2023. A Verification of Required Information for Operator and Additional Caregivers form was completed prior to the visit for the operator and the Additional Care Giver. Ms. Jones stated she is the only person who lives in the home. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was completed by the operator during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. A fire drill was completed on 1/12/2024. A lockdown drill was documented on 12/8/2023. An outdoor inspection was documented on 1/06/2024. The electrically operated smoke detector (with battery back-up) was tested and observed to be functioning properly during the visit. There are currently no pets at this facility. Ms. Jones does not provide transportation, participate in aquatic activities, or off-premise activities with children enrolled at this time. Staff files and children’s records were monitored per DCDEE procedures. Ms. Jones stated no children enrolled take medication during operating hours. 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. Two aerosol cans were inaccessible but not in locked storage. .1719 (a)(7) 908 Health questionnaire was not completed annually. The operator and additional caregiver did not have a current health questionnaire on file. .1703(a)(1) 1964 Activity plan did not reflect that children have at least four different activities daily, at least one of which is outdoors. The weekly activity plan was not completed out fully with at least four different activities including gross motor. 10A NCAC 09 .1718(a)(8)(C)(i-v) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 2/21/2024. 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: - Children’s applications should be updated when there are changes are at least annually. - The operator and additional caregiver’s health questionnaire should be updated annually. - Aerosol cans of spray should be kept in locked storage and not sprayed while children in care. A written activity plan that shall: - (A) Include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at https://www.ncchildcare.ncdhhs.gov//pdf_forms/nc_foundations.pdf:n locked storage. - I emailed an infant-toddler activity plan during the visit today. Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. -Ms. Poindexter stated she works 20 hours per week. You are required to completed 10 in-service annual training hours. If you work additional hours, you will be required to completed additional hours. Please contact your consultant if you change your schedule. -Ms. Jones stated that provider specialists from Child Care Resource Center are going to conduct an observation Thursday in preparation for the FCCERS-R. We discussed the prep year assessment. You will need to contact your consultant if you would like to request the FCCERS-R. The prep year assessments need to be completed by June 2024. -In preparation for the FCCERS-R, we discussed during the visit incorporating free art and free play. In addition, putting up children’s artwork. -Activity plans should be filled out completely and posted. At the completion of the visit, all visit summary documentation 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: R-U HAPPY CHILD CARE Facility ID: 34000863 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 7/28/2023 Number Present: 1 Completed Date: 7/28/2023 Age: From 2 To 2 Total Minutes: 310 Time In: 09:50 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Edith Jones, Operator, and Joyce Poindexter, Additional Caregiver, assisted me with the visit. Your program currently operates with a 4-Star license effective 8/04/2017. Restrictions include 1st, 2nd, and 3rd shift care; children in care on ground level only; maximum of 5 preschool children at any time; children in fenced area only; no more than four children less than one year old. 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. Jones stated she is the only person living in the home. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, one child enrolled less than three years of age, was watching a cartoon on television. Ms. Jones turned off the television when I referenced Child Care Rule regarding screen time. A wooden border protecting the corner of a wall, less than five feet from the ground, was observed to be cracked and sharp to the touch. Two swinging half doors located in the space designated for child care were observed to have plastic tape peeling off portions of the doors, which were accessible to children under three years of age. Three plastic diaper wrappers and one plastic bag full of plastic bags were observed accessible to children younger than three years of age less than five feet from the ground beneath a diaper changing table in the bathroom used by children enrolled. Ms. Poindexter made these wrappers and bags inaccessible to children during the visit. Four outlets located on a power strip beneath the operator’s desk did not have safety covers covering them. Two loose AA batteries were observed in the top left drawer of the operator’s desk; Ms. Jones made these batteries inaccessible to children during the visit. On the playground, Ms. Poindexter stated an uninflated bounce house is accessible for children to use approximately once per week. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed the one child in care playing with toys in activity centers, engaging in conversations and guided activities with Ms. Poindexter, participating in general routines and eating lunch. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, ITS-SIDS, and Criminal Background Checks. A completed record of Health and Safety trainings was not on file for Ms. Jones or Ms. Poindexter. Topics (1) Prevention and control of infectious diseases, including immunization; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; and (10) Recognizing and reporting child abuse, child neglect, and child maltreatment were not on file for Ms. Jones. Topics (1) Prevention and control of infectious diseases, including immunization; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; and (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment were not current on file for Ms. Poindexter. No medications were observed nor reported. A First Aid information sheet was not posted. Storage hazardous items was monitored today. Bleach and other items labeled Keep Out of Reach of Children with additional warnings were observed in a latched, but unlocked closet in the space designated for child care. Ms. Poindexter locked this closet during the visit. One bug spray labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground, but in unlocked storage, and one can of aerosol sunscreen for a child enrolled was observed in a plastic bin on top of a cubby less than five feet from the ground, in unlocked storage. Ms. Jones and Ms. Poindexter placed both of these items into locked storage during the visit. One aerosol air freshener was observed greater than five feet from the ground, but in unlocked storage in the bathroom used by children; Ms. Poindexter placed this into locked storage during the visit. One individual sized pump of hand sanitizer was observed on the operator’s desk less than five feet from the ground; Ms. Jones placed this item greater than five feet from the ground on top of the refrigerator. A playground inspection was recorded 6/03/2023. A fire drill was recorded 6/09/2023. A shelter in place drill for the facility was recorded 6/30/2023. A Ready to Go file was not available for review. There are no pets inside the home and all vaccinations and parent acknowledgement forms were monitored. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 543 Screen time was not prohibited for children under the age of three. The operator did not offer alternative activities for children under the age of three years. Upon arrival, one child enrolled less than three years of age, was watching a cartoon on television. .1718(c) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. A wooden border protecting the corner of a wall, less than five feet fro m the ground, was observed to be cracked and sharp to the touch. Two swinging half doors located in the space designated for child care were observed to have plastic tape peeling off portions of the doors, which were accessible to children under three years of age. Three plastic diaper wrappers and one plastic bag full of plastic bags were observed accessible to children younger than three years of age less than five feet from the ground beneath a diaper changing table in the bathroom used by children enrolled. Ms. Poindexter made these wrappers and bags inaccessible to children during the visit. Four outlets located on a power strip beneath the operator’s desk did not have safety covers covering them. Two loose AA batteries were observed in the top left drawer of the operator’s desk; Ms. Jones made these batteries inaccessible to children during the visit. Bleach and other items labeled Keep Out of Reach of Children with additional warnings were observed in a latched, but unlocked closet in the space designated for child care. Ms. Poindexter locked this closet during the visit. One bug spray labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground, but in unlocked storage, and one can of aerosol sunscreen for a child enrolled was observed in a plastic bin on top of a cubby less than five feet from the ground, in unlocked storage. Ms. Jones and Ms. Poindexter placed both of these items into locked storage during the visit. One aerosol air freshener was observed greater than five feet from the ground, but in unlocked storage in the bathroom used by children; Ms. Poindexter placed this into locked storage during the visit. One individual sized pump of hand sanitizer was observed on the operator’s desk less than five feet from the ground; Ms. Jones placed this item greater than five feet from the ground on top of the refrigerator. 10A NCAC 09 .1719 (a) 1739 All records required shall be available during operating hours, for review by a representative of the Division. A completed record of Health and Safety trainings was not on file for Ms. Jones or Ms. Poindexter. Topics (1) Prevention and control of infectious diseases, including immunization; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; and (10) Recognizing and reporting child abuse, child neglect, and child maltreatment were not on file for Ms. Jones. Topics (1) Prevention and control of infectious diseases, including immunization; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; and (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment were not current on file for Ms. Poindexter. A First Aid information Sheet was not posted. .1721(f)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 8/11/2023. 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 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were thoroughly discussed with Ms. Jones during the visit: 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (a) For purposes of this Rule, the Emergency Preparedness and Response in Child Care is a training developed by the North Carolina Child Care Health and Safety Resource Center for child care operators and providers on creating an Emergency Preparedness and Response Plan and practicing, responding to, and recovering from emergencies in child care facilities. (b) Existing family child care home operators (operator or operators) shall complete the Emergency Preparedness and Response in Child Care training. Within one year of the effective date of a new license, the operator of a new family child care home shall have completed the Emergency Preparedness and Response in Child Care training. When the trained staff member leaves employment, the family child care home shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the operator's personnel file. (c) Upon completion of the Emergency Preparedness and Response in Child Care training, the operator shall develop the Emergency Preparedness and Response Plan. The Emergency Preparedness and Response Plan means a written plan that addresses how a child care facility will respond to both natural and man-made disasters, such as fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disaster, or a dangerous person in the vicinity, to ensure the safety and protection of the children and additional caregivers. This Plan shall be on a template provided by the Division available at https://rmp.nc.gov/portal/# completed within four months of completion of the Emergency Preparedness and Response in Child Care training, and available for review. (d) The Emergency Preparedness and Response Plan shall include the following: (1) written procedures for accounting for all in attendance, including: (A) the location of the children, staff, volunteer and visitor attendance lists; and (B) the name of the person(s) responsible for bringing the children, staff, volunteer and visitor attendance lists in the event of an emergency. (2) a description for how and when children shall be transported; (3) methods for communicating with parents and emergency personnel or law enforcement; (4) a description of how children's nutritional and health needs will be met; (5) the relocation and reunification process; (6) emergency telephone numbers; (7) evacuation diagrams showing how the operator, family members, children and any other individuals who may be present will evacuate during an emergency; (8) the date of the last revision of the plan; (9) specific considerations for non-mobile children and children with special needs; and (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. (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. (e) The operator shall review the Family Child Care Home's Emergency Preparedness and Response Plan with additional caregivers prior to the individual caring for children and on an annual basis. (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. Please fill out a specific time on each child’s form that children will leave for and return from each activity and document that this activity was completed via “walking”. 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 • Please monitor the fencing surrounding the playground, chairs, and other outdoor equipment for developing rust. • 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 monitor the outdoor environment and the inside of nonstationary structures for cobwebs prior to the children using the playground daily. - You may order a First Aid poster at the following link: https://healthychildcare.unc.edu/resources/posters/ - You can access the training for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment at the following website: https://www.preventchildabusenc.org/online-trainings/ • You may access Health and Safety trainings through the following link on the Division website: https://www.dcdee.moodle.nc.gov/ Please choose the Services tab, DCDEE Moodle, Professional Development, Regulatory, and then the 2023 CCDF Health and Safety trainings. • Please record an updated date on your posted Emergency Medical Care Plan. - Please access approved CPR/FA trainers at the following website: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/cpr_first_aid_information_Revised_2022.pdf?ver=R3ITXR7cwzmzp82N-i_G5A%3d%3d - Please access the Risk Management Portal at the following website to update and print your Emergency Preparedness and Response Plan: https://rmp.nc.gov/portal/portal.aspx# At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1715 · Violation

Name of Operation: R-U HAPPY CHILD CARE Facility ID: 34000863 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 7/28/2023 Number Present: 1 Completed Date: 7/28/2023 Age: From 2 To 2 Total Minutes: 310 Time In: 09:50 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Edith Jones, Operator, and Joyce Poindexter, Additional Caregiver, assisted me with the visit. Your program currently operates with a 4-Star license effective 8/04/2017. Restrictions include 1st, 2nd, and 3rd shift care; children in care on ground level only; maximum of 5 preschool children at any time; children in fenced area only; no more than four children less than one year old. 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. Jones stated she is the only person living in the home. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, one child enrolled less than three years of age, was watching a cartoon on television. Ms. Jones turned off the television when I referenced Child Care Rule regarding screen time. A wooden border protecting the corner of a wall, less than five feet from the ground, was observed to be cracked and sharp to the touch. Two swinging half doors located in the space designated for child care were observed to have plastic tape peeling off portions of the doors, which were accessible to children under three years of age. Three plastic diaper wrappers and one plastic bag full of plastic bags were observed accessible to children younger than three years of age less than five feet from the ground beneath a diaper changing table in the bathroom used by children enrolled. Ms. Poindexter made these wrappers and bags inaccessible to children during the visit. Four outlets located on a power strip beneath the operator’s desk did not have safety covers covering them. Two loose AA batteries were observed in the top left drawer of the operator’s desk; Ms. Jones made these batteries inaccessible to children during the visit. On the playground, Ms. Poindexter stated an uninflated bounce house is accessible for children to use approximately once per week. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed the one child in care playing with toys in activity centers, engaging in conversations and guided activities with Ms. Poindexter, participating in general routines and eating lunch. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, ITS-SIDS, and Criminal Background Checks. A completed record of Health and Safety trainings was not on file for Ms. Jones or Ms. Poindexter. Topics (1) Prevention and control of infectious diseases, including immunization; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; and (10) Recognizing and reporting child abuse, child neglect, and child maltreatment were not on file for Ms. Jones. Topics (1) Prevention and control of infectious diseases, including immunization; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; and (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment were not current on file for Ms. Poindexter. No medications were observed nor reported. A First Aid information sheet was not posted. Storage hazardous items was monitored today. Bleach and other items labeled Keep Out of Reach of Children with additional warnings were observed in a latched, but unlocked closet in the space designated for child care. Ms. Poindexter locked this closet during the visit. One bug spray labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground, but in unlocked storage, and one can of aerosol sunscreen for a child enrolled was observed in a plastic bin on top of a cubby less than five feet from the ground, in unlocked storage. Ms. Jones and Ms. Poindexter placed both of these items into locked storage during the visit. One aerosol air freshener was observed greater than five feet from the ground, but in unlocked storage in the bathroom used by children; Ms. Poindexter placed this into locked storage during the visit. One individual sized pump of hand sanitizer was observed on the operator’s desk less than five feet from the ground; Ms. Jones placed this item greater than five feet from the ground on top of the refrigerator. A playground inspection was recorded 6/03/2023. A fire drill was recorded 6/09/2023. A shelter in place drill for the facility was recorded 6/30/2023. A Ready to Go file was not available for review. There are no pets inside the home and all vaccinations and parent acknowledgement forms were monitored. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 543 Screen time was not prohibited for children under the age of three. The operator did not offer alternative activities for children under the age of three years. Upon arrival, one child enrolled less than three years of age, was watching a cartoon on television. .1718(c) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. A wooden border protecting the corner of a wall, less than five feet fro m the ground, was observed to be cracked and sharp to the touch. Two swinging half doors located in the space designated for child care were observed to have plastic tape peeling off portions of the doors, which were accessible to children under three years of age. Three plastic diaper wrappers and one plastic bag full of plastic bags were observed accessible to children younger than three years of age less than five feet from the ground beneath a diaper changing table in the bathroom used by children enrolled. Ms. Poindexter made these wrappers and bags inaccessible to children during the visit. Four outlets located on a power strip beneath the operator’s desk did not have safety covers covering them. Two loose AA batteries were observed in the top left drawer of the operator’s desk; Ms. Jones made these batteries inaccessible to children during the visit. Bleach and other items labeled Keep Out of Reach of Children with additional warnings were observed in a latched, but unlocked closet in the space designated for child care. Ms. Poindexter locked this closet during the visit. One bug spray labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground, but in unlocked storage, and one can of aerosol sunscreen for a child enrolled was observed in a plastic bin on top of a cubby less than five feet from the ground, in unlocked storage. Ms. Jones and Ms. Poindexter placed both of these items into locked storage during the visit. One aerosol air freshener was observed greater than five feet from the ground, but in unlocked storage in the bathroom used by children; Ms. Poindexter placed this into locked storage during the visit. One individual sized pump of hand sanitizer was observed on the operator’s desk less than five feet from the ground; Ms. Jones placed this item greater than five feet from the ground on top of the refrigerator. 10A NCAC 09 .1719 (a) 1739 All records required shall be available during operating hours, for review by a representative of the Division. A completed record of Health and Safety trainings was not on file for Ms. Jones or Ms. Poindexter. Topics (1) Prevention and control of infectious diseases, including immunization; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; and (10) Recognizing and reporting child abuse, child neglect, and child maltreatment were not on file for Ms. Jones. Topics (1) Prevention and control of infectious diseases, including immunization; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; and (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment were not current on file for Ms. Poindexter. A First Aid information Sheet was not posted. .1721(f)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 8/11/2023. 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 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were thoroughly discussed with Ms. Jones during the visit: 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (a) For purposes of this Rule, the Emergency Preparedness and Response in Child Care is a training developed by the North Carolina Child Care Health and Safety Resource Center for child care operators and providers on creating an Emergency Preparedness and Response Plan and practicing, responding to, and recovering from emergencies in child care facilities. (b) Existing family child care home operators (operator or operators) shall complete the Emergency Preparedness and Response in Child Care training. Within one year of the effective date of a new license, the operator of a new family child care home shall have completed the Emergency Preparedness and Response in Child Care training. When the trained staff member leaves employment, the family child care home shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the operator's personnel file. (c) Upon completion of the Emergency Preparedness and Response in Child Care training, the operator shall develop the Emergency Preparedness and Response Plan. The Emergency Preparedness and Response Plan means a written plan that addresses how a child care facility will respond to both natural and man-made disasters, such as fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disaster, or a dangerous person in the vicinity, to ensure the safety and protection of the children and additional caregivers. This Plan shall be on a template provided by the Division available at https://rmp.nc.gov/portal/# completed within four months of completion of the Emergency Preparedness and Response in Child Care training, and available for review. (d) The Emergency Preparedness and Response Plan shall include the following: (1) written procedures for accounting for all in attendance, including: (A) the location of the children, staff, volunteer and visitor attendance lists; and (B) the name of the person(s) responsible for bringing the children, staff, volunteer and visitor attendance lists in the event of an emergency. (2) a description for how and when children shall be transported; (3) methods for communicating with parents and emergency personnel or law enforcement; (4) a description of how children's nutritional and health needs will be met; (5) the relocation and reunification process; (6) emergency telephone numbers; (7) evacuation diagrams showing how the operator, family members, children and any other individuals who may be present will evacuate during an emergency; (8) the date of the last revision of the plan; (9) specific considerations for non-mobile children and children with special needs; and (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. (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. (e) The operator shall review the Family Child Care Home's Emergency Preparedness and Response Plan with additional caregivers prior to the individual caring for children and on an annual basis. (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. Please fill out a specific time on each child’s form that children will leave for and return from each activity and document that this activity was completed via “walking”. 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 • Please monitor the fencing surrounding the playground, chairs, and other outdoor equipment for developing rust. • 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 monitor the outdoor environment and the inside of nonstationary structures for cobwebs prior to the children using the playground daily. - You may order a First Aid poster at the following link: https://healthychildcare.unc.edu/resources/posters/ - You can access the training for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment at the following website: https://www.preventchildabusenc.org/online-trainings/ • You may access Health and Safety trainings through the following link on the Division website: https://www.dcdee.moodle.nc.gov/ Please choose the Services tab, DCDEE Moodle, Professional Development, Regulatory, and then the 2023 CCDF Health and Safety trainings. • Please record an updated date on your posted Emergency Medical Care Plan. - Please access approved CPR/FA trainers at the following website: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/cpr_first_aid_information_Revised_2022.pdf?ver=R3ITXR7cwzmzp82N-i_G5A%3d%3d - Please access the Risk Management Portal at the following website to update and print your Emergency Preparedness and Response Plan: https://rmp.nc.gov/portal/portal.aspx# At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1719 · Violation

Name of Operation: R-U HAPPY CHILD CARE Facility ID: 34000863 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 7/28/2023 Number Present: 1 Completed Date: 7/28/2023 Age: From 2 To 2 Total Minutes: 310 Time In: 09:50 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Edith Jones, Operator, and Joyce Poindexter, Additional Caregiver, assisted me with the visit. Your program currently operates with a 4-Star license effective 8/04/2017. Restrictions include 1st, 2nd, and 3rd shift care; children in care on ground level only; maximum of 5 preschool children at any time; children in fenced area only; no more than four children less than one year old. 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. Jones stated she is the only person living in the home. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, one child enrolled less than three years of age, was watching a cartoon on television. Ms. Jones turned off the television when I referenced Child Care Rule regarding screen time. A wooden border protecting the corner of a wall, less than five feet from the ground, was observed to be cracked and sharp to the touch. Two swinging half doors located in the space designated for child care were observed to have plastic tape peeling off portions of the doors, which were accessible to children under three years of age. Three plastic diaper wrappers and one plastic bag full of plastic bags were observed accessible to children younger than three years of age less than five feet from the ground beneath a diaper changing table in the bathroom used by children enrolled. Ms. Poindexter made these wrappers and bags inaccessible to children during the visit. Four outlets located on a power strip beneath the operator’s desk did not have safety covers covering them. Two loose AA batteries were observed in the top left drawer of the operator’s desk; Ms. Jones made these batteries inaccessible to children during the visit. On the playground, Ms. Poindexter stated an uninflated bounce house is accessible for children to use approximately once per week. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed the one child in care playing with toys in activity centers, engaging in conversations and guided activities with Ms. Poindexter, participating in general routines and eating lunch. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, ITS-SIDS, and Criminal Background Checks. A completed record of Health and Safety trainings was not on file for Ms. Jones or Ms. Poindexter. Topics (1) Prevention and control of infectious diseases, including immunization; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; and (10) Recognizing and reporting child abuse, child neglect, and child maltreatment were not on file for Ms. Jones. Topics (1) Prevention and control of infectious diseases, including immunization; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; and (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment were not current on file for Ms. Poindexter. No medications were observed nor reported. A First Aid information sheet was not posted. Storage hazardous items was monitored today. Bleach and other items labeled Keep Out of Reach of Children with additional warnings were observed in a latched, but unlocked closet in the space designated for child care. Ms. Poindexter locked this closet during the visit. One bug spray labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground, but in unlocked storage, and one can of aerosol sunscreen for a child enrolled was observed in a plastic bin on top of a cubby less than five feet from the ground, in unlocked storage. Ms. Jones and Ms. Poindexter placed both of these items into locked storage during the visit. One aerosol air freshener was observed greater than five feet from the ground, but in unlocked storage in the bathroom used by children; Ms. Poindexter placed this into locked storage during the visit. One individual sized pump of hand sanitizer was observed on the operator’s desk less than five feet from the ground; Ms. Jones placed this item greater than five feet from the ground on top of the refrigerator. A playground inspection was recorded 6/03/2023. A fire drill was recorded 6/09/2023. A shelter in place drill for the facility was recorded 6/30/2023. A Ready to Go file was not available for review. There are no pets inside the home and all vaccinations and parent acknowledgement forms were monitored. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 543 Screen time was not prohibited for children under the age of three. The operator did not offer alternative activities for children under the age of three years. Upon arrival, one child enrolled less than three years of age, was watching a cartoon on television. .1718(c) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. A wooden border protecting the corner of a wall, less than five feet fro m the ground, was observed to be cracked and sharp to the touch. Two swinging half doors located in the space designated for child care were observed to have plastic tape peeling off portions of the doors, which were accessible to children under three years of age. Three plastic diaper wrappers and one plastic bag full of plastic bags were observed accessible to children younger than three years of age less than five feet from the ground beneath a diaper changing table in the bathroom used by children enrolled. Ms. Poindexter made these wrappers and bags inaccessible to children during the visit. Four outlets located on a power strip beneath the operator’s desk did not have safety covers covering them. Two loose AA batteries were observed in the top left drawer of the operator’s desk; Ms. Jones made these batteries inaccessible to children during the visit. Bleach and other items labeled Keep Out of Reach of Children with additional warnings were observed in a latched, but unlocked closet in the space designated for child care. Ms. Poindexter locked this closet during the visit. One bug spray labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground, but in unlocked storage, and one can of aerosol sunscreen for a child enrolled was observed in a plastic bin on top of a cubby less than five feet from the ground, in unlocked storage. Ms. Jones and Ms. Poindexter placed both of these items into locked storage during the visit. One aerosol air freshener was observed greater than five feet from the ground, but in unlocked storage in the bathroom used by children; Ms. Poindexter placed this into locked storage during the visit. One individual sized pump of hand sanitizer was observed on the operator’s desk less than five feet from the ground; Ms. Jones placed this item greater than five feet from the ground on top of the refrigerator. 10A NCAC 09 .1719 (a) 1739 All records required shall be available during operating hours, for review by a representative of the Division. A completed record of Health and Safety trainings was not on file for Ms. Jones or Ms. Poindexter. Topics (1) Prevention and control of infectious diseases, including immunization; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; and (10) Recognizing and reporting child abuse, child neglect, and child maltreatment were not on file for Ms. Jones. Topics (1) Prevention and control of infectious diseases, including immunization; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; and (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment were not current on file for Ms. Poindexter. A First Aid information Sheet was not posted. .1721(f)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 8/11/2023. 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 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were thoroughly discussed with Ms. Jones during the visit: 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (a) For purposes of this Rule, the Emergency Preparedness and Response in Child Care is a training developed by the North Carolina Child Care Health and Safety Resource Center for child care operators and providers on creating an Emergency Preparedness and Response Plan and practicing, responding to, and recovering from emergencies in child care facilities. (b) Existing family child care home operators (operator or operators) shall complete the Emergency Preparedness and Response in Child Care training. Within one year of the effective date of a new license, the operator of a new family child care home shall have completed the Emergency Preparedness and Response in Child Care training. When the trained staff member leaves employment, the family child care home shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the operator's personnel file. (c) Upon completion of the Emergency Preparedness and Response in Child Care training, the operator shall develop the Emergency Preparedness and Response Plan. The Emergency Preparedness and Response Plan means a written plan that addresses how a child care facility will respond to both natural and man-made disasters, such as fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disaster, or a dangerous person in the vicinity, to ensure the safety and protection of the children and additional caregivers. This Plan shall be on a template provided by the Division available at https://rmp.nc.gov/portal/# completed within four months of completion of the Emergency Preparedness and Response in Child Care training, and available for review. (d) The Emergency Preparedness and Response Plan shall include the following: (1) written procedures for accounting for all in attendance, including: (A) the location of the children, staff, volunteer and visitor attendance lists; and (B) the name of the person(s) responsible for bringing the children, staff, volunteer and visitor attendance lists in the event of an emergency. (2) a description for how and when children shall be transported; (3) methods for communicating with parents and emergency personnel or law enforcement; (4) a description of how children's nutritional and health needs will be met; (5) the relocation and reunification process; (6) emergency telephone numbers; (7) evacuation diagrams showing how the operator, family members, children and any other individuals who may be present will evacuate during an emergency; (8) the date of the last revision of the plan; (9) specific considerations for non-mobile children and children with special needs; and (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. (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. (e) The operator shall review the Family Child Care Home's Emergency Preparedness and Response Plan with additional caregivers prior to the individual caring for children and on an annual basis. (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. Please fill out a specific time on each child’s form that children will leave for and return from each activity and document that this activity was completed via “walking”. 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 • Please monitor the fencing surrounding the playground, chairs, and other outdoor equipment for developing rust. • 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 monitor the outdoor environment and the inside of nonstationary structures for cobwebs prior to the children using the playground daily. - You may order a First Aid poster at the following link: https://healthychildcare.unc.edu/resources/posters/ - You can access the training for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment at the following website: https://www.preventchildabusenc.org/online-trainings/ • You may access Health and Safety trainings through the following link on the Division website: https://www.dcdee.moodle.nc.gov/ Please choose the Services tab, DCDEE Moodle, Professional Development, Regulatory, and then the 2023 CCDF Health and Safety trainings. • Please record an updated date on your posted Emergency Medical Care Plan. - Please access approved CPR/FA trainers at the following website: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/cpr_first_aid_information_Revised_2022.pdf?ver=R3ITXR7cwzmzp82N-i_G5A%3d%3d - Please access the Risk Management Portal at the following website to update and print your Emergency Preparedness and Response Plan: https://rmp.nc.gov/portal/portal.aspx# At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1721 · Violation

Name of Operation: R-U HAPPY CHILD CARE Facility ID: 34000863 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 7/28/2023 Number Present: 1 Completed Date: 7/28/2023 Age: From 2 To 2 Total Minutes: 310 Time In: 09:50 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Edith Jones, Operator, and Joyce Poindexter, Additional Caregiver, assisted me with the visit. Your program currently operates with a 4-Star license effective 8/04/2017. Restrictions include 1st, 2nd, and 3rd shift care; children in care on ground level only; maximum of 5 preschool children at any time; children in fenced area only; no more than four children less than one year old. 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. Jones stated she is the only person living in the home. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, one child enrolled less than three years of age, was watching a cartoon on television. Ms. Jones turned off the television when I referenced Child Care Rule regarding screen time. A wooden border protecting the corner of a wall, less than five feet from the ground, was observed to be cracked and sharp to the touch. Two swinging half doors located in the space designated for child care were observed to have plastic tape peeling off portions of the doors, which were accessible to children under three years of age. Three plastic diaper wrappers and one plastic bag full of plastic bags were observed accessible to children younger than three years of age less than five feet from the ground beneath a diaper changing table in the bathroom used by children enrolled. Ms. Poindexter made these wrappers and bags inaccessible to children during the visit. Four outlets located on a power strip beneath the operator’s desk did not have safety covers covering them. Two loose AA batteries were observed in the top left drawer of the operator’s desk; Ms. Jones made these batteries inaccessible to children during the visit. On the playground, Ms. Poindexter stated an uninflated bounce house is accessible for children to use approximately once per week. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed the one child in care playing with toys in activity centers, engaging in conversations and guided activities with Ms. Poindexter, participating in general routines and eating lunch. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, ITS-SIDS, and Criminal Background Checks. A completed record of Health and Safety trainings was not on file for Ms. Jones or Ms. Poindexter. Topics (1) Prevention and control of infectious diseases, including immunization; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; and (10) Recognizing and reporting child abuse, child neglect, and child maltreatment were not on file for Ms. Jones. Topics (1) Prevention and control of infectious diseases, including immunization; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; and (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment were not current on file for Ms. Poindexter. No medications were observed nor reported. A First Aid information sheet was not posted. Storage hazardous items was monitored today. Bleach and other items labeled Keep Out of Reach of Children with additional warnings were observed in a latched, but unlocked closet in the space designated for child care. Ms. Poindexter locked this closet during the visit. One bug spray labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground, but in unlocked storage, and one can of aerosol sunscreen for a child enrolled was observed in a plastic bin on top of a cubby less than five feet from the ground, in unlocked storage. Ms. Jones and Ms. Poindexter placed both of these items into locked storage during the visit. One aerosol air freshener was observed greater than five feet from the ground, but in unlocked storage in the bathroom used by children; Ms. Poindexter placed this into locked storage during the visit. One individual sized pump of hand sanitizer was observed on the operator’s desk less than five feet from the ground; Ms. Jones placed this item greater than five feet from the ground on top of the refrigerator. A playground inspection was recorded 6/03/2023. A fire drill was recorded 6/09/2023. A shelter in place drill for the facility was recorded 6/30/2023. A Ready to Go file was not available for review. There are no pets inside the home and all vaccinations and parent acknowledgement forms were monitored. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 543 Screen time was not prohibited for children under the age of three. The operator did not offer alternative activities for children under the age of three years. Upon arrival, one child enrolled less than three years of age, was watching a cartoon on television. .1718(c) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. A wooden border protecting the corner of a wall, less than five feet fro m the ground, was observed to be cracked and sharp to the touch. Two swinging half doors located in the space designated for child care were observed to have plastic tape peeling off portions of the doors, which were accessible to children under three years of age. Three plastic diaper wrappers and one plastic bag full of plastic bags were observed accessible to children younger than three years of age less than five feet from the ground beneath a diaper changing table in the bathroom used by children enrolled. Ms. Poindexter made these wrappers and bags inaccessible to children during the visit. Four outlets located on a power strip beneath the operator’s desk did not have safety covers covering them. Two loose AA batteries were observed in the top left drawer of the operator’s desk; Ms. Jones made these batteries inaccessible to children during the visit. Bleach and other items labeled Keep Out of Reach of Children with additional warnings were observed in a latched, but unlocked closet in the space designated for child care. Ms. Poindexter locked this closet during the visit. One bug spray labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground, but in unlocked storage, and one can of aerosol sunscreen for a child enrolled was observed in a plastic bin on top of a cubby less than five feet from the ground, in unlocked storage. Ms. Jones and Ms. Poindexter placed both of these items into locked storage during the visit. One aerosol air freshener was observed greater than five feet from the ground, but in unlocked storage in the bathroom used by children; Ms. Poindexter placed this into locked storage during the visit. One individual sized pump of hand sanitizer was observed on the operator’s desk less than five feet from the ground; Ms. Jones placed this item greater than five feet from the ground on top of the refrigerator. 10A NCAC 09 .1719 (a) 1739 All records required shall be available during operating hours, for review by a representative of the Division. A completed record of Health and Safety trainings was not on file for Ms. Jones or Ms. Poindexter. Topics (1) Prevention and control of infectious diseases, including immunization; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; and (10) Recognizing and reporting child abuse, child neglect, and child maltreatment were not on file for Ms. Jones. Topics (1) Prevention and control of infectious diseases, including immunization; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; and (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment were not current on file for Ms. Poindexter. A First Aid information Sheet was not posted. .1721(f)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 8/11/2023. 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 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were thoroughly discussed with Ms. Jones during the visit: 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (a) For purposes of this Rule, the Emergency Preparedness and Response in Child Care is a training developed by the North Carolina Child Care Health and Safety Resource Center for child care operators and providers on creating an Emergency Preparedness and Response Plan and practicing, responding to, and recovering from emergencies in child care facilities. (b) Existing family child care home operators (operator or operators) shall complete the Emergency Preparedness and Response in Child Care training. Within one year of the effective date of a new license, the operator of a new family child care home shall have completed the Emergency Preparedness and Response in Child Care training. When the trained staff member leaves employment, the family child care home shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the operator's personnel file. (c) Upon completion of the Emergency Preparedness and Response in Child Care training, the operator shall develop the Emergency Preparedness and Response Plan. The Emergency Preparedness and Response Plan means a written plan that addresses how a child care facility will respond to both natural and man-made disasters, such as fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disaster, or a dangerous person in the vicinity, to ensure the safety and protection of the children and additional caregivers. This Plan shall be on a template provided by the Division available at https://rmp.nc.gov/portal/# completed within four months of completion of the Emergency Preparedness and Response in Child Care training, and available for review. (d) The Emergency Preparedness and Response Plan shall include the following: (1) written procedures for accounting for all in attendance, including: (A) the location of the children, staff, volunteer and visitor attendance lists; and (B) the name of the person(s) responsible for bringing the children, staff, volunteer and visitor attendance lists in the event of an emergency. (2) a description for how and when children shall be transported; (3) methods for communicating with parents and emergency personnel or law enforcement; (4) a description of how children's nutritional and health needs will be met; (5) the relocation and reunification process; (6) emergency telephone numbers; (7) evacuation diagrams showing how the operator, family members, children and any other individuals who may be present will evacuate during an emergency; (8) the date of the last revision of the plan; (9) specific considerations for non-mobile children and children with special needs; and (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. (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. (e) The operator shall review the Family Child Care Home's Emergency Preparedness and Response Plan with additional caregivers prior to the individual caring for children and on an annual basis. (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. Please fill out a specific time on each child’s form that children will leave for and return from each activity and document that this activity was completed via “walking”. 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 • Please monitor the fencing surrounding the playground, chairs, and other outdoor equipment for developing rust. • 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 monitor the outdoor environment and the inside of nonstationary structures for cobwebs prior to the children using the playground daily. - You may order a First Aid poster at the following link: https://healthychildcare.unc.edu/resources/posters/ - You can access the training for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment at the following website: https://www.preventchildabusenc.org/online-trainings/ • You may access Health and Safety trainings through the following link on the Division website: https://www.dcdee.moodle.nc.gov/ Please choose the Services tab, DCDEE Moodle, Professional Development, Regulatory, and then the 2023 CCDF Health and Safety trainings. • Please record an updated date on your posted Emergency Medical Care Plan. - Please access approved CPR/FA trainers at the following website: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/cpr_first_aid_information_Revised_2022.pdf?ver=R3ITXR7cwzmzp82N-i_G5A%3d%3d - Please access the Risk Management Portal at the following website to update and print your Emergency Preparedness and Response Plan: https://rmp.nc.gov/portal/portal.aspx# At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1723 · Violation

Name of Operation: R-U HAPPY CHILD CARE Facility ID: 34000863 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 7/28/2023 Number Present: 1 Completed Date: 7/28/2023 Age: From 2 To 2 Total Minutes: 310 Time In: 09:50 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Edith Jones, Operator, and Joyce Poindexter, Additional Caregiver, assisted me with the visit. Your program currently operates with a 4-Star license effective 8/04/2017. Restrictions include 1st, 2nd, and 3rd shift care; children in care on ground level only; maximum of 5 preschool children at any time; children in fenced area only; no more than four children less than one year old. 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. Jones stated she is the only person living in the home. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, one child enrolled less than three years of age, was watching a cartoon on television. Ms. Jones turned off the television when I referenced Child Care Rule regarding screen time. A wooden border protecting the corner of a wall, less than five feet from the ground, was observed to be cracked and sharp to the touch. Two swinging half doors located in the space designated for child care were observed to have plastic tape peeling off portions of the doors, which were accessible to children under three years of age. Three plastic diaper wrappers and one plastic bag full of plastic bags were observed accessible to children younger than three years of age less than five feet from the ground beneath a diaper changing table in the bathroom used by children enrolled. Ms. Poindexter made these wrappers and bags inaccessible to children during the visit. Four outlets located on a power strip beneath the operator’s desk did not have safety covers covering them. Two loose AA batteries were observed in the top left drawer of the operator’s desk; Ms. Jones made these batteries inaccessible to children during the visit. On the playground, Ms. Poindexter stated an uninflated bounce house is accessible for children to use approximately once per week. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed the one child in care playing with toys in activity centers, engaging in conversations and guided activities with Ms. Poindexter, participating in general routines and eating lunch. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, ITS-SIDS, and Criminal Background Checks. A completed record of Health and Safety trainings was not on file for Ms. Jones or Ms. Poindexter. Topics (1) Prevention and control of infectious diseases, including immunization; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; and (10) Recognizing and reporting child abuse, child neglect, and child maltreatment were not on file for Ms. Jones. Topics (1) Prevention and control of infectious diseases, including immunization; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; and (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment were not current on file for Ms. Poindexter. No medications were observed nor reported. A First Aid information sheet was not posted. Storage hazardous items was monitored today. Bleach and other items labeled Keep Out of Reach of Children with additional warnings were observed in a latched, but unlocked closet in the space designated for child care. Ms. Poindexter locked this closet during the visit. One bug spray labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground, but in unlocked storage, and one can of aerosol sunscreen for a child enrolled was observed in a plastic bin on top of a cubby less than five feet from the ground, in unlocked storage. Ms. Jones and Ms. Poindexter placed both of these items into locked storage during the visit. One aerosol air freshener was observed greater than five feet from the ground, but in unlocked storage in the bathroom used by children; Ms. Poindexter placed this into locked storage during the visit. One individual sized pump of hand sanitizer was observed on the operator’s desk less than five feet from the ground; Ms. Jones placed this item greater than five feet from the ground on top of the refrigerator. A playground inspection was recorded 6/03/2023. A fire drill was recorded 6/09/2023. A shelter in place drill for the facility was recorded 6/30/2023. A Ready to Go file was not available for review. There are no pets inside the home and all vaccinations and parent acknowledgement forms were monitored. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 543 Screen time was not prohibited for children under the age of three. The operator did not offer alternative activities for children under the age of three years. Upon arrival, one child enrolled less than three years of age, was watching a cartoon on television. .1718(c) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. A wooden border protecting the corner of a wall, less than five feet fro m the ground, was observed to be cracked and sharp to the touch. Two swinging half doors located in the space designated for child care were observed to have plastic tape peeling off portions of the doors, which were accessible to children under three years of age. Three plastic diaper wrappers and one plastic bag full of plastic bags were observed accessible to children younger than three years of age less than five feet from the ground beneath a diaper changing table in the bathroom used by children enrolled. Ms. Poindexter made these wrappers and bags inaccessible to children during the visit. Four outlets located on a power strip beneath the operator’s desk did not have safety covers covering them. Two loose AA batteries were observed in the top left drawer of the operator’s desk; Ms. Jones made these batteries inaccessible to children during the visit. Bleach and other items labeled Keep Out of Reach of Children with additional warnings were observed in a latched, but unlocked closet in the space designated for child care. Ms. Poindexter locked this closet during the visit. One bug spray labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground, but in unlocked storage, and one can of aerosol sunscreen for a child enrolled was observed in a plastic bin on top of a cubby less than five feet from the ground, in unlocked storage. Ms. Jones and Ms. Poindexter placed both of these items into locked storage during the visit. One aerosol air freshener was observed greater than five feet from the ground, but in unlocked storage in the bathroom used by children; Ms. Poindexter placed this into locked storage during the visit. One individual sized pump of hand sanitizer was observed on the operator’s desk less than five feet from the ground; Ms. Jones placed this item greater than five feet from the ground on top of the refrigerator. 10A NCAC 09 .1719 (a) 1739 All records required shall be available during operating hours, for review by a representative of the Division. A completed record of Health and Safety trainings was not on file for Ms. Jones or Ms. Poindexter. Topics (1) Prevention and control of infectious diseases, including immunization; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; and (10) Recognizing and reporting child abuse, child neglect, and child maltreatment were not on file for Ms. Jones. Topics (1) Prevention and control of infectious diseases, including immunization; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; and (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment were not current on file for Ms. Poindexter. A First Aid information Sheet was not posted. .1721(f)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 8/11/2023. 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 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were thoroughly discussed with Ms. Jones during the visit: 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (a) For purposes of this Rule, the Emergency Preparedness and Response in Child Care is a training developed by the North Carolina Child Care Health and Safety Resource Center for child care operators and providers on creating an Emergency Preparedness and Response Plan and practicing, responding to, and recovering from emergencies in child care facilities. (b) Existing family child care home operators (operator or operators) shall complete the Emergency Preparedness and Response in Child Care training. Within one year of the effective date of a new license, the operator of a new family child care home shall have completed the Emergency Preparedness and Response in Child Care training. When the trained staff member leaves employment, the family child care home shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the operator's personnel file. (c) Upon completion of the Emergency Preparedness and Response in Child Care training, the operator shall develop the Emergency Preparedness and Response Plan. The Emergency Preparedness and Response Plan means a written plan that addresses how a child care facility will respond to both natural and man-made disasters, such as fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disaster, or a dangerous person in the vicinity, to ensure the safety and protection of the children and additional caregivers. This Plan shall be on a template provided by the Division available at https://rmp.nc.gov/portal/# completed within four months of completion of the Emergency Preparedness and Response in Child Care training, and available for review. (d) The Emergency Preparedness and Response Plan shall include the following: (1) written procedures for accounting for all in attendance, including: (A) the location of the children, staff, volunteer and visitor attendance lists; and (B) the name of the person(s) responsible for bringing the children, staff, volunteer and visitor attendance lists in the event of an emergency. (2) a description for how and when children shall be transported; (3) methods for communicating with parents and emergency personnel or law enforcement; (4) a description of how children's nutritional and health needs will be met; (5) the relocation and reunification process; (6) emergency telephone numbers; (7) evacuation diagrams showing how the operator, family members, children and any other individuals who may be present will evacuate during an emergency; (8) the date of the last revision of the plan; (9) specific considerations for non-mobile children and children with special needs; and (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. (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. (e) The operator shall review the Family Child Care Home's Emergency Preparedness and Response Plan with additional caregivers prior to the individual caring for children and on an annual basis. (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. Please fill out a specific time on each child’s form that children will leave for and return from each activity and document that this activity was completed via “walking”. 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 • Please monitor the fencing surrounding the playground, chairs, and other outdoor equipment for developing rust. • 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 monitor the outdoor environment and the inside of nonstationary structures for cobwebs prior to the children using the playground daily. - You may order a First Aid poster at the following link: https://healthychildcare.unc.edu/resources/posters/ - You can access the training for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment at the following website: https://www.preventchildabusenc.org/online-trainings/ • You may access Health and Safety trainings through the following link on the Division website: https://www.dcdee.moodle.nc.gov/ Please choose the Services tab, DCDEE Moodle, Professional Development, Regulatory, and then the 2023 CCDF Health and Safety trainings. • Please record an updated date on your posted Emergency Medical Care Plan. - Please access approved CPR/FA trainers at the following website: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/cpr_first_aid_information_Revised_2022.pdf?ver=R3ITXR7cwzmzp82N-i_G5A%3d%3d - Please access the Risk Management Portal at the following website to update and print your Emergency Preparedness and Response Plan: https://rmp.nc.gov/portal/portal.aspx# At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: R-U HAPPY CHILD CARE Facility ID: 34000863 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 7/28/2023 Number Present: 1 Completed Date: 7/28/2023 Age: From 2 To 2 Total Minutes: 310 Time In: 09:50 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Edith Jones, Operator, and Joyce Poindexter, Additional Caregiver, assisted me with the visit. Your program currently operates with a 4-Star license effective 8/04/2017. Restrictions include 1st, 2nd, and 3rd shift care; children in care on ground level only; maximum of 5 preschool children at any time; children in fenced area only; no more than four children less than one year old. 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. Jones stated she is the only person living in the home. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, one child enrolled less than three years of age, was watching a cartoon on television. Ms. Jones turned off the television when I referenced Child Care Rule regarding screen time. A wooden border protecting the corner of a wall, less than five feet from the ground, was observed to be cracked and sharp to the touch. Two swinging half doors located in the space designated for child care were observed to have plastic tape peeling off portions of the doors, which were accessible to children under three years of age. Three plastic diaper wrappers and one plastic bag full of plastic bags were observed accessible to children younger than three years of age less than five feet from the ground beneath a diaper changing table in the bathroom used by children enrolled. Ms. Poindexter made these wrappers and bags inaccessible to children during the visit. Four outlets located on a power strip beneath the operator’s desk did not have safety covers covering them. Two loose AA batteries were observed in the top left drawer of the operator’s desk; Ms. Jones made these batteries inaccessible to children during the visit. On the playground, Ms. Poindexter stated an uninflated bounce house is accessible for children to use approximately once per week. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed the one child in care playing with toys in activity centers, engaging in conversations and guided activities with Ms. Poindexter, participating in general routines and eating lunch. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, ITS-SIDS, and Criminal Background Checks. A completed record of Health and Safety trainings was not on file for Ms. Jones or Ms. Poindexter. Topics (1) Prevention and control of infectious diseases, including immunization; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; and (10) Recognizing and reporting child abuse, child neglect, and child maltreatment were not on file for Ms. Jones. Topics (1) Prevention and control of infectious diseases, including immunization; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; and (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment were not current on file for Ms. Poindexter. No medications were observed nor reported. A First Aid information sheet was not posted. Storage hazardous items was monitored today. Bleach and other items labeled Keep Out of Reach of Children with additional warnings were observed in a latched, but unlocked closet in the space designated for child care. Ms. Poindexter locked this closet during the visit. One bug spray labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground, but in unlocked storage, and one can of aerosol sunscreen for a child enrolled was observed in a plastic bin on top of a cubby less than five feet from the ground, in unlocked storage. Ms. Jones and Ms. Poindexter placed both of these items into locked storage during the visit. One aerosol air freshener was observed greater than five feet from the ground, but in unlocked storage in the bathroom used by children; Ms. Poindexter placed this into locked storage during the visit. One individual sized pump of hand sanitizer was observed on the operator’s desk less than five feet from the ground; Ms. Jones placed this item greater than five feet from the ground on top of the refrigerator. A playground inspection was recorded 6/03/2023. A fire drill was recorded 6/09/2023. A shelter in place drill for the facility was recorded 6/30/2023. A Ready to Go file was not available for review. There are no pets inside the home and all vaccinations and parent acknowledgement forms were monitored. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 543 Screen time was not prohibited for children under the age of three. The operator did not offer alternative activities for children under the age of three years. Upon arrival, one child enrolled less than three years of age, was watching a cartoon on television. .1718(c) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. A wooden border protecting the corner of a wall, less than five feet fro m the ground, was observed to be cracked and sharp to the touch. Two swinging half doors located in the space designated for child care were observed to have plastic tape peeling off portions of the doors, which were accessible to children under three years of age. Three plastic diaper wrappers and one plastic bag full of plastic bags were observed accessible to children younger than three years of age less than five feet from the ground beneath a diaper changing table in the bathroom used by children enrolled. Ms. Poindexter made these wrappers and bags inaccessible to children during the visit. Four outlets located on a power strip beneath the operator’s desk did not have safety covers covering them. Two loose AA batteries were observed in the top left drawer of the operator’s desk; Ms. Jones made these batteries inaccessible to children during the visit. Bleach and other items labeled Keep Out of Reach of Children with additional warnings were observed in a latched, but unlocked closet in the space designated for child care. Ms. Poindexter locked this closet during the visit. One bug spray labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground, but in unlocked storage, and one can of aerosol sunscreen for a child enrolled was observed in a plastic bin on top of a cubby less than five feet from the ground, in unlocked storage. Ms. Jones and Ms. Poindexter placed both of these items into locked storage during the visit. One aerosol air freshener was observed greater than five feet from the ground, but in unlocked storage in the bathroom used by children; Ms. Poindexter placed this into locked storage during the visit. One individual sized pump of hand sanitizer was observed on the operator’s desk less than five feet from the ground; Ms. Jones placed this item greater than five feet from the ground on top of the refrigerator. 10A NCAC 09 .1719 (a) 1739 All records required shall be available during operating hours, for review by a representative of the Division. A completed record of Health and Safety trainings was not on file for Ms. Jones or Ms. Poindexter. Topics (1) Prevention and control of infectious diseases, including immunization; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; and (10) Recognizing and reporting child abuse, child neglect, and child maltreatment were not on file for Ms. Jones. Topics (1) Prevention and control of infectious diseases, including immunization; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; and (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment were not current on file for Ms. Poindexter. A First Aid information Sheet was not posted. .1721(f)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 8/11/2023. 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 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were thoroughly discussed with Ms. Jones during the visit: 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (a) For purposes of this Rule, the Emergency Preparedness and Response in Child Care is a training developed by the North Carolina Child Care Health and Safety Resource Center for child care operators and providers on creating an Emergency Preparedness and Response Plan and practicing, responding to, and recovering from emergencies in child care facilities. (b) Existing family child care home operators (operator or operators) shall complete the Emergency Preparedness and Response in Child Care training. Within one year of the effective date of a new license, the operator of a new family child care home shall have completed the Emergency Preparedness and Response in Child Care training. When the trained staff member leaves employment, the family child care home shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the operator's personnel file. (c) Upon completion of the Emergency Preparedness and Response in Child Care training, the operator shall develop the Emergency Preparedness and Response Plan. The Emergency Preparedness and Response Plan means a written plan that addresses how a child care facility will respond to both natural and man-made disasters, such as fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disaster, or a dangerous person in the vicinity, to ensure the safety and protection of the children and additional caregivers. This Plan shall be on a template provided by the Division available at https://rmp.nc.gov/portal/# completed within four months of completion of the Emergency Preparedness and Response in Child Care training, and available for review. (d) The Emergency Preparedness and Response Plan shall include the following: (1) written procedures for accounting for all in attendance, including: (A) the location of the children, staff, volunteer and visitor attendance lists; and (B) the name of the person(s) responsible for bringing the children, staff, volunteer and visitor attendance lists in the event of an emergency. (2) a description for how and when children shall be transported; (3) methods for communicating with parents and emergency personnel or law enforcement; (4) a description of how children's nutritional and health needs will be met; (5) the relocation and reunification process; (6) emergency telephone numbers; (7) evacuation diagrams showing how the operator, family members, children and any other individuals who may be present will evacuate during an emergency; (8) the date of the last revision of the plan; (9) specific considerations for non-mobile children and children with special needs; and (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. (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. (e) The operator shall review the Family Child Care Home's Emergency Preparedness and Response Plan with additional caregivers prior to the individual caring for children and on an annual basis. (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. Please fill out a specific time on each child’s form that children will leave for and return from each activity and document that this activity was completed via “walking”. 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 • Please monitor the fencing surrounding the playground, chairs, and other outdoor equipment for developing rust. • 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 monitor the outdoor environment and the inside of nonstationary structures for cobwebs prior to the children using the playground daily. - You may order a First Aid poster at the following link: https://healthychildcare.unc.edu/resources/posters/ - You can access the training for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment at the following website: https://www.preventchildabusenc.org/online-trainings/ • You may access Health and Safety trainings through the following link on the Division website: https://www.dcdee.moodle.nc.gov/ Please choose the Services tab, DCDEE Moodle, Professional Development, Regulatory, and then the 2023 CCDF Health and Safety trainings. • Please record an updated date on your posted Emergency Medical Care Plan. - Please access approved CPR/FA trainers at the following website: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/cpr_first_aid_information_Revised_2022.pdf?ver=R3ITXR7cwzmzp82N-i_G5A%3d%3d - Please access the Risk Management Portal at the following website to update and print your Emergency Preparedness and Response Plan: https://rmp.nc.gov/portal/portal.aspx# At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times