10A NCAC 09 .1705 · Violation

Name of Operation: S & S DAY CARE Facility ID: 34000734 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 4/25/2024 Number Present: 3 Completed Date: 4/25/2024 Age: From 2 To 3 Total Minutes: 255 Time In: 08:55 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart and Emily Lamquaye, Child Care Consultants, with Sarah Bridges, Operator. Brittney Snuggs, additional caregiver, was also present during the visit. Your program currently operates with a 5-Star license. Restrictions include 1st, 2nd, and 3rd shift care; children in care on ground level only; and maximum of five preschoolers at any time. Mrs. Bridges stated she is only providing first shift care at this time. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 95% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Mrs. Bridges stated her office (off the hallway leading to the child care space) and the kitchen are not accessed by children or spaces designated for child care. Mrs. Bridges further stated the children only access the space on the side of the home and do not go beyond the corner of the home. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. Child Care Rule .1719 (a) (2) was monitored during the visit. I observed three children in care playing with toys, engaging in conversations, and participating in general routines with Ms. Bridges and Ms. Snuggs during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 5/09/2023. Verification of Required Information for Operator and Additional Caregivers forms were submitted prior to the visit for the operator and additional caregiver. I completed spaces which were left blank or needed revised on the form, and I discussed all information added or changed on the form with Ms. Bridges 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 4/02/2024. Mrs. Bridges and Ms. Snuggs also conducted a fire drill during the visit. The most recent lockdown and shelter in place drill was documented on 4/02/2024. The last outdoor inspection was documented on 4/02/2024. There are currently no pets at this facility. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. The program does not provide transportation or participate in aquatic activities or off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 916 Operator did not maintain a record of on-going training in which he/she has participated. An On-Going training log for the Additional Care Giver was not observed on file for review. 10A NCAC 09 .1705(b)(4)(C) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. A record of arrival was not recorded for three children in attendance during the visit. .1721(e)(6) 923 Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year. A fire drill was not recorded for the month of December, 2023. .1721 (e)(7) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Two pieces to an air conditioning unit, sharp to the touch on the corners, were observed resting on top of the unit. One fence board was observed to become detached from the fencing exposing two nails, sharp to the touch, but greater than five feet from the ground. 10A NCAC 09 .1719 (a) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Two plastic bags and one open plastic bag of diapers was observed stored beneath the changing table in the bathroom, accessible to children under three years of age. .1719(a)(18) 1964 Activity plan did not reflect that children have at least four different activities daily, at least one of which is outdoors. A planned schedule of developmentally appropriate activities displayed in a prominent place for parents to review with four of the following activity areas available daily: art and other creative play, children's books, blocks and block building, manipulatives, and family living and dramatic play, was not available for review. 10A NCAC 09 .1718(a)(8)(C)(i-v) 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 Shaken Baby Policy was not observed on file for three children enrolled. .1726(d)(1-4) 2025 Operator and/or staff members did not complete a professional development plan within one year of employment. A current Professional Development Plan for the Operator and Additional Caregiver was not observed on file for review. .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 5/09/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided following today’s visit: • A current Professional Development Plan for the Operator and Additional Caregiver was not observed on file for review. An On-Going training log for the Additional Care Giver was not observed on file for review. This training log was completed during the visit. A Shaken Baby Policy was not observed on file for three children enrolled. A planned schedule of developmentally appropriate activities displayed in a prominent place for parents to review with four of the following activity areas available daily: art and other creative play, children's books, blocks and block building, manipulatives, and family living and dramatic play, was not available for review. A fire drill was not recorded for the month of December, 2023. A record of arrival was not recorded for three children in attendance during the visit. Ms. Bridges stated she was not aware information was missing from certain documents or that certain documents were not on file. It is essential to maintain accurate and complete records for children in care to ensure all health, safety, and educational requirements are current and being followed. You may consider creating a routine schedule to follow for monitoring all Program, Staff, and Children’s files. • Two pieces to an air conditioning unit, sharp to the touch on the corners, were observed resting on top of the unit. One fence board was observed to become detached from the fencing exposing two nails, sharp to the touch, but greater than five feet from the ground. Two plastic bags and one open plastic bag of diapers was observed stored beneath the changing table in the bathroom, accessible to children under three years of age. Each of these items was corrected during the visit by Mrs. Bridges. Consultation provided during today’s visit: The following Child Care Rules were reviewed with Ms. Bridges during the visit: 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (b) 10A NCAC 09 .1712 WRITTEN PLAN OF CARE (e ) 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (e )(2) 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a) (8) (c) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mrs. Bridges confirmed during today’s visit that the email was received and provided information that she will enroll in testing within the next two weeks. • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please be reminded you must complete eight additional hours of on-going training by 5/09/2024, and Ms. Snuggs must complete 18 additional hours of on-going training by 5/09/2024. Ms. Bridges and Ms. Snuggs stated they both recently completed three trainings through Child Care Resource and Referral and are currently waiting on receiving their training certificates. Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 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 .1712 · Violation

Name of Operation: S & S DAY CARE Facility ID: 34000734 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 4/25/2024 Number Present: 3 Completed Date: 4/25/2024 Age: From 2 To 3 Total Minutes: 255 Time In: 08:55 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart and Emily Lamquaye, Child Care Consultants, with Sarah Bridges, Operator. Brittney Snuggs, additional caregiver, was also present during the visit. Your program currently operates with a 5-Star license. Restrictions include 1st, 2nd, and 3rd shift care; children in care on ground level only; and maximum of five preschoolers at any time. Mrs. Bridges stated she is only providing first shift care at this time. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 95% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Mrs. Bridges stated her office (off the hallway leading to the child care space) and the kitchen are not accessed by children or spaces designated for child care. Mrs. Bridges further stated the children only access the space on the side of the home and do not go beyond the corner of the home. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. Child Care Rule .1719 (a) (2) was monitored during the visit. I observed three children in care playing with toys, engaging in conversations, and participating in general routines with Ms. Bridges and Ms. Snuggs during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 5/09/2023. Verification of Required Information for Operator and Additional Caregivers forms were submitted prior to the visit for the operator and additional caregiver. I completed spaces which were left blank or needed revised on the form, and I discussed all information added or changed on the form with Ms. Bridges 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 4/02/2024. Mrs. Bridges and Ms. Snuggs also conducted a fire drill during the visit. The most recent lockdown and shelter in place drill was documented on 4/02/2024. The last outdoor inspection was documented on 4/02/2024. There are currently no pets at this facility. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. The program does not provide transportation or participate in aquatic activities or off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 916 Operator did not maintain a record of on-going training in which he/she has participated. An On-Going training log for the Additional Care Giver was not observed on file for review. 10A NCAC 09 .1705(b)(4)(C) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. A record of arrival was not recorded for three children in attendance during the visit. .1721(e)(6) 923 Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year. A fire drill was not recorded for the month of December, 2023. .1721 (e)(7) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Two pieces to an air conditioning unit, sharp to the touch on the corners, were observed resting on top of the unit. One fence board was observed to become detached from the fencing exposing two nails, sharp to the touch, but greater than five feet from the ground. 10A NCAC 09 .1719 (a) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Two plastic bags and one open plastic bag of diapers was observed stored beneath the changing table in the bathroom, accessible to children under three years of age. .1719(a)(18) 1964 Activity plan did not reflect that children have at least four different activities daily, at least one of which is outdoors. A planned schedule of developmentally appropriate activities displayed in a prominent place for parents to review with four of the following activity areas available daily: art and other creative play, children's books, blocks and block building, manipulatives, and family living and dramatic play, was not available for review. 10A NCAC 09 .1718(a)(8)(C)(i-v) 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 Shaken Baby Policy was not observed on file for three children enrolled. .1726(d)(1-4) 2025 Operator and/or staff members did not complete a professional development plan within one year of employment. A current Professional Development Plan for the Operator and Additional Caregiver was not observed on file for review. .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 5/09/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided following today’s visit: • A current Professional Development Plan for the Operator and Additional Caregiver was not observed on file for review. An On-Going training log for the Additional Care Giver was not observed on file for review. This training log was completed during the visit. A Shaken Baby Policy was not observed on file for three children enrolled. A planned schedule of developmentally appropriate activities displayed in a prominent place for parents to review with four of the following activity areas available daily: art and other creative play, children's books, blocks and block building, manipulatives, and family living and dramatic play, was not available for review. A fire drill was not recorded for the month of December, 2023. A record of arrival was not recorded for three children in attendance during the visit. Ms. Bridges stated she was not aware information was missing from certain documents or that certain documents were not on file. It is essential to maintain accurate and complete records for children in care to ensure all health, safety, and educational requirements are current and being followed. You may consider creating a routine schedule to follow for monitoring all Program, Staff, and Children’s files. • Two pieces to an air conditioning unit, sharp to the touch on the corners, were observed resting on top of the unit. One fence board was observed to become detached from the fencing exposing two nails, sharp to the touch, but greater than five feet from the ground. Two plastic bags and one open plastic bag of diapers was observed stored beneath the changing table in the bathroom, accessible to children under three years of age. Each of these items was corrected during the visit by Mrs. Bridges. Consultation provided during today’s visit: The following Child Care Rules were reviewed with Ms. Bridges during the visit: 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (b) 10A NCAC 09 .1712 WRITTEN PLAN OF CARE (e ) 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (e )(2) 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a) (8) (c) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mrs. Bridges confirmed during today’s visit that the email was received and provided information that she will enroll in testing within the next two weeks. • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please be reminded you must complete eight additional hours of on-going training by 5/09/2024, and Ms. Snuggs must complete 18 additional hours of on-going training by 5/09/2024. Ms. Bridges and Ms. Snuggs stated they both recently completed three trainings through Child Care Resource and Referral and are currently waiting on receiving their training certificates. Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1714 · Violation

Name of Operation: S & S DAY CARE Facility ID: 34000734 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 4/25/2024 Number Present: 3 Completed Date: 4/25/2024 Age: From 2 To 3 Total Minutes: 255 Time In: 08:55 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart and Emily Lamquaye, Child Care Consultants, with Sarah Bridges, Operator. Brittney Snuggs, additional caregiver, was also present during the visit. Your program currently operates with a 5-Star license. Restrictions include 1st, 2nd, and 3rd shift care; children in care on ground level only; and maximum of five preschoolers at any time. Mrs. Bridges stated she is only providing first shift care at this time. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 95% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Mrs. Bridges stated her office (off the hallway leading to the child care space) and the kitchen are not accessed by children or spaces designated for child care. Mrs. Bridges further stated the children only access the space on the side of the home and do not go beyond the corner of the home. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. Child Care Rule .1719 (a) (2) was monitored during the visit. I observed three children in care playing with toys, engaging in conversations, and participating in general routines with Ms. Bridges and Ms. Snuggs during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 5/09/2023. Verification of Required Information for Operator and Additional Caregivers forms were submitted prior to the visit for the operator and additional caregiver. I completed spaces which were left blank or needed revised on the form, and I discussed all information added or changed on the form with Ms. Bridges 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 4/02/2024. Mrs. Bridges and Ms. Snuggs also conducted a fire drill during the visit. The most recent lockdown and shelter in place drill was documented on 4/02/2024. The last outdoor inspection was documented on 4/02/2024. There are currently no pets at this facility. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. The program does not provide transportation or participate in aquatic activities or off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 916 Operator did not maintain a record of on-going training in which he/she has participated. An On-Going training log for the Additional Care Giver was not observed on file for review. 10A NCAC 09 .1705(b)(4)(C) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. A record of arrival was not recorded for three children in attendance during the visit. .1721(e)(6) 923 Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year. A fire drill was not recorded for the month of December, 2023. .1721 (e)(7) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Two pieces to an air conditioning unit, sharp to the touch on the corners, were observed resting on top of the unit. One fence board was observed to become detached from the fencing exposing two nails, sharp to the touch, but greater than five feet from the ground. 10A NCAC 09 .1719 (a) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Two plastic bags and one open plastic bag of diapers was observed stored beneath the changing table in the bathroom, accessible to children under three years of age. .1719(a)(18) 1964 Activity plan did not reflect that children have at least four different activities daily, at least one of which is outdoors. A planned schedule of developmentally appropriate activities displayed in a prominent place for parents to review with four of the following activity areas available daily: art and other creative play, children's books, blocks and block building, manipulatives, and family living and dramatic play, was not available for review. 10A NCAC 09 .1718(a)(8)(C)(i-v) 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 Shaken Baby Policy was not observed on file for three children enrolled. .1726(d)(1-4) 2025 Operator and/or staff members did not complete a professional development plan within one year of employment. A current Professional Development Plan for the Operator and Additional Caregiver was not observed on file for review. .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 5/09/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided following today’s visit: • A current Professional Development Plan for the Operator and Additional Caregiver was not observed on file for review. An On-Going training log for the Additional Care Giver was not observed on file for review. This training log was completed during the visit. A Shaken Baby Policy was not observed on file for three children enrolled. A planned schedule of developmentally appropriate activities displayed in a prominent place for parents to review with four of the following activity areas available daily: art and other creative play, children's books, blocks and block building, manipulatives, and family living and dramatic play, was not available for review. A fire drill was not recorded for the month of December, 2023. A record of arrival was not recorded for three children in attendance during the visit. Ms. Bridges stated she was not aware information was missing from certain documents or that certain documents were not on file. It is essential to maintain accurate and complete records for children in care to ensure all health, safety, and educational requirements are current and being followed. You may consider creating a routine schedule to follow for monitoring all Program, Staff, and Children’s files. • Two pieces to an air conditioning unit, sharp to the touch on the corners, were observed resting on top of the unit. One fence board was observed to become detached from the fencing exposing two nails, sharp to the touch, but greater than five feet from the ground. Two plastic bags and one open plastic bag of diapers was observed stored beneath the changing table in the bathroom, accessible to children under three years of age. Each of these items was corrected during the visit by Mrs. Bridges. Consultation provided during today’s visit: The following Child Care Rules were reviewed with Ms. Bridges during the visit: 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (b) 10A NCAC 09 .1712 WRITTEN PLAN OF CARE (e ) 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (e )(2) 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a) (8) (c) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mrs. Bridges confirmed during today’s visit that the email was received and provided information that she will enroll in testing within the next two weeks. • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please be reminded you must complete eight additional hours of on-going training by 5/09/2024, and Ms. Snuggs must complete 18 additional hours of on-going training by 5/09/2024. Ms. Bridges and Ms. Snuggs stated they both recently completed three trainings through Child Care Resource and Referral and are currently waiting on receiving their training certificates. Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1718 · Violation

Name of Operation: S & S DAY CARE Facility ID: 34000734 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 4/25/2024 Number Present: 3 Completed Date: 4/25/2024 Age: From 2 To 3 Total Minutes: 255 Time In: 08:55 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart and Emily Lamquaye, Child Care Consultants, with Sarah Bridges, Operator. Brittney Snuggs, additional caregiver, was also present during the visit. Your program currently operates with a 5-Star license. Restrictions include 1st, 2nd, and 3rd shift care; children in care on ground level only; and maximum of five preschoolers at any time. Mrs. Bridges stated she is only providing first shift care at this time. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 95% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Mrs. Bridges stated her office (off the hallway leading to the child care space) and the kitchen are not accessed by children or spaces designated for child care. Mrs. Bridges further stated the children only access the space on the side of the home and do not go beyond the corner of the home. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. Child Care Rule .1719 (a) (2) was monitored during the visit. I observed three children in care playing with toys, engaging in conversations, and participating in general routines with Ms. Bridges and Ms. Snuggs during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 5/09/2023. Verification of Required Information for Operator and Additional Caregivers forms were submitted prior to the visit for the operator and additional caregiver. I completed spaces which were left blank or needed revised on the form, and I discussed all information added or changed on the form with Ms. Bridges 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 4/02/2024. Mrs. Bridges and Ms. Snuggs also conducted a fire drill during the visit. The most recent lockdown and shelter in place drill was documented on 4/02/2024. The last outdoor inspection was documented on 4/02/2024. There are currently no pets at this facility. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. The program does not provide transportation or participate in aquatic activities or off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 916 Operator did not maintain a record of on-going training in which he/she has participated. An On-Going training log for the Additional Care Giver was not observed on file for review. 10A NCAC 09 .1705(b)(4)(C) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. A record of arrival was not recorded for three children in attendance during the visit. .1721(e)(6) 923 Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year. A fire drill was not recorded for the month of December, 2023. .1721 (e)(7) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Two pieces to an air conditioning unit, sharp to the touch on the corners, were observed resting on top of the unit. One fence board was observed to become detached from the fencing exposing two nails, sharp to the touch, but greater than five feet from the ground. 10A NCAC 09 .1719 (a) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Two plastic bags and one open plastic bag of diapers was observed stored beneath the changing table in the bathroom, accessible to children under three years of age. .1719(a)(18) 1964 Activity plan did not reflect that children have at least four different activities daily, at least one of which is outdoors. A planned schedule of developmentally appropriate activities displayed in a prominent place for parents to review with four of the following activity areas available daily: art and other creative play, children's books, blocks and block building, manipulatives, and family living and dramatic play, was not available for review. 10A NCAC 09 .1718(a)(8)(C)(i-v) 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 Shaken Baby Policy was not observed on file for three children enrolled. .1726(d)(1-4) 2025 Operator and/or staff members did not complete a professional development plan within one year of employment. A current Professional Development Plan for the Operator and Additional Caregiver was not observed on file for review. .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 5/09/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided following today’s visit: • A current Professional Development Plan for the Operator and Additional Caregiver was not observed on file for review. An On-Going training log for the Additional Care Giver was not observed on file for review. This training log was completed during the visit. A Shaken Baby Policy was not observed on file for three children enrolled. A planned schedule of developmentally appropriate activities displayed in a prominent place for parents to review with four of the following activity areas available daily: art and other creative play, children's books, blocks and block building, manipulatives, and family living and dramatic play, was not available for review. A fire drill was not recorded for the month of December, 2023. A record of arrival was not recorded for three children in attendance during the visit. Ms. Bridges stated she was not aware information was missing from certain documents or that certain documents were not on file. It is essential to maintain accurate and complete records for children in care to ensure all health, safety, and educational requirements are current and being followed. You may consider creating a routine schedule to follow for monitoring all Program, Staff, and Children’s files. • Two pieces to an air conditioning unit, sharp to the touch on the corners, were observed resting on top of the unit. One fence board was observed to become detached from the fencing exposing two nails, sharp to the touch, but greater than five feet from the ground. Two plastic bags and one open plastic bag of diapers was observed stored beneath the changing table in the bathroom, accessible to children under three years of age. Each of these items was corrected during the visit by Mrs. Bridges. Consultation provided during today’s visit: The following Child Care Rules were reviewed with Ms. Bridges during the visit: 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (b) 10A NCAC 09 .1712 WRITTEN PLAN OF CARE (e ) 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (e )(2) 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a) (8) (c) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mrs. Bridges confirmed during today’s visit that the email was received and provided information that she will enroll in testing within the next two weeks. • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please be reminded you must complete eight additional hours of on-going training by 5/09/2024, and Ms. Snuggs must complete 18 additional hours of on-going training by 5/09/2024. Ms. Bridges and Ms. Snuggs stated they both recently completed three trainings through Child Care Resource and Referral and are currently waiting on receiving their training certificates. Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1719 · Violation

Name of Operation: S & S DAY CARE Facility ID: 34000734 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 4/25/2024 Number Present: 3 Completed Date: 4/25/2024 Age: From 2 To 3 Total Minutes: 255 Time In: 08:55 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart and Emily Lamquaye, Child Care Consultants, with Sarah Bridges, Operator. Brittney Snuggs, additional caregiver, was also present during the visit. Your program currently operates with a 5-Star license. Restrictions include 1st, 2nd, and 3rd shift care; children in care on ground level only; and maximum of five preschoolers at any time. Mrs. Bridges stated she is only providing first shift care at this time. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 95% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Mrs. Bridges stated her office (off the hallway leading to the child care space) and the kitchen are not accessed by children or spaces designated for child care. Mrs. Bridges further stated the children only access the space on the side of the home and do not go beyond the corner of the home. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. Child Care Rule .1719 (a) (2) was monitored during the visit. I observed three children in care playing with toys, engaging in conversations, and participating in general routines with Ms. Bridges and Ms. Snuggs during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 5/09/2023. Verification of Required Information for Operator and Additional Caregivers forms were submitted prior to the visit for the operator and additional caregiver. I completed spaces which were left blank or needed revised on the form, and I discussed all information added or changed on the form with Ms. Bridges 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 4/02/2024. Mrs. Bridges and Ms. Snuggs also conducted a fire drill during the visit. The most recent lockdown and shelter in place drill was documented on 4/02/2024. The last outdoor inspection was documented on 4/02/2024. There are currently no pets at this facility. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. The program does not provide transportation or participate in aquatic activities or off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 916 Operator did not maintain a record of on-going training in which he/she has participated. An On-Going training log for the Additional Care Giver was not observed on file for review. 10A NCAC 09 .1705(b)(4)(C) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. A record of arrival was not recorded for three children in attendance during the visit. .1721(e)(6) 923 Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year. A fire drill was not recorded for the month of December, 2023. .1721 (e)(7) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Two pieces to an air conditioning unit, sharp to the touch on the corners, were observed resting on top of the unit. One fence board was observed to become detached from the fencing exposing two nails, sharp to the touch, but greater than five feet from the ground. 10A NCAC 09 .1719 (a) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Two plastic bags and one open plastic bag of diapers was observed stored beneath the changing table in the bathroom, accessible to children under three years of age. .1719(a)(18) 1964 Activity plan did not reflect that children have at least four different activities daily, at least one of which is outdoors. A planned schedule of developmentally appropriate activities displayed in a prominent place for parents to review with four of the following activity areas available daily: art and other creative play, children's books, blocks and block building, manipulatives, and family living and dramatic play, was not available for review. 10A NCAC 09 .1718(a)(8)(C)(i-v) 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 Shaken Baby Policy was not observed on file for three children enrolled. .1726(d)(1-4) 2025 Operator and/or staff members did not complete a professional development plan within one year of employment. A current Professional Development Plan for the Operator and Additional Caregiver was not observed on file for review. .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 5/09/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided following today’s visit: • A current Professional Development Plan for the Operator and Additional Caregiver was not observed on file for review. An On-Going training log for the Additional Care Giver was not observed on file for review. This training log was completed during the visit. A Shaken Baby Policy was not observed on file for three children enrolled. A planned schedule of developmentally appropriate activities displayed in a prominent place for parents to review with four of the following activity areas available daily: art and other creative play, children's books, blocks and block building, manipulatives, and family living and dramatic play, was not available for review. A fire drill was not recorded for the month of December, 2023. A record of arrival was not recorded for three children in attendance during the visit. Ms. Bridges stated she was not aware information was missing from certain documents or that certain documents were not on file. It is essential to maintain accurate and complete records for children in care to ensure all health, safety, and educational requirements are current and being followed. You may consider creating a routine schedule to follow for monitoring all Program, Staff, and Children’s files. • Two pieces to an air conditioning unit, sharp to the touch on the corners, were observed resting on top of the unit. One fence board was observed to become detached from the fencing exposing two nails, sharp to the touch, but greater than five feet from the ground. Two plastic bags and one open plastic bag of diapers was observed stored beneath the changing table in the bathroom, accessible to children under three years of age. Each of these items was corrected during the visit by Mrs. Bridges. Consultation provided during today’s visit: The following Child Care Rules were reviewed with Ms. Bridges during the visit: 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (b) 10A NCAC 09 .1712 WRITTEN PLAN OF CARE (e ) 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (e )(2) 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a) (8) (c) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mrs. Bridges confirmed during today’s visit that the email was received and provided information that she will enroll in testing within the next two weeks. • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please be reminded you must complete eight additional hours of on-going training by 5/09/2024, and Ms. Snuggs must complete 18 additional hours of on-going training by 5/09/2024. Ms. Bridges and Ms. Snuggs stated they both recently completed three trainings through Child Care Resource and Referral and are currently waiting on receiving their training certificates. Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1721 · Violation

Name of Operation: S & S DAY CARE Facility ID: 34000734 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 4/25/2024 Number Present: 3 Completed Date: 4/25/2024 Age: From 2 To 3 Total Minutes: 255 Time In: 08:55 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart and Emily Lamquaye, Child Care Consultants, with Sarah Bridges, Operator. Brittney Snuggs, additional caregiver, was also present during the visit. Your program currently operates with a 5-Star license. Restrictions include 1st, 2nd, and 3rd shift care; children in care on ground level only; and maximum of five preschoolers at any time. Mrs. Bridges stated she is only providing first shift care at this time. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 95% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Mrs. Bridges stated her office (off the hallway leading to the child care space) and the kitchen are not accessed by children or spaces designated for child care. Mrs. Bridges further stated the children only access the space on the side of the home and do not go beyond the corner of the home. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. Child Care Rule .1719 (a) (2) was monitored during the visit. I observed three children in care playing with toys, engaging in conversations, and participating in general routines with Ms. Bridges and Ms. Snuggs during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 5/09/2023. Verification of Required Information for Operator and Additional Caregivers forms were submitted prior to the visit for the operator and additional caregiver. I completed spaces which were left blank or needed revised on the form, and I discussed all information added or changed on the form with Ms. Bridges 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 4/02/2024. Mrs. Bridges and Ms. Snuggs also conducted a fire drill during the visit. The most recent lockdown and shelter in place drill was documented on 4/02/2024. The last outdoor inspection was documented on 4/02/2024. There are currently no pets at this facility. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. The program does not provide transportation or participate in aquatic activities or off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 916 Operator did not maintain a record of on-going training in which he/she has participated. An On-Going training log for the Additional Care Giver was not observed on file for review. 10A NCAC 09 .1705(b)(4)(C) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. A record of arrival was not recorded for three children in attendance during the visit. .1721(e)(6) 923 Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year. A fire drill was not recorded for the month of December, 2023. .1721 (e)(7) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Two pieces to an air conditioning unit, sharp to the touch on the corners, were observed resting on top of the unit. One fence board was observed to become detached from the fencing exposing two nails, sharp to the touch, but greater than five feet from the ground. 10A NCAC 09 .1719 (a) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Two plastic bags and one open plastic bag of diapers was observed stored beneath the changing table in the bathroom, accessible to children under three years of age. .1719(a)(18) 1964 Activity plan did not reflect that children have at least four different activities daily, at least one of which is outdoors. A planned schedule of developmentally appropriate activities displayed in a prominent place for parents to review with four of the following activity areas available daily: art and other creative play, children's books, blocks and block building, manipulatives, and family living and dramatic play, was not available for review. 10A NCAC 09 .1718(a)(8)(C)(i-v) 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 Shaken Baby Policy was not observed on file for three children enrolled. .1726(d)(1-4) 2025 Operator and/or staff members did not complete a professional development plan within one year of employment. A current Professional Development Plan for the Operator and Additional Caregiver was not observed on file for review. .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 5/09/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided following today’s visit: • A current Professional Development Plan for the Operator and Additional Caregiver was not observed on file for review. An On-Going training log for the Additional Care Giver was not observed on file for review. This training log was completed during the visit. A Shaken Baby Policy was not observed on file for three children enrolled. A planned schedule of developmentally appropriate activities displayed in a prominent place for parents to review with four of the following activity areas available daily: art and other creative play, children's books, blocks and block building, manipulatives, and family living and dramatic play, was not available for review. A fire drill was not recorded for the month of December, 2023. A record of arrival was not recorded for three children in attendance during the visit. Ms. Bridges stated she was not aware information was missing from certain documents or that certain documents were not on file. It is essential to maintain accurate and complete records for children in care to ensure all health, safety, and educational requirements are current and being followed. You may consider creating a routine schedule to follow for monitoring all Program, Staff, and Children’s files. • Two pieces to an air conditioning unit, sharp to the touch on the corners, were observed resting on top of the unit. One fence board was observed to become detached from the fencing exposing two nails, sharp to the touch, but greater than five feet from the ground. Two plastic bags and one open plastic bag of diapers was observed stored beneath the changing table in the bathroom, accessible to children under three years of age. Each of these items was corrected during the visit by Mrs. Bridges. Consultation provided during today’s visit: The following Child Care Rules were reviewed with Ms. Bridges during the visit: 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (b) 10A NCAC 09 .1712 WRITTEN PLAN OF CARE (e ) 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (e )(2) 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a) (8) (c) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mrs. Bridges confirmed during today’s visit that the email was received and provided information that she will enroll in testing within the next two weeks. • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please be reminded you must complete eight additional hours of on-going training by 5/09/2024, and Ms. Snuggs must complete 18 additional hours of on-going training by 5/09/2024. Ms. Bridges and Ms. Snuggs stated they both recently completed three trainings through Child Care Resource and Referral and are currently waiting on receiving their training certificates. Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 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: S & S DAY CARE Facility ID: 34000734 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 4/25/2024 Number Present: 3 Completed Date: 4/25/2024 Age: From 2 To 3 Total Minutes: 255 Time In: 08:55 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart and Emily Lamquaye, Child Care Consultants, with Sarah Bridges, Operator. Brittney Snuggs, additional caregiver, was also present during the visit. Your program currently operates with a 5-Star license. Restrictions include 1st, 2nd, and 3rd shift care; children in care on ground level only; and maximum of five preschoolers at any time. Mrs. Bridges stated she is only providing first shift care at this time. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 95% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Mrs. Bridges stated her office (off the hallway leading to the child care space) and the kitchen are not accessed by children or spaces designated for child care. Mrs. Bridges further stated the children only access the space on the side of the home and do not go beyond the corner of the home. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. Child Care Rule .1719 (a) (2) was monitored during the visit. I observed three children in care playing with toys, engaging in conversations, and participating in general routines with Ms. Bridges and Ms. Snuggs during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 5/09/2023. Verification of Required Information for Operator and Additional Caregivers forms were submitted prior to the visit for the operator and additional caregiver. I completed spaces which were left blank or needed revised on the form, and I discussed all information added or changed on the form with Ms. Bridges 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 4/02/2024. Mrs. Bridges and Ms. Snuggs also conducted a fire drill during the visit. The most recent lockdown and shelter in place drill was documented on 4/02/2024. The last outdoor inspection was documented on 4/02/2024. There are currently no pets at this facility. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. The program does not provide transportation or participate in aquatic activities or off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 916 Operator did not maintain a record of on-going training in which he/she has participated. An On-Going training log for the Additional Care Giver was not observed on file for review. 10A NCAC 09 .1705(b)(4)(C) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. A record of arrival was not recorded for three children in attendance during the visit. .1721(e)(6) 923 Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year. A fire drill was not recorded for the month of December, 2023. .1721 (e)(7) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Two pieces to an air conditioning unit, sharp to the touch on the corners, were observed resting on top of the unit. One fence board was observed to become detached from the fencing exposing two nails, sharp to the touch, but greater than five feet from the ground. 10A NCAC 09 .1719 (a) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Two plastic bags and one open plastic bag of diapers was observed stored beneath the changing table in the bathroom, accessible to children under three years of age. .1719(a)(18) 1964 Activity plan did not reflect that children have at least four different activities daily, at least one of which is outdoors. A planned schedule of developmentally appropriate activities displayed in a prominent place for parents to review with four of the following activity areas available daily: art and other creative play, children's books, blocks and block building, manipulatives, and family living and dramatic play, was not available for review. 10A NCAC 09 .1718(a)(8)(C)(i-v) 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 Shaken Baby Policy was not observed on file for three children enrolled. .1726(d)(1-4) 2025 Operator and/or staff members did not complete a professional development plan within one year of employment. A current Professional Development Plan for the Operator and Additional Caregiver was not observed on file for review. .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 5/09/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided following today’s visit: • A current Professional Development Plan for the Operator and Additional Caregiver was not observed on file for review. An On-Going training log for the Additional Care Giver was not observed on file for review. This training log was completed during the visit. A Shaken Baby Policy was not observed on file for three children enrolled. A planned schedule of developmentally appropriate activities displayed in a prominent place for parents to review with four of the following activity areas available daily: art and other creative play, children's books, blocks and block building, manipulatives, and family living and dramatic play, was not available for review. A fire drill was not recorded for the month of December, 2023. A record of arrival was not recorded for three children in attendance during the visit. Ms. Bridges stated she was not aware information was missing from certain documents or that certain documents were not on file. It is essential to maintain accurate and complete records for children in care to ensure all health, safety, and educational requirements are current and being followed. You may consider creating a routine schedule to follow for monitoring all Program, Staff, and Children’s files. • Two pieces to an air conditioning unit, sharp to the touch on the corners, were observed resting on top of the unit. One fence board was observed to become detached from the fencing exposing two nails, sharp to the touch, but greater than five feet from the ground. Two plastic bags and one open plastic bag of diapers was observed stored beneath the changing table in the bathroom, accessible to children under three years of age. Each of these items was corrected during the visit by Mrs. Bridges. Consultation provided during today’s visit: The following Child Care Rules were reviewed with Ms. Bridges during the visit: 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (b) 10A NCAC 09 .1712 WRITTEN PLAN OF CARE (e ) 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (e )(2) 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a) (8) (c) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mrs. Bridges confirmed during today’s visit that the email was received and provided information that she will enroll in testing within the next two weeks. • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please be reminded you must complete eight additional hours of on-going training by 5/09/2024, and Ms. Snuggs must complete 18 additional hours of on-going training by 5/09/2024. Ms. Bridges and Ms. Snuggs stated they both recently completed three trainings through Child Care Resource and Referral and are currently waiting on receiving their training certificates. Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1718 · Violation

Name of Operation: S & S DAY CARE Facility ID: 34000734 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 11/28/2023 Number Present: 2 Completed Date: 11/28/2023 Age: From 2 To 4 Total Minutes: 164 Time In: 12:31 PM Time Out: 03:15 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. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant, with Sarah Bridges, Operator. Additional caregiver, Brittney Snuggs, was also present during the visit. Your program currently operates with 5-Star license effective 7/31/2019. Restrictions include 1st, 2nd, and 3rd shift care, a maximum of five preschool children at any time, and children in care on ground level only. Ms. Bridges is the sole proprietor for S & S Day Care. The program’s compliance history was 96 % 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. Bridges stated the only person living in the home is herself. Be reminded that you must have criminal record checks 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 home was completed today. Indoor and outdoor areas were observed. We tested the smoke detector during today’s visit, and it was observed to be functioning. A firearm was observed to be locked inside the case with the ammunition. Ms. Bridges corrected this during the visit. A safe sleep policy was not observed to be posted. Ms. Bridges posted a copy of the Safe Sleep Policy during the visit. Capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children napping and engaged in an activity about colors 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, fire drill, and a shelter in place and lockdown drill were each recorded on 11/01/2023. There are no pets reported in the home. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 703 Emptied firearms (handguns, rifles, shotguns, etc.) and ammunition (bullets, shotgun shells) were not stored separately in locked storage. A firearm was observed to be locked inside the case with the ammunition. .1719(a)(2) 1804 Safe sleep policy and poster about safe sleep practices was not posted in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. A safe sleep policy was not observed to be posted. .1724(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • Safe sleep policies communicate to parents and staff guidelines to ensure infants enrolled remain safe while sleeping. A Safe Sleep Policy was not observed to be on posted or on file for one infant enrolled. Ms. Bridges stated she did not realize this policy had to be posted, as she had the Safe Sleep Poster posted. I emailed Ms. Bridges a copy of the most updated Safe Sleep Policy from the Division website during the visit, and it was posted. • .1719 (a)(2) ensures children enrolled remain safe during operating hours. A firearm was observed to be locked inside the case with the ammunition. Ms. Bridges corrected this during the visit in my presence. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were reviewed with Ms. Bridges during the visit: 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT • (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: keep hazardous cleaning supplies and other items that might be poisonous, e.g., toxic plants, out of reach or in locked storage when children are in care; A list of toxic plants may be found on the Division's website at https://ncchildcare.ncdhhs.gov/pdf_forms.form16b_bb.pdf; 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS • (a) The family child care home operator (operator or operators) shall provide the following on a daily basis for all children in care: (8) A written activity plan that shall: (A) Include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at https://www.ncchildcare.ncdhhs.gov//pdf_forms/nc_foundations.pdf: (i) emotional and social development; (ii) health and physical development; (iii) approaches to play and learning; (iv) language development and communication; and (iv) cognitive development. (B) Identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (C) Reflect that children have at least four different activities daily, at least one of which is outdoors, if weather conditions permit, as specified in G.S. 110-91(12) as follows: (i) art and other creative play; (ii) children's books; (iii) blocks and block building; (iv) manipulatives; and (v) family living and dramatic play. (D) Provide materials and opportunities at least weekly, indoors or outdoors, for the following: (i) music and rhythm; (ii) science and nature; and (iii) sand and water play. • Please add one more barrier to the back of the air conditioning unit located in the outdoor learning environment to make it inaccessible to children. - You can access a screen time log on the Division website at: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/S/Screen_Time_Log.pdf?ver=7lAk6HsVTqLpURvPAhM0sA%3d%3d • Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhh.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: S & S DAY CARE Facility ID: 34000734 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 11/28/2023 Number Present: 2 Completed Date: 11/28/2023 Age: From 2 To 4 Total Minutes: 164 Time In: 12:31 PM Time Out: 03:15 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. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant, with Sarah Bridges, Operator. Additional caregiver, Brittney Snuggs, was also present during the visit. Your program currently operates with 5-Star license effective 7/31/2019. Restrictions include 1st, 2nd, and 3rd shift care, a maximum of five preschool children at any time, and children in care on ground level only. Ms. Bridges is the sole proprietor for S & S Day Care. The program’s compliance history was 96 % 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. Bridges stated the only person living in the home is herself. Be reminded that you must have criminal record checks 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 home was completed today. Indoor and outdoor areas were observed. We tested the smoke detector during today’s visit, and it was observed to be functioning. A firearm was observed to be locked inside the case with the ammunition. Ms. Bridges corrected this during the visit. A safe sleep policy was not observed to be posted. Ms. Bridges posted a copy of the Safe Sleep Policy during the visit. Capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children napping and engaged in an activity about colors 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, fire drill, and a shelter in place and lockdown drill were each recorded on 11/01/2023. There are no pets reported in the home. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 703 Emptied firearms (handguns, rifles, shotguns, etc.) and ammunition (bullets, shotgun shells) were not stored separately in locked storage. A firearm was observed to be locked inside the case with the ammunition. .1719(a)(2) 1804 Safe sleep policy and poster about safe sleep practices was not posted in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. A safe sleep policy was not observed to be posted. .1724(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • Safe sleep policies communicate to parents and staff guidelines to ensure infants enrolled remain safe while sleeping. A Safe Sleep Policy was not observed to be on posted or on file for one infant enrolled. Ms. Bridges stated she did not realize this policy had to be posted, as she had the Safe Sleep Poster posted. I emailed Ms. Bridges a copy of the most updated Safe Sleep Policy from the Division website during the visit, and it was posted. • .1719 (a)(2) ensures children enrolled remain safe during operating hours. A firearm was observed to be locked inside the case with the ammunition. Ms. Bridges corrected this during the visit in my presence. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were reviewed with Ms. Bridges during the visit: 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT • (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: keep hazardous cleaning supplies and other items that might be poisonous, e.g., toxic plants, out of reach or in locked storage when children are in care; A list of toxic plants may be found on the Division's website at https://ncchildcare.ncdhhs.gov/pdf_forms.form16b_bb.pdf; 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS • (a) The family child care home operator (operator or operators) shall provide the following on a daily basis for all children in care: (8) A written activity plan that shall: (A) Include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at https://www.ncchildcare.ncdhhs.gov//pdf_forms/nc_foundations.pdf: (i) emotional and social development; (ii) health and physical development; (iii) approaches to play and learning; (iv) language development and communication; and (iv) cognitive development. (B) Identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (C) Reflect that children have at least four different activities daily, at least one of which is outdoors, if weather conditions permit, as specified in G.S. 110-91(12) as follows: (i) art and other creative play; (ii) children's books; (iii) blocks and block building; (iv) manipulatives; and (v) family living and dramatic play. (D) Provide materials and opportunities at least weekly, indoors or outdoors, for the following: (i) music and rhythm; (ii) science and nature; and (iii) sand and water play. • Please add one more barrier to the back of the air conditioning unit located in the outdoor learning environment to make it inaccessible to children. - You can access a screen time log on the Division website at: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/S/Screen_Time_Log.pdf?ver=7lAk6HsVTqLpURvPAhM0sA%3d%3d • Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: S & S DAY CARE Facility ID: 34000734 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 11/28/2023 Number Present: 2 Completed Date: 11/28/2023 Age: From 2 To 4 Total Minutes: 164 Time In: 12:31 PM Time Out: 03:15 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. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant, with Sarah Bridges, Operator. Additional caregiver, Brittney Snuggs, was also present during the visit. Your program currently operates with 5-Star license effective 7/31/2019. Restrictions include 1st, 2nd, and 3rd shift care, a maximum of five preschool children at any time, and children in care on ground level only. Ms. Bridges is the sole proprietor for S & S Day Care. The program’s compliance history was 96 % 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. Bridges stated the only person living in the home is herself. Be reminded that you must have criminal record checks 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 home was completed today. Indoor and outdoor areas were observed. We tested the smoke detector during today’s visit, and it was observed to be functioning. A firearm was observed to be locked inside the case with the ammunition. Ms. Bridges corrected this during the visit. A safe sleep policy was not observed to be posted. Ms. Bridges posted a copy of the Safe Sleep Policy during the visit. Capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children napping and engaged in an activity about colors 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, fire drill, and a shelter in place and lockdown drill were each recorded on 11/01/2023. There are no pets reported in the home. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 703 Emptied firearms (handguns, rifles, shotguns, etc.) and ammunition (bullets, shotgun shells) were not stored separately in locked storage. A firearm was observed to be locked inside the case with the ammunition. .1719(a)(2) 1804 Safe sleep policy and poster about safe sleep practices was not posted in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. A safe sleep policy was not observed to be posted. .1724(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • Safe sleep policies communicate to parents and staff guidelines to ensure infants enrolled remain safe while sleeping. A Safe Sleep Policy was not observed to be on posted or on file for one infant enrolled. Ms. Bridges stated she did not realize this policy had to be posted, as she had the Safe Sleep Poster posted. I emailed Ms. Bridges a copy of the most updated Safe Sleep Policy from the Division website during the visit, and it was posted. • .1719 (a)(2) ensures children enrolled remain safe during operating hours. A firearm was observed to be locked inside the case with the ammunition. Ms. Bridges corrected this during the visit in my presence. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were reviewed with Ms. Bridges during the visit: 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT • (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: keep hazardous cleaning supplies and other items that might be poisonous, e.g., toxic plants, out of reach or in locked storage when children are in care; A list of toxic plants may be found on the Division's website at https://ncchildcare.ncdhhs.gov/pdf_forms.form16b_bb.pdf; 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS • (a) The family child care home operator (operator or operators) shall provide the following on a daily basis for all children in care: (8) A written activity plan that shall: (A) Include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at https://www.ncchildcare.ncdhhs.gov//pdf_forms/nc_foundations.pdf: (i) emotional and social development; (ii) health and physical development; (iii) approaches to play and learning; (iv) language development and communication; and (iv) cognitive development. (B) Identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (C) Reflect that children have at least four different activities daily, at least one of which is outdoors, if weather conditions permit, as specified in G.S. 110-91(12) as follows: (i) art and other creative play; (ii) children's books; (iii) blocks and block building; (iv) manipulatives; and (v) family living and dramatic play. (D) Provide materials and opportunities at least weekly, indoors or outdoors, for the following: (i) music and rhythm; (ii) science and nature; and (iii) sand and water play. • Please add one more barrier to the back of the air conditioning unit located in the outdoor learning environment to make it inaccessible to children. - You can access a screen time log on the Division website at: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/S/Screen_Time_Log.pdf?ver=7lAk6HsVTqLpURvPAhM0sA%3d%3d • Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhh.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: S & S DAY CARE Facility ID: 34000734 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 11/28/2023 Number Present: 2 Completed Date: 11/28/2023 Age: From 2 To 4 Total Minutes: 164 Time In: 12:31 PM Time Out: 03:15 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. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant, with Sarah Bridges, Operator. Additional caregiver, Brittney Snuggs, was also present during the visit. Your program currently operates with 5-Star license effective 7/31/2019. Restrictions include 1st, 2nd, and 3rd shift care, a maximum of five preschool children at any time, and children in care on ground level only. Ms. Bridges is the sole proprietor for S & S Day Care. The program’s compliance history was 96 % 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. Bridges stated the only person living in the home is herself. Be reminded that you must have criminal record checks 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 home was completed today. Indoor and outdoor areas were observed. We tested the smoke detector during today’s visit, and it was observed to be functioning. A firearm was observed to be locked inside the case with the ammunition. Ms. Bridges corrected this during the visit. A safe sleep policy was not observed to be posted. Ms. Bridges posted a copy of the Safe Sleep Policy during the visit. Capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children napping and engaged in an activity about colors 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, fire drill, and a shelter in place and lockdown drill were each recorded on 11/01/2023. There are no pets reported in the home. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 703 Emptied firearms (handguns, rifles, shotguns, etc.) and ammunition (bullets, shotgun shells) were not stored separately in locked storage. A firearm was observed to be locked inside the case with the ammunition. .1719(a)(2) 1804 Safe sleep policy and poster about safe sleep practices was not posted in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. A safe sleep policy was not observed to be posted. .1724(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • Safe sleep policies communicate to parents and staff guidelines to ensure infants enrolled remain safe while sleeping. A Safe Sleep Policy was not observed to be on posted or on file for one infant enrolled. Ms. Bridges stated she did not realize this policy had to be posted, as she had the Safe Sleep Poster posted. I emailed Ms. Bridges a copy of the most updated Safe Sleep Policy from the Division website during the visit, and it was posted. • .1719 (a)(2) ensures children enrolled remain safe during operating hours. A firearm was observed to be locked inside the case with the ammunition. Ms. Bridges corrected this during the visit in my presence. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were reviewed with Ms. Bridges during the visit: 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT • (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: keep hazardous cleaning supplies and other items that might be poisonous, e.g., toxic plants, out of reach or in locked storage when children are in care; A list of toxic plants may be found on the Division's website at https://ncchildcare.ncdhhs.gov/pdf_forms.form16b_bb.pdf; 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS • (a) The family child care home operator (operator or operators) shall provide the following on a daily basis for all children in care: (8) A written activity plan that shall: (A) Include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at https://www.ncchildcare.ncdhhs.gov//pdf_forms/nc_foundations.pdf: (i) emotional and social development; (ii) health and physical development; (iii) approaches to play and learning; (iv) language development and communication; and (iv) cognitive development. (B) Identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (C) Reflect that children have at least four different activities daily, at least one of which is outdoors, if weather conditions permit, as specified in G.S. 110-91(12) as follows: (i) art and other creative play; (ii) children's books; (iii) blocks and block building; (iv) manipulatives; and (v) family living and dramatic play. (D) Provide materials and opportunities at least weekly, indoors or outdoors, for the following: (i) music and rhythm; (ii) science and nature; and (iii) sand and water play. • Please add one more barrier to the back of the air conditioning unit located in the outdoor learning environment to make it inaccessible to children. - You can access a screen time log on the Division website at: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/S/Screen_Time_Log.pdf?ver=7lAk6HsVTqLpURvPAhM0sA%3d%3d • Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhh.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