10A NCAC 09 .0302 · Violation

Name of Operation: STEP BY STEP DAY CARE Facility ID: 34000461 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 11/4/2025 Number Present: 8 Completed Date: 11/4/2025 Age: From 1 To 4 Total Minutes: 313 Time In: 09:47 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Sandra Davis and James Davis, Owners/Administrators. Your program currently operates with a 4-Star license. Restrictions include 1st and 2nd shift care and meets enhanced ratios. Mr. Davis stated the program is currently only operating 1st shift care. The Secretary of State website was monitored on 11/03/2025, and Step By Step Day Care Center, Inc. was listed as Current/ Active. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, playing outdoors, engaging in conversations and activities with their teachers, eating lunch, and napping during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 11/15/2024. A sanitation inspection was completed 3/13/2025 with a Superior classification. The last fire inspection was conducted on 8/13/2024. Mr. Davis stated the fire inspector is scheduled to visit the facility on Thursday, 11/6/25 to complete the fire inspection. Program records and required postings were monitored. A fire drill was conducted on 10/01/2025. A shelter-in-place drill was documented on 10/02/2025. An outdoor inspection was documented on 10/10/2025. Staff files and children’s records were monitored per DCDEE procedures. One new staff member was reported at the program. The file for one existing staff member was monitored during the visit. The files for two children enrolled were monitored during the visit. Storage of hazardous items was monitored today. No medications were observed, nor reported. Mr. Davis stated the program does not transport children or participate in aquatic activities at this time. Mr. Davis stated the children use the driveway outside of the facility away from the street to get fresh air on days the playground is muddy from rain and all children do not have extra clothing to be changed into or to complete planned, teacher-directed outdoor activities. We discussed the requirements for off premise activities including, but not limited to off-premise activities forms, posted off-premise activities schedule, and the definition of off-premise activities. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection was observed to have been completed on 8/13/2024. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The time of arrival for one child enrolled was not recorded, although the parent did sign the child in with a signature on the record this morning. 10A NCAC 09 .0302(d)(4) 444 A schedule of off premise activities were not posted in each participating classroom to be viewed by parents and/or copy of the schedule was not given to parents. An off-premise activity schedule was not posted with the location of the activity, purpose of the activity, time and date the activity will take place, and name of the person to be contacted in the event of an emergency. .1005(b)(5) 721 All equipment and furnishings were not in good repair. On the playground used by children enrolled, a wooden toy boat/ sandbox structure was observed to have a piece of wood come off the left side (facing the building), leaving this edge sharp to the touch. G.S. 110-91(6); .0601(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not available for review for the months of May through July, 2025. .0604(t); .0302(d)(5) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. The door to the shed located inside the fenced area of the playground used by children was observed to be unlocked; this shed contained power tools, a lawn mower, and other potentially hazardous items. .0604(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A small elastic hair tie with two small beads was observed on top of a toy shelf accessible to children less than three years of age in Space 2. .0604(q) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Receipt of Operational and Personnel Policies were not observed to be signed an on file for one new staff member. 10A NCAC 09 .0514(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The file for one child enrolled did contained a medical report dated 10/26/2025; the child was enrolled on 8/13/2025. GS110-91(1) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, staff and administrator CBCs were also not yet linked to this profile. G.S. 110-90.2 & .2703(r) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file did not contain an application for three children enrolled, the emergency information for one staff member, and the emergency information for one regular volunteer. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response Plan was last updated on 7/15/2024. .0607(e) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Medical information, inclusive of medical report, TB test, and health questionnaire, were not observed to be maintained separately from one new staff member's individual personnel file in the center. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Health & Safety training topic #10, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, was not completed for one new staff member within 90 days of hire; this training was completed on 5/27/2025; the recorded start date for this staff member was 1/28/2025. .1102(g) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 11/18/2025. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 4948 Martin View Lane, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: A facility profile for Criminal Background Checks had not been created; hence, staff and administrator CBCs were also not yet linked to this profile. It is necessary for all staff members to be linked to the center’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Mr. Davis stated he has the instructions I sent via email to complete this process. I emailed Mr. Davis the titled ABCMS Provider Portal Technical Assistance guide during my visit. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. The Ready to Go file did not contain an application for three children enrolled, the emergency information for one staff member, and the emergency information for one regular volunteer. The file for one child enrolled did contained a medical report dated 10/26/2025; the child was enrolled on 8/13/2025. A fire drill was not available for review for the months of May through July, 2025. The most recent fire inspection was observed to have been completed on 8/13/2024. Health & Safety training topic #10, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, was not completed for one new staff member within 90 days of hire; this training was completed on 5/27/2025; the recorded start date for this staff member was 1/28/2025. The Emergency Preparedness and Response Plan was last updated on 7/15/2024. An off-premise activity schedule was not posted with the location of the activity, purpose of the activity, time and date the activity will take place, and name of the person to be contacted in the event of an emergency. Receipt of Operational and Personnel Policies were not observed to be signed an on file for one new staff member. Medical information, inclusive of medical report, TB test, and health questionnaire, were not observed to be maintained separately from one new staff member's individual personnel file in the center. Mr. Davis stated he did not realize these records were incomplete or not on file for review. He stated the fire inspection was missed in error. Mr. Davis also reported the missing fire drills were completed, but had likely been mistakenly filed at his home office. It is imperative that all records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. You may consider adding children’s applications to the Ready to Go file as soon as paperwork is submitted by the parent/guardian and thoroughly reviewing all requirements for children’s applications to ensure that all required documentation has been completed by the parent/guardian upon enrollment. You may also consider creating a routine system for reviewing staff, program, and children’s records to ensure all information is accurate and on file. You may additionally consider creating a reminder to reach out to your local fire inspector up to one month prior to your annual fire inspection being due. On the playground used by children enrolled, a wooden toy boat/ sandbox structure was observed to have a piece of wood come off the left side (facing the building), leaving this edge sharp to the touch. Mr. Davis stated he suspects this piece came off the structure during children’s play this past Friday, and he discovered it was damaged over the weekend. It is essential for the outdoor learning environment to be a safe place for children to explore in and engage with. Mr. Davis stated he plans to remove this boat from the play area, but will cover the sharp area in the meantime. Consultation Provided During Visit: The following Child Care Rules were reviewed with Mr. Davis during the visit: 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (C) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual's planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. 10A NCAC 09 .0515 PARENT PARTICIPATION (a) Each center shall have a plan that will encourage parent participation and inform parents about the program and its services. The plan shall be discussed with parents on or before the child's first day of attendance and shall be posted in the center or a copy shall be given to parents on or before the child's first day of attendance. (b) The plan shall include the following: (1) a procedure for registering a child for child care that involves both parents when possible and that encourages a visit to the center by the child and the child's parents before the child begins attending the center; (2) opportunities for caregiving staff to meet with parents on a regular basis to discuss their child's needs and progress and to exchange information about the program; (3) activities that provide parents opportunities to participate in the center's program on an individual basis and as a group; (4) a procedure for parents who need information or have complaints about the child care program. Mr. Davis will need to complete .5 credit hours of ongoing training by 11/15/2025. Please ensure “Voluntary Enhanced Requirements” is checked on each Staff: Child Ratio worksheet posted in classrooms for the facility. As the Hold Harmless period has ended, and preparations for the new QRIS Modernization process are underway, I have included the link below to DCDEE’s NC Child Care Commission’s QRIS Modernization Plan (QRIS Reform) website link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Visit the NCRLAP website: Get Ready for the 3s (ECERS-3, ITERS-3, FCCERS-3) https://ncrlap.org/Resources/pages/get-ready-for-3s/ Additionally, you may consider reaching out to local partners at Child Care Resource Center and/or Smart Start of Forsyth County. Their teams are working diligently to support programs with training and more detailed information on the ERS-3 at this time. Beginning in October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license. Mr. Davis stated the facility had an Outreach Assessment completed on 9/23/2025 and 10/01/2025, respectively, by NCRLAP assessors using the ECERS-3 and ITERS-3. Mr. Davis stated he would email me a copy of the assessment report following the visit. We scheduled a Technical Assistance visit for January, 8 2026 to further discuss Pathways 1 and 2 in detail. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. 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 .0304 · Violation

Name of Operation: STEP BY STEP DAY CARE Facility ID: 34000461 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 11/4/2025 Number Present: 8 Completed Date: 11/4/2025 Age: From 1 To 4 Total Minutes: 313 Time In: 09:47 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Sandra Davis and James Davis, Owners/Administrators. Your program currently operates with a 4-Star license. Restrictions include 1st and 2nd shift care and meets enhanced ratios. Mr. Davis stated the program is currently only operating 1st shift care. The Secretary of State website was monitored on 11/03/2025, and Step By Step Day Care Center, Inc. was listed as Current/ Active. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, playing outdoors, engaging in conversations and activities with their teachers, eating lunch, and napping during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 11/15/2024. A sanitation inspection was completed 3/13/2025 with a Superior classification. The last fire inspection was conducted on 8/13/2024. Mr. Davis stated the fire inspector is scheduled to visit the facility on Thursday, 11/6/25 to complete the fire inspection. Program records and required postings were monitored. A fire drill was conducted on 10/01/2025. A shelter-in-place drill was documented on 10/02/2025. An outdoor inspection was documented on 10/10/2025. Staff files and children’s records were monitored per DCDEE procedures. One new staff member was reported at the program. The file for one existing staff member was monitored during the visit. The files for two children enrolled were monitored during the visit. Storage of hazardous items was monitored today. No medications were observed, nor reported. Mr. Davis stated the program does not transport children or participate in aquatic activities at this time. Mr. Davis stated the children use the driveway outside of the facility away from the street to get fresh air on days the playground is muddy from rain and all children do not have extra clothing to be changed into or to complete planned, teacher-directed outdoor activities. We discussed the requirements for off premise activities including, but not limited to off-premise activities forms, posted off-premise activities schedule, and the definition of off-premise activities. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection was observed to have been completed on 8/13/2024. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The time of arrival for one child enrolled was not recorded, although the parent did sign the child in with a signature on the record this morning. 10A NCAC 09 .0302(d)(4) 444 A schedule of off premise activities were not posted in each participating classroom to be viewed by parents and/or copy of the schedule was not given to parents. An off-premise activity schedule was not posted with the location of the activity, purpose of the activity, time and date the activity will take place, and name of the person to be contacted in the event of an emergency. .1005(b)(5) 721 All equipment and furnishings were not in good repair. On the playground used by children enrolled, a wooden toy boat/ sandbox structure was observed to have a piece of wood come off the left side (facing the building), leaving this edge sharp to the touch. G.S. 110-91(6); .0601(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not available for review for the months of May through July, 2025. .0604(t); .0302(d)(5) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. The door to the shed located inside the fenced area of the playground used by children was observed to be unlocked; this shed contained power tools, a lawn mower, and other potentially hazardous items. .0604(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A small elastic hair tie with two small beads was observed on top of a toy shelf accessible to children less than three years of age in Space 2. .0604(q) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Receipt of Operational and Personnel Policies were not observed to be signed an on file for one new staff member. 10A NCAC 09 .0514(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The file for one child enrolled did contained a medical report dated 10/26/2025; the child was enrolled on 8/13/2025. GS110-91(1) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, staff and administrator CBCs were also not yet linked to this profile. G.S. 110-90.2 & .2703(r) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file did not contain an application for three children enrolled, the emergency information for one staff member, and the emergency information for one regular volunteer. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response Plan was last updated on 7/15/2024. .0607(e) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Medical information, inclusive of medical report, TB test, and health questionnaire, were not observed to be maintained separately from one new staff member's individual personnel file in the center. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Health & Safety training topic #10, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, was not completed for one new staff member within 90 days of hire; this training was completed on 5/27/2025; the recorded start date for this staff member was 1/28/2025. .1102(g) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 11/18/2025. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 4948 Martin View Lane, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: A facility profile for Criminal Background Checks had not been created; hence, staff and administrator CBCs were also not yet linked to this profile. It is necessary for all staff members to be linked to the center’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Mr. Davis stated he has the instructions I sent via email to complete this process. I emailed Mr. Davis the titled ABCMS Provider Portal Technical Assistance guide during my visit. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. The Ready to Go file did not contain an application for three children enrolled, the emergency information for one staff member, and the emergency information for one regular volunteer. The file for one child enrolled did contained a medical report dated 10/26/2025; the child was enrolled on 8/13/2025. A fire drill was not available for review for the months of May through July, 2025. The most recent fire inspection was observed to have been completed on 8/13/2024. Health & Safety training topic #10, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, was not completed for one new staff member within 90 days of hire; this training was completed on 5/27/2025; the recorded start date for this staff member was 1/28/2025. The Emergency Preparedness and Response Plan was last updated on 7/15/2024. An off-premise activity schedule was not posted with the location of the activity, purpose of the activity, time and date the activity will take place, and name of the person to be contacted in the event of an emergency. Receipt of Operational and Personnel Policies were not observed to be signed an on file for one new staff member. Medical information, inclusive of medical report, TB test, and health questionnaire, were not observed to be maintained separately from one new staff member's individual personnel file in the center. Mr. Davis stated he did not realize these records were incomplete or not on file for review. He stated the fire inspection was missed in error. Mr. Davis also reported the missing fire drills were completed, but had likely been mistakenly filed at his home office. It is imperative that all records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. You may consider adding children’s applications to the Ready to Go file as soon as paperwork is submitted by the parent/guardian and thoroughly reviewing all requirements for children’s applications to ensure that all required documentation has been completed by the parent/guardian upon enrollment. You may also consider creating a routine system for reviewing staff, program, and children’s records to ensure all information is accurate and on file. You may additionally consider creating a reminder to reach out to your local fire inspector up to one month prior to your annual fire inspection being due. On the playground used by children enrolled, a wooden toy boat/ sandbox structure was observed to have a piece of wood come off the left side (facing the building), leaving this edge sharp to the touch. Mr. Davis stated he suspects this piece came off the structure during children’s play this past Friday, and he discovered it was damaged over the weekend. It is essential for the outdoor learning environment to be a safe place for children to explore in and engage with. Mr. Davis stated he plans to remove this boat from the play area, but will cover the sharp area in the meantime. Consultation Provided During Visit: The following Child Care Rules were reviewed with Mr. Davis during the visit: 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (C) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual's planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. 10A NCAC 09 .0515 PARENT PARTICIPATION (a) Each center shall have a plan that will encourage parent participation and inform parents about the program and its services. The plan shall be discussed with parents on or before the child's first day of attendance and shall be posted in the center or a copy shall be given to parents on or before the child's first day of attendance. (b) The plan shall include the following: (1) a procedure for registering a child for child care that involves both parents when possible and that encourages a visit to the center by the child and the child's parents before the child begins attending the center; (2) opportunities for caregiving staff to meet with parents on a regular basis to discuss their child's needs and progress and to exchange information about the program; (3) activities that provide parents opportunities to participate in the center's program on an individual basis and as a group; (4) a procedure for parents who need information or have complaints about the child care program. Mr. Davis will need to complete .5 credit hours of ongoing training by 11/15/2025. Please ensure “Voluntary Enhanced Requirements” is checked on each Staff: Child Ratio worksheet posted in classrooms for the facility. As the Hold Harmless period has ended, and preparations for the new QRIS Modernization process are underway, I have included the link below to DCDEE’s NC Child Care Commission’s QRIS Modernization Plan (QRIS Reform) website link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Visit the NCRLAP website: Get Ready for the 3s (ECERS-3, ITERS-3, FCCERS-3) https://ncrlap.org/Resources/pages/get-ready-for-3s/ Additionally, you may consider reaching out to local partners at Child Care Resource Center and/or Smart Start of Forsyth County. Their teams are working diligently to support programs with training and more detailed information on the ERS-3 at this time. Beginning in October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license. Mr. Davis stated the facility had an Outreach Assessment completed on 9/23/2025 and 10/01/2025, respectively, by NCRLAP assessors using the ECERS-3 and ITERS-3. Mr. Davis stated he would email me a copy of the assessment report following the visit. We scheduled a Technical Assistance visit for January, 8 2026 to further discuss Pathways 1 and 2 in detail. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. 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 .0514 · Violation

Name of Operation: STEP BY STEP DAY CARE Facility ID: 34000461 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 11/4/2025 Number Present: 8 Completed Date: 11/4/2025 Age: From 1 To 4 Total Minutes: 313 Time In: 09:47 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Sandra Davis and James Davis, Owners/Administrators. Your program currently operates with a 4-Star license. Restrictions include 1st and 2nd shift care and meets enhanced ratios. Mr. Davis stated the program is currently only operating 1st shift care. The Secretary of State website was monitored on 11/03/2025, and Step By Step Day Care Center, Inc. was listed as Current/ Active. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, playing outdoors, engaging in conversations and activities with their teachers, eating lunch, and napping during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 11/15/2024. A sanitation inspection was completed 3/13/2025 with a Superior classification. The last fire inspection was conducted on 8/13/2024. Mr. Davis stated the fire inspector is scheduled to visit the facility on Thursday, 11/6/25 to complete the fire inspection. Program records and required postings were monitored. A fire drill was conducted on 10/01/2025. A shelter-in-place drill was documented on 10/02/2025. An outdoor inspection was documented on 10/10/2025. Staff files and children’s records were monitored per DCDEE procedures. One new staff member was reported at the program. The file for one existing staff member was monitored during the visit. The files for two children enrolled were monitored during the visit. Storage of hazardous items was monitored today. No medications were observed, nor reported. Mr. Davis stated the program does not transport children or participate in aquatic activities at this time. Mr. Davis stated the children use the driveway outside of the facility away from the street to get fresh air on days the playground is muddy from rain and all children do not have extra clothing to be changed into or to complete planned, teacher-directed outdoor activities. We discussed the requirements for off premise activities including, but not limited to off-premise activities forms, posted off-premise activities schedule, and the definition of off-premise activities. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection was observed to have been completed on 8/13/2024. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The time of arrival for one child enrolled was not recorded, although the parent did sign the child in with a signature on the record this morning. 10A NCAC 09 .0302(d)(4) 444 A schedule of off premise activities were not posted in each participating classroom to be viewed by parents and/or copy of the schedule was not given to parents. An off-premise activity schedule was not posted with the location of the activity, purpose of the activity, time and date the activity will take place, and name of the person to be contacted in the event of an emergency. .1005(b)(5) 721 All equipment and furnishings were not in good repair. On the playground used by children enrolled, a wooden toy boat/ sandbox structure was observed to have a piece of wood come off the left side (facing the building), leaving this edge sharp to the touch. G.S. 110-91(6); .0601(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not available for review for the months of May through July, 2025. .0604(t); .0302(d)(5) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. The door to the shed located inside the fenced area of the playground used by children was observed to be unlocked; this shed contained power tools, a lawn mower, and other potentially hazardous items. .0604(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A small elastic hair tie with two small beads was observed on top of a toy shelf accessible to children less than three years of age in Space 2. .0604(q) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Receipt of Operational and Personnel Policies were not observed to be signed an on file for one new staff member. 10A NCAC 09 .0514(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The file for one child enrolled did contained a medical report dated 10/26/2025; the child was enrolled on 8/13/2025. GS110-91(1) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, staff and administrator CBCs were also not yet linked to this profile. G.S. 110-90.2 & .2703(r) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file did not contain an application for three children enrolled, the emergency information for one staff member, and the emergency information for one regular volunteer. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response Plan was last updated on 7/15/2024. .0607(e) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Medical information, inclusive of medical report, TB test, and health questionnaire, were not observed to be maintained separately from one new staff member's individual personnel file in the center. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Health & Safety training topic #10, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, was not completed for one new staff member within 90 days of hire; this training was completed on 5/27/2025; the recorded start date for this staff member was 1/28/2025. .1102(g) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 11/18/2025. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 4948 Martin View Lane, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: A facility profile for Criminal Background Checks had not been created; hence, staff and administrator CBCs were also not yet linked to this profile. It is necessary for all staff members to be linked to the center’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Mr. Davis stated he has the instructions I sent via email to complete this process. I emailed Mr. Davis the titled ABCMS Provider Portal Technical Assistance guide during my visit. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. The Ready to Go file did not contain an application for three children enrolled, the emergency information for one staff member, and the emergency information for one regular volunteer. The file for one child enrolled did contained a medical report dated 10/26/2025; the child was enrolled on 8/13/2025. A fire drill was not available for review for the months of May through July, 2025. The most recent fire inspection was observed to have been completed on 8/13/2024. Health & Safety training topic #10, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, was not completed for one new staff member within 90 days of hire; this training was completed on 5/27/2025; the recorded start date for this staff member was 1/28/2025. The Emergency Preparedness and Response Plan was last updated on 7/15/2024. An off-premise activity schedule was not posted with the location of the activity, purpose of the activity, time and date the activity will take place, and name of the person to be contacted in the event of an emergency. Receipt of Operational and Personnel Policies were not observed to be signed an on file for one new staff member. Medical information, inclusive of medical report, TB test, and health questionnaire, were not observed to be maintained separately from one new staff member's individual personnel file in the center. Mr. Davis stated he did not realize these records were incomplete or not on file for review. He stated the fire inspection was missed in error. Mr. Davis also reported the missing fire drills were completed, but had likely been mistakenly filed at his home office. It is imperative that all records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. You may consider adding children’s applications to the Ready to Go file as soon as paperwork is submitted by the parent/guardian and thoroughly reviewing all requirements for children’s applications to ensure that all required documentation has been completed by the parent/guardian upon enrollment. You may also consider creating a routine system for reviewing staff, program, and children’s records to ensure all information is accurate and on file. You may additionally consider creating a reminder to reach out to your local fire inspector up to one month prior to your annual fire inspection being due. On the playground used by children enrolled, a wooden toy boat/ sandbox structure was observed to have a piece of wood come off the left side (facing the building), leaving this edge sharp to the touch. Mr. Davis stated he suspects this piece came off the structure during children’s play this past Friday, and he discovered it was damaged over the weekend. It is essential for the outdoor learning environment to be a safe place for children to explore in and engage with. Mr. Davis stated he plans to remove this boat from the play area, but will cover the sharp area in the meantime. Consultation Provided During Visit: The following Child Care Rules were reviewed with Mr. Davis during the visit: 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (C) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual's planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. 10A NCAC 09 .0515 PARENT PARTICIPATION (a) Each center shall have a plan that will encourage parent participation and inform parents about the program and its services. The plan shall be discussed with parents on or before the child's first day of attendance and shall be posted in the center or a copy shall be given to parents on or before the child's first day of attendance. (b) The plan shall include the following: (1) a procedure for registering a child for child care that involves both parents when possible and that encourages a visit to the center by the child and the child's parents before the child begins attending the center; (2) opportunities for caregiving staff to meet with parents on a regular basis to discuss their child's needs and progress and to exchange information about the program; (3) activities that provide parents opportunities to participate in the center's program on an individual basis and as a group; (4) a procedure for parents who need information or have complaints about the child care program. Mr. Davis will need to complete .5 credit hours of ongoing training by 11/15/2025. Please ensure “Voluntary Enhanced Requirements” is checked on each Staff: Child Ratio worksheet posted in classrooms for the facility. As the Hold Harmless period has ended, and preparations for the new QRIS Modernization process are underway, I have included the link below to DCDEE’s NC Child Care Commission’s QRIS Modernization Plan (QRIS Reform) website link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Visit the NCRLAP website: Get Ready for the 3s (ECERS-3, ITERS-3, FCCERS-3) https://ncrlap.org/Resources/pages/get-ready-for-3s/ Additionally, you may consider reaching out to local partners at Child Care Resource Center and/or Smart Start of Forsyth County. Their teams are working diligently to support programs with training and more detailed information on the ERS-3 at this time. Beginning in October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license. Mr. Davis stated the facility had an Outreach Assessment completed on 9/23/2025 and 10/01/2025, respectively, by NCRLAP assessors using the ECERS-3 and ITERS-3. Mr. Davis stated he would email me a copy of the assessment report following the visit. We scheduled a Technical Assistance visit for January, 8 2026 to further discuss Pathways 1 and 2 in detail. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. 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 .0515 · Violation

Name of Operation: STEP BY STEP DAY CARE Facility ID: 34000461 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 11/4/2025 Number Present: 8 Completed Date: 11/4/2025 Age: From 1 To 4 Total Minutes: 313 Time In: 09:47 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Sandra Davis and James Davis, Owners/Administrators. Your program currently operates with a 4-Star license. Restrictions include 1st and 2nd shift care and meets enhanced ratios. Mr. Davis stated the program is currently only operating 1st shift care. The Secretary of State website was monitored on 11/03/2025, and Step By Step Day Care Center, Inc. was listed as Current/ Active. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, playing outdoors, engaging in conversations and activities with their teachers, eating lunch, and napping during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 11/15/2024. A sanitation inspection was completed 3/13/2025 with a Superior classification. The last fire inspection was conducted on 8/13/2024. Mr. Davis stated the fire inspector is scheduled to visit the facility on Thursday, 11/6/25 to complete the fire inspection. Program records and required postings were monitored. A fire drill was conducted on 10/01/2025. A shelter-in-place drill was documented on 10/02/2025. An outdoor inspection was documented on 10/10/2025. Staff files and children’s records were monitored per DCDEE procedures. One new staff member was reported at the program. The file for one existing staff member was monitored during the visit. The files for two children enrolled were monitored during the visit. Storage of hazardous items was monitored today. No medications were observed, nor reported. Mr. Davis stated the program does not transport children or participate in aquatic activities at this time. Mr. Davis stated the children use the driveway outside of the facility away from the street to get fresh air on days the playground is muddy from rain and all children do not have extra clothing to be changed into or to complete planned, teacher-directed outdoor activities. We discussed the requirements for off premise activities including, but not limited to off-premise activities forms, posted off-premise activities schedule, and the definition of off-premise activities. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection was observed to have been completed on 8/13/2024. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The time of arrival for one child enrolled was not recorded, although the parent did sign the child in with a signature on the record this morning. 10A NCAC 09 .0302(d)(4) 444 A schedule of off premise activities were not posted in each participating classroom to be viewed by parents and/or copy of the schedule was not given to parents. An off-premise activity schedule was not posted with the location of the activity, purpose of the activity, time and date the activity will take place, and name of the person to be contacted in the event of an emergency. .1005(b)(5) 721 All equipment and furnishings were not in good repair. On the playground used by children enrolled, a wooden toy boat/ sandbox structure was observed to have a piece of wood come off the left side (facing the building), leaving this edge sharp to the touch. G.S. 110-91(6); .0601(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not available for review for the months of May through July, 2025. .0604(t); .0302(d)(5) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. The door to the shed located inside the fenced area of the playground used by children was observed to be unlocked; this shed contained power tools, a lawn mower, and other potentially hazardous items. .0604(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A small elastic hair tie with two small beads was observed on top of a toy shelf accessible to children less than three years of age in Space 2. .0604(q) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Receipt of Operational and Personnel Policies were not observed to be signed an on file for one new staff member. 10A NCAC 09 .0514(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The file for one child enrolled did contained a medical report dated 10/26/2025; the child was enrolled on 8/13/2025. GS110-91(1) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, staff and administrator CBCs were also not yet linked to this profile. G.S. 110-90.2 & .2703(r) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file did not contain an application for three children enrolled, the emergency information for one staff member, and the emergency information for one regular volunteer. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response Plan was last updated on 7/15/2024. .0607(e) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Medical information, inclusive of medical report, TB test, and health questionnaire, were not observed to be maintained separately from one new staff member's individual personnel file in the center. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Health & Safety training topic #10, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, was not completed for one new staff member within 90 days of hire; this training was completed on 5/27/2025; the recorded start date for this staff member was 1/28/2025. .1102(g) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 11/18/2025. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 4948 Martin View Lane, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: A facility profile for Criminal Background Checks had not been created; hence, staff and administrator CBCs were also not yet linked to this profile. It is necessary for all staff members to be linked to the center’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Mr. Davis stated he has the instructions I sent via email to complete this process. I emailed Mr. Davis the titled ABCMS Provider Portal Technical Assistance guide during my visit. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. The Ready to Go file did not contain an application for three children enrolled, the emergency information for one staff member, and the emergency information for one regular volunteer. The file for one child enrolled did contained a medical report dated 10/26/2025; the child was enrolled on 8/13/2025. A fire drill was not available for review for the months of May through July, 2025. The most recent fire inspection was observed to have been completed on 8/13/2024. Health & Safety training topic #10, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, was not completed for one new staff member within 90 days of hire; this training was completed on 5/27/2025; the recorded start date for this staff member was 1/28/2025. The Emergency Preparedness and Response Plan was last updated on 7/15/2024. An off-premise activity schedule was not posted with the location of the activity, purpose of the activity, time and date the activity will take place, and name of the person to be contacted in the event of an emergency. Receipt of Operational and Personnel Policies were not observed to be signed an on file for one new staff member. Medical information, inclusive of medical report, TB test, and health questionnaire, were not observed to be maintained separately from one new staff member's individual personnel file in the center. Mr. Davis stated he did not realize these records were incomplete or not on file for review. He stated the fire inspection was missed in error. Mr. Davis also reported the missing fire drills were completed, but had likely been mistakenly filed at his home office. It is imperative that all records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. You may consider adding children’s applications to the Ready to Go file as soon as paperwork is submitted by the parent/guardian and thoroughly reviewing all requirements for children’s applications to ensure that all required documentation has been completed by the parent/guardian upon enrollment. You may also consider creating a routine system for reviewing staff, program, and children’s records to ensure all information is accurate and on file. You may additionally consider creating a reminder to reach out to your local fire inspector up to one month prior to your annual fire inspection being due. On the playground used by children enrolled, a wooden toy boat/ sandbox structure was observed to have a piece of wood come off the left side (facing the building), leaving this edge sharp to the touch. Mr. Davis stated he suspects this piece came off the structure during children’s play this past Friday, and he discovered it was damaged over the weekend. It is essential for the outdoor learning environment to be a safe place for children to explore in and engage with. Mr. Davis stated he plans to remove this boat from the play area, but will cover the sharp area in the meantime. Consultation Provided During Visit: The following Child Care Rules were reviewed with Mr. Davis during the visit: 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (C) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual's planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. 10A NCAC 09 .0515 PARENT PARTICIPATION (a) Each center shall have a plan that will encourage parent participation and inform parents about the program and its services. The plan shall be discussed with parents on or before the child's first day of attendance and shall be posted in the center or a copy shall be given to parents on or before the child's first day of attendance. (b) The plan shall include the following: (1) a procedure for registering a child for child care that involves both parents when possible and that encourages a visit to the center by the child and the child's parents before the child begins attending the center; (2) opportunities for caregiving staff to meet with parents on a regular basis to discuss their child's needs and progress and to exchange information about the program; (3) activities that provide parents opportunities to participate in the center's program on an individual basis and as a group; (4) a procedure for parents who need information or have complaints about the child care program. Mr. Davis will need to complete .5 credit hours of ongoing training by 11/15/2025. Please ensure “Voluntary Enhanced Requirements” is checked on each Staff: Child Ratio worksheet posted in classrooms for the facility. As the Hold Harmless period has ended, and preparations for the new QRIS Modernization process are underway, I have included the link below to DCDEE’s NC Child Care Commission’s QRIS Modernization Plan (QRIS Reform) website link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Visit the NCRLAP website: Get Ready for the 3s (ECERS-3, ITERS-3, FCCERS-3) https://ncrlap.org/Resources/pages/get-ready-for-3s/ Additionally, you may consider reaching out to local partners at Child Care Resource Center and/or Smart Start of Forsyth County. Their teams are working diligently to support programs with training and more detailed information on the ERS-3 at this time. Beginning in October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license. Mr. Davis stated the facility had an Outreach Assessment completed on 9/23/2025 and 10/01/2025, respectively, by NCRLAP assessors using the ECERS-3 and ITERS-3. Mr. Davis stated he would email me a copy of the assessment report following the visit. We scheduled a Technical Assistance visit for January, 8 2026 to further discuss Pathways 1 and 2 in detail. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. 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 .1005 · Violation

Name of Operation: STEP BY STEP DAY CARE Facility ID: 34000461 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 11/4/2025 Number Present: 8 Completed Date: 11/4/2025 Age: From 1 To 4 Total Minutes: 313 Time In: 09:47 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Sandra Davis and James Davis, Owners/Administrators. Your program currently operates with a 4-Star license. Restrictions include 1st and 2nd shift care and meets enhanced ratios. Mr. Davis stated the program is currently only operating 1st shift care. The Secretary of State website was monitored on 11/03/2025, and Step By Step Day Care Center, Inc. was listed as Current/ Active. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, playing outdoors, engaging in conversations and activities with their teachers, eating lunch, and napping during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 11/15/2024. A sanitation inspection was completed 3/13/2025 with a Superior classification. The last fire inspection was conducted on 8/13/2024. Mr. Davis stated the fire inspector is scheduled to visit the facility on Thursday, 11/6/25 to complete the fire inspection. Program records and required postings were monitored. A fire drill was conducted on 10/01/2025. A shelter-in-place drill was documented on 10/02/2025. An outdoor inspection was documented on 10/10/2025. Staff files and children’s records were monitored per DCDEE procedures. One new staff member was reported at the program. The file for one existing staff member was monitored during the visit. The files for two children enrolled were monitored during the visit. Storage of hazardous items was monitored today. No medications were observed, nor reported. Mr. Davis stated the program does not transport children or participate in aquatic activities at this time. Mr. Davis stated the children use the driveway outside of the facility away from the street to get fresh air on days the playground is muddy from rain and all children do not have extra clothing to be changed into or to complete planned, teacher-directed outdoor activities. We discussed the requirements for off premise activities including, but not limited to off-premise activities forms, posted off-premise activities schedule, and the definition of off-premise activities. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection was observed to have been completed on 8/13/2024. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The time of arrival for one child enrolled was not recorded, although the parent did sign the child in with a signature on the record this morning. 10A NCAC 09 .0302(d)(4) 444 A schedule of off premise activities were not posted in each participating classroom to be viewed by parents and/or copy of the schedule was not given to parents. An off-premise activity schedule was not posted with the location of the activity, purpose of the activity, time and date the activity will take place, and name of the person to be contacted in the event of an emergency. .1005(b)(5) 721 All equipment and furnishings were not in good repair. On the playground used by children enrolled, a wooden toy boat/ sandbox structure was observed to have a piece of wood come off the left side (facing the building), leaving this edge sharp to the touch. G.S. 110-91(6); .0601(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not available for review for the months of May through July, 2025. .0604(t); .0302(d)(5) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. The door to the shed located inside the fenced area of the playground used by children was observed to be unlocked; this shed contained power tools, a lawn mower, and other potentially hazardous items. .0604(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A small elastic hair tie with two small beads was observed on top of a toy shelf accessible to children less than three years of age in Space 2. .0604(q) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Receipt of Operational and Personnel Policies were not observed to be signed an on file for one new staff member. 10A NCAC 09 .0514(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The file for one child enrolled did contained a medical report dated 10/26/2025; the child was enrolled on 8/13/2025. GS110-91(1) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, staff and administrator CBCs were also not yet linked to this profile. G.S. 110-90.2 & .2703(r) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file did not contain an application for three children enrolled, the emergency information for one staff member, and the emergency information for one regular volunteer. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response Plan was last updated on 7/15/2024. .0607(e) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Medical information, inclusive of medical report, TB test, and health questionnaire, were not observed to be maintained separately from one new staff member's individual personnel file in the center. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Health & Safety training topic #10, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, was not completed for one new staff member within 90 days of hire; this training was completed on 5/27/2025; the recorded start date for this staff member was 1/28/2025. .1102(g) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 11/18/2025. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 4948 Martin View Lane, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: A facility profile for Criminal Background Checks had not been created; hence, staff and administrator CBCs were also not yet linked to this profile. It is necessary for all staff members to be linked to the center’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Mr. Davis stated he has the instructions I sent via email to complete this process. I emailed Mr. Davis the titled ABCMS Provider Portal Technical Assistance guide during my visit. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. The Ready to Go file did not contain an application for three children enrolled, the emergency information for one staff member, and the emergency information for one regular volunteer. The file for one child enrolled did contained a medical report dated 10/26/2025; the child was enrolled on 8/13/2025. A fire drill was not available for review for the months of May through July, 2025. The most recent fire inspection was observed to have been completed on 8/13/2024. Health & Safety training topic #10, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, was not completed for one new staff member within 90 days of hire; this training was completed on 5/27/2025; the recorded start date for this staff member was 1/28/2025. The Emergency Preparedness and Response Plan was last updated on 7/15/2024. An off-premise activity schedule was not posted with the location of the activity, purpose of the activity, time and date the activity will take place, and name of the person to be contacted in the event of an emergency. Receipt of Operational and Personnel Policies were not observed to be signed an on file for one new staff member. Medical information, inclusive of medical report, TB test, and health questionnaire, were not observed to be maintained separately from one new staff member's individual personnel file in the center. Mr. Davis stated he did not realize these records were incomplete or not on file for review. He stated the fire inspection was missed in error. Mr. Davis also reported the missing fire drills were completed, but had likely been mistakenly filed at his home office. It is imperative that all records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. You may consider adding children’s applications to the Ready to Go file as soon as paperwork is submitted by the parent/guardian and thoroughly reviewing all requirements for children’s applications to ensure that all required documentation has been completed by the parent/guardian upon enrollment. You may also consider creating a routine system for reviewing staff, program, and children’s records to ensure all information is accurate and on file. You may additionally consider creating a reminder to reach out to your local fire inspector up to one month prior to your annual fire inspection being due. On the playground used by children enrolled, a wooden toy boat/ sandbox structure was observed to have a piece of wood come off the left side (facing the building), leaving this edge sharp to the touch. Mr. Davis stated he suspects this piece came off the structure during children’s play this past Friday, and he discovered it was damaged over the weekend. It is essential for the outdoor learning environment to be a safe place for children to explore in and engage with. Mr. Davis stated he plans to remove this boat from the play area, but will cover the sharp area in the meantime. Consultation Provided During Visit: The following Child Care Rules were reviewed with Mr. Davis during the visit: 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (C) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual's planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. 10A NCAC 09 .0515 PARENT PARTICIPATION (a) Each center shall have a plan that will encourage parent participation and inform parents about the program and its services. The plan shall be discussed with parents on or before the child's first day of attendance and shall be posted in the center or a copy shall be given to parents on or before the child's first day of attendance. (b) The plan shall include the following: (1) a procedure for registering a child for child care that involves both parents when possible and that encourages a visit to the center by the child and the child's parents before the child begins attending the center; (2) opportunities for caregiving staff to meet with parents on a regular basis to discuss their child's needs and progress and to exchange information about the program; (3) activities that provide parents opportunities to participate in the center's program on an individual basis and as a group; (4) a procedure for parents who need information or have complaints about the child care program. Mr. Davis will need to complete .5 credit hours of ongoing training by 11/15/2025. Please ensure “Voluntary Enhanced Requirements” is checked on each Staff: Child Ratio worksheet posted in classrooms for the facility. As the Hold Harmless period has ended, and preparations for the new QRIS Modernization process are underway, I have included the link below to DCDEE’s NC Child Care Commission’s QRIS Modernization Plan (QRIS Reform) website link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Visit the NCRLAP website: Get Ready for the 3s (ECERS-3, ITERS-3, FCCERS-3) https://ncrlap.org/Resources/pages/get-ready-for-3s/ Additionally, you may consider reaching out to local partners at Child Care Resource Center and/or Smart Start of Forsyth County. Their teams are working diligently to support programs with training and more detailed information on the ERS-3 at this time. Beginning in October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license. Mr. Davis stated the facility had an Outreach Assessment completed on 9/23/2025 and 10/01/2025, respectively, by NCRLAP assessors using the ECERS-3 and ITERS-3. Mr. Davis stated he would email me a copy of the assessment report following the visit. We scheduled a Technical Assistance visit for January, 8 2026 to further discuss Pathways 1 and 2 in detail. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. 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 .1104 · Violation

Name of Operation: STEP BY STEP DAY CARE Facility ID: 34000461 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 11/4/2025 Number Present: 8 Completed Date: 11/4/2025 Age: From 1 To 4 Total Minutes: 313 Time In: 09:47 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Sandra Davis and James Davis, Owners/Administrators. Your program currently operates with a 4-Star license. Restrictions include 1st and 2nd shift care and meets enhanced ratios. Mr. Davis stated the program is currently only operating 1st shift care. The Secretary of State website was monitored on 11/03/2025, and Step By Step Day Care Center, Inc. was listed as Current/ Active. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, playing outdoors, engaging in conversations and activities with their teachers, eating lunch, and napping during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 11/15/2024. A sanitation inspection was completed 3/13/2025 with a Superior classification. The last fire inspection was conducted on 8/13/2024. Mr. Davis stated the fire inspector is scheduled to visit the facility on Thursday, 11/6/25 to complete the fire inspection. Program records and required postings were monitored. A fire drill was conducted on 10/01/2025. A shelter-in-place drill was documented on 10/02/2025. An outdoor inspection was documented on 10/10/2025. Staff files and children’s records were monitored per DCDEE procedures. One new staff member was reported at the program. The file for one existing staff member was monitored during the visit. The files for two children enrolled were monitored during the visit. Storage of hazardous items was monitored today. No medications were observed, nor reported. Mr. Davis stated the program does not transport children or participate in aquatic activities at this time. Mr. Davis stated the children use the driveway outside of the facility away from the street to get fresh air on days the playground is muddy from rain and all children do not have extra clothing to be changed into or to complete planned, teacher-directed outdoor activities. We discussed the requirements for off premise activities including, but not limited to off-premise activities forms, posted off-premise activities schedule, and the definition of off-premise activities. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection was observed to have been completed on 8/13/2024. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The time of arrival for one child enrolled was not recorded, although the parent did sign the child in with a signature on the record this morning. 10A NCAC 09 .0302(d)(4) 444 A schedule of off premise activities were not posted in each participating classroom to be viewed by parents and/or copy of the schedule was not given to parents. An off-premise activity schedule was not posted with the location of the activity, purpose of the activity, time and date the activity will take place, and name of the person to be contacted in the event of an emergency. .1005(b)(5) 721 All equipment and furnishings were not in good repair. On the playground used by children enrolled, a wooden toy boat/ sandbox structure was observed to have a piece of wood come off the left side (facing the building), leaving this edge sharp to the touch. G.S. 110-91(6); .0601(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not available for review for the months of May through July, 2025. .0604(t); .0302(d)(5) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. The door to the shed located inside the fenced area of the playground used by children was observed to be unlocked; this shed contained power tools, a lawn mower, and other potentially hazardous items. .0604(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A small elastic hair tie with two small beads was observed on top of a toy shelf accessible to children less than three years of age in Space 2. .0604(q) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Receipt of Operational and Personnel Policies were not observed to be signed an on file for one new staff member. 10A NCAC 09 .0514(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The file for one child enrolled did contained a medical report dated 10/26/2025; the child was enrolled on 8/13/2025. GS110-91(1) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, staff and administrator CBCs were also not yet linked to this profile. G.S. 110-90.2 & .2703(r) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file did not contain an application for three children enrolled, the emergency information for one staff member, and the emergency information for one regular volunteer. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response Plan was last updated on 7/15/2024. .0607(e) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Medical information, inclusive of medical report, TB test, and health questionnaire, were not observed to be maintained separately from one new staff member's individual personnel file in the center. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Health & Safety training topic #10, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, was not completed for one new staff member within 90 days of hire; this training was completed on 5/27/2025; the recorded start date for this staff member was 1/28/2025. .1102(g) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 11/18/2025. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 4948 Martin View Lane, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: A facility profile for Criminal Background Checks had not been created; hence, staff and administrator CBCs were also not yet linked to this profile. It is necessary for all staff members to be linked to the center’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Mr. Davis stated he has the instructions I sent via email to complete this process. I emailed Mr. Davis the titled ABCMS Provider Portal Technical Assistance guide during my visit. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. The Ready to Go file did not contain an application for three children enrolled, the emergency information for one staff member, and the emergency information for one regular volunteer. The file for one child enrolled did contained a medical report dated 10/26/2025; the child was enrolled on 8/13/2025. A fire drill was not available for review for the months of May through July, 2025. The most recent fire inspection was observed to have been completed on 8/13/2024. Health & Safety training topic #10, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, was not completed for one new staff member within 90 days of hire; this training was completed on 5/27/2025; the recorded start date for this staff member was 1/28/2025. The Emergency Preparedness and Response Plan was last updated on 7/15/2024. An off-premise activity schedule was not posted with the location of the activity, purpose of the activity, time and date the activity will take place, and name of the person to be contacted in the event of an emergency. Receipt of Operational and Personnel Policies were not observed to be signed an on file for one new staff member. Medical information, inclusive of medical report, TB test, and health questionnaire, were not observed to be maintained separately from one new staff member's individual personnel file in the center. Mr. Davis stated he did not realize these records were incomplete or not on file for review. He stated the fire inspection was missed in error. Mr. Davis also reported the missing fire drills were completed, but had likely been mistakenly filed at his home office. It is imperative that all records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. You may consider adding children’s applications to the Ready to Go file as soon as paperwork is submitted by the parent/guardian and thoroughly reviewing all requirements for children’s applications to ensure that all required documentation has been completed by the parent/guardian upon enrollment. You may also consider creating a routine system for reviewing staff, program, and children’s records to ensure all information is accurate and on file. You may additionally consider creating a reminder to reach out to your local fire inspector up to one month prior to your annual fire inspection being due. On the playground used by children enrolled, a wooden toy boat/ sandbox structure was observed to have a piece of wood come off the left side (facing the building), leaving this edge sharp to the touch. Mr. Davis stated he suspects this piece came off the structure during children’s play this past Friday, and he discovered it was damaged over the weekend. It is essential for the outdoor learning environment to be a safe place for children to explore in and engage with. Mr. Davis stated he plans to remove this boat from the play area, but will cover the sharp area in the meantime. Consultation Provided During Visit: The following Child Care Rules were reviewed with Mr. Davis during the visit: 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (C) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual's planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. 10A NCAC 09 .0515 PARENT PARTICIPATION (a) Each center shall have a plan that will encourage parent participation and inform parents about the program and its services. The plan shall be discussed with parents on or before the child's first day of attendance and shall be posted in the center or a copy shall be given to parents on or before the child's first day of attendance. (b) The plan shall include the following: (1) a procedure for registering a child for child care that involves both parents when possible and that encourages a visit to the center by the child and the child's parents before the child begins attending the center; (2) opportunities for caregiving staff to meet with parents on a regular basis to discuss their child's needs and progress and to exchange information about the program; (3) activities that provide parents opportunities to participate in the center's program on an individual basis and as a group; (4) a procedure for parents who need information or have complaints about the child care program. Mr. Davis will need to complete .5 credit hours of ongoing training by 11/15/2025. Please ensure “Voluntary Enhanced Requirements” is checked on each Staff: Child Ratio worksheet posted in classrooms for the facility. As the Hold Harmless period has ended, and preparations for the new QRIS Modernization process are underway, I have included the link below to DCDEE’s NC Child Care Commission’s QRIS Modernization Plan (QRIS Reform) website link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Visit the NCRLAP website: Get Ready for the 3s (ECERS-3, ITERS-3, FCCERS-3) https://ncrlap.org/Resources/pages/get-ready-for-3s/ Additionally, you may consider reaching out to local partners at Child Care Resource Center and/or Smart Start of Forsyth County. Their teams are working diligently to support programs with training and more detailed information on the ERS-3 at this time. Beginning in October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license. Mr. Davis stated the facility had an Outreach Assessment completed on 9/23/2025 and 10/01/2025, respectively, by NCRLAP assessors using the ECERS-3 and ITERS-3. Mr. Davis stated he would email me a copy of the assessment report following the visit. We scheduled a Technical Assistance visit for January, 8 2026 to further discuss Pathways 1 and 2 in detail. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: STEP BY STEP DAY CARE Facility ID: 34000461 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 11/4/2025 Number Present: 8 Completed Date: 11/4/2025 Age: From 1 To 4 Total Minutes: 313 Time In: 09:47 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Sandra Davis and James Davis, Owners/Administrators. Your program currently operates with a 4-Star license. Restrictions include 1st and 2nd shift care and meets enhanced ratios. Mr. Davis stated the program is currently only operating 1st shift care. The Secretary of State website was monitored on 11/03/2025, and Step By Step Day Care Center, Inc. was listed as Current/ Active. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, playing outdoors, engaging in conversations and activities with their teachers, eating lunch, and napping during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 11/15/2024. A sanitation inspection was completed 3/13/2025 with a Superior classification. The last fire inspection was conducted on 8/13/2024. Mr. Davis stated the fire inspector is scheduled to visit the facility on Thursday, 11/6/25 to complete the fire inspection. Program records and required postings were monitored. A fire drill was conducted on 10/01/2025. A shelter-in-place drill was documented on 10/02/2025. An outdoor inspection was documented on 10/10/2025. Staff files and children’s records were monitored per DCDEE procedures. One new staff member was reported at the program. The file for one existing staff member was monitored during the visit. The files for two children enrolled were monitored during the visit. Storage of hazardous items was monitored today. No medications were observed, nor reported. Mr. Davis stated the program does not transport children or participate in aquatic activities at this time. Mr. Davis stated the children use the driveway outside of the facility away from the street to get fresh air on days the playground is muddy from rain and all children do not have extra clothing to be changed into or to complete planned, teacher-directed outdoor activities. We discussed the requirements for off premise activities including, but not limited to off-premise activities forms, posted off-premise activities schedule, and the definition of off-premise activities. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection was observed to have been completed on 8/13/2024. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The time of arrival for one child enrolled was not recorded, although the parent did sign the child in with a signature on the record this morning. 10A NCAC 09 .0302(d)(4) 444 A schedule of off premise activities were not posted in each participating classroom to be viewed by parents and/or copy of the schedule was not given to parents. An off-premise activity schedule was not posted with the location of the activity, purpose of the activity, time and date the activity will take place, and name of the person to be contacted in the event of an emergency. .1005(b)(5) 721 All equipment and furnishings were not in good repair. On the playground used by children enrolled, a wooden toy boat/ sandbox structure was observed to have a piece of wood come off the left side (facing the building), leaving this edge sharp to the touch. G.S. 110-91(6); .0601(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not available for review for the months of May through July, 2025. .0604(t); .0302(d)(5) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. The door to the shed located inside the fenced area of the playground used by children was observed to be unlocked; this shed contained power tools, a lawn mower, and other potentially hazardous items. .0604(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A small elastic hair tie with two small beads was observed on top of a toy shelf accessible to children less than three years of age in Space 2. .0604(q) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Receipt of Operational and Personnel Policies were not observed to be signed an on file for one new staff member. 10A NCAC 09 .0514(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The file for one child enrolled did contained a medical report dated 10/26/2025; the child was enrolled on 8/13/2025. GS110-91(1) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, staff and administrator CBCs were also not yet linked to this profile. G.S. 110-90.2 & .2703(r) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file did not contain an application for three children enrolled, the emergency information for one staff member, and the emergency information for one regular volunteer. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response Plan was last updated on 7/15/2024. .0607(e) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Medical information, inclusive of medical report, TB test, and health questionnaire, were not observed to be maintained separately from one new staff member's individual personnel file in the center. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Health & Safety training topic #10, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, was not completed for one new staff member within 90 days of hire; this training was completed on 5/27/2025; the recorded start date for this staff member was 1/28/2025. .1102(g) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 11/18/2025. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 4948 Martin View Lane, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: A facility profile for Criminal Background Checks had not been created; hence, staff and administrator CBCs were also not yet linked to this profile. It is necessary for all staff members to be linked to the center’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Mr. Davis stated he has the instructions I sent via email to complete this process. I emailed Mr. Davis the titled ABCMS Provider Portal Technical Assistance guide during my visit. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. The Ready to Go file did not contain an application for three children enrolled, the emergency information for one staff member, and the emergency information for one regular volunteer. The file for one child enrolled did contained a medical report dated 10/26/2025; the child was enrolled on 8/13/2025. A fire drill was not available for review for the months of May through July, 2025. The most recent fire inspection was observed to have been completed on 8/13/2024. Health & Safety training topic #10, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, was not completed for one new staff member within 90 days of hire; this training was completed on 5/27/2025; the recorded start date for this staff member was 1/28/2025. The Emergency Preparedness and Response Plan was last updated on 7/15/2024. An off-premise activity schedule was not posted with the location of the activity, purpose of the activity, time and date the activity will take place, and name of the person to be contacted in the event of an emergency. Receipt of Operational and Personnel Policies were not observed to be signed an on file for one new staff member. Medical information, inclusive of medical report, TB test, and health questionnaire, were not observed to be maintained separately from one new staff member's individual personnel file in the center. Mr. Davis stated he did not realize these records were incomplete or not on file for review. He stated the fire inspection was missed in error. Mr. Davis also reported the missing fire drills were completed, but had likely been mistakenly filed at his home office. It is imperative that all records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. You may consider adding children’s applications to the Ready to Go file as soon as paperwork is submitted by the parent/guardian and thoroughly reviewing all requirements for children’s applications to ensure that all required documentation has been completed by the parent/guardian upon enrollment. You may also consider creating a routine system for reviewing staff, program, and children’s records to ensure all information is accurate and on file. You may additionally consider creating a reminder to reach out to your local fire inspector up to one month prior to your annual fire inspection being due. On the playground used by children enrolled, a wooden toy boat/ sandbox structure was observed to have a piece of wood come off the left side (facing the building), leaving this edge sharp to the touch. Mr. Davis stated he suspects this piece came off the structure during children’s play this past Friday, and he discovered it was damaged over the weekend. It is essential for the outdoor learning environment to be a safe place for children to explore in and engage with. Mr. Davis stated he plans to remove this boat from the play area, but will cover the sharp area in the meantime. Consultation Provided During Visit: The following Child Care Rules were reviewed with Mr. Davis during the visit: 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (C) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual's planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. 10A NCAC 09 .0515 PARENT PARTICIPATION (a) Each center shall have a plan that will encourage parent participation and inform parents about the program and its services. The plan shall be discussed with parents on or before the child's first day of attendance and shall be posted in the center or a copy shall be given to parents on or before the child's first day of attendance. (b) The plan shall include the following: (1) a procedure for registering a child for child care that involves both parents when possible and that encourages a visit to the center by the child and the child's parents before the child begins attending the center; (2) opportunities for caregiving staff to meet with parents on a regular basis to discuss their child's needs and progress and to exchange information about the program; (3) activities that provide parents opportunities to participate in the center's program on an individual basis and as a group; (4) a procedure for parents who need information or have complaints about the child care program. Mr. Davis will need to complete .5 credit hours of ongoing training by 11/15/2025. Please ensure “Voluntary Enhanced Requirements” is checked on each Staff: Child Ratio worksheet posted in classrooms for the facility. As the Hold Harmless period has ended, and preparations for the new QRIS Modernization process are underway, I have included the link below to DCDEE’s NC Child Care Commission’s QRIS Modernization Plan (QRIS Reform) website link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Visit the NCRLAP website: Get Ready for the 3s (ECERS-3, ITERS-3, FCCERS-3) https://ncrlap.org/Resources/pages/get-ready-for-3s/ Additionally, you may consider reaching out to local partners at Child Care Resource Center and/or Smart Start of Forsyth County. Their teams are working diligently to support programs with training and more detailed information on the ERS-3 at this time. Beginning in October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license. Mr. Davis stated the facility had an Outreach Assessment completed on 9/23/2025 and 10/01/2025, respectively, by NCRLAP assessors using the ECERS-3 and ITERS-3. Mr. Davis stated he would email me a copy of the assessment report following the visit. We scheduled a Technical Assistance visit for January, 8 2026 to further discuss Pathways 1 and 2 in detail. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. 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: STEP BY STEP DAY CARE Facility ID: 34000461 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 11/4/2025 Number Present: 8 Completed Date: 11/4/2025 Age: From 1 To 4 Total Minutes: 313 Time In: 09:47 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Sandra Davis and James Davis, Owners/Administrators. Your program currently operates with a 4-Star license. Restrictions include 1st and 2nd shift care and meets enhanced ratios. Mr. Davis stated the program is currently only operating 1st shift care. The Secretary of State website was monitored on 11/03/2025, and Step By Step Day Care Center, Inc. was listed as Current/ Active. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, playing outdoors, engaging in conversations and activities with their teachers, eating lunch, and napping during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 11/15/2024. A sanitation inspection was completed 3/13/2025 with a Superior classification. The last fire inspection was conducted on 8/13/2024. Mr. Davis stated the fire inspector is scheduled to visit the facility on Thursday, 11/6/25 to complete the fire inspection. Program records and required postings were monitored. A fire drill was conducted on 10/01/2025. A shelter-in-place drill was documented on 10/02/2025. An outdoor inspection was documented on 10/10/2025. Staff files and children’s records were monitored per DCDEE procedures. One new staff member was reported at the program. The file for one existing staff member was monitored during the visit. The files for two children enrolled were monitored during the visit. Storage of hazardous items was monitored today. No medications were observed, nor reported. Mr. Davis stated the program does not transport children or participate in aquatic activities at this time. Mr. Davis stated the children use the driveway outside of the facility away from the street to get fresh air on days the playground is muddy from rain and all children do not have extra clothing to be changed into or to complete planned, teacher-directed outdoor activities. We discussed the requirements for off premise activities including, but not limited to off-premise activities forms, posted off-premise activities schedule, and the definition of off-premise activities. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection was observed to have been completed on 8/13/2024. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The time of arrival for one child enrolled was not recorded, although the parent did sign the child in with a signature on the record this morning. 10A NCAC 09 .0302(d)(4) 444 A schedule of off premise activities were not posted in each participating classroom to be viewed by parents and/or copy of the schedule was not given to parents. An off-premise activity schedule was not posted with the location of the activity, purpose of the activity, time and date the activity will take place, and name of the person to be contacted in the event of an emergency. .1005(b)(5) 721 All equipment and furnishings were not in good repair. On the playground used by children enrolled, a wooden toy boat/ sandbox structure was observed to have a piece of wood come off the left side (facing the building), leaving this edge sharp to the touch. G.S. 110-91(6); .0601(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not available for review for the months of May through July, 2025. .0604(t); .0302(d)(5) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. The door to the shed located inside the fenced area of the playground used by children was observed to be unlocked; this shed contained power tools, a lawn mower, and other potentially hazardous items. .0604(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A small elastic hair tie with two small beads was observed on top of a toy shelf accessible to children less than three years of age in Space 2. .0604(q) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Receipt of Operational and Personnel Policies were not observed to be signed an on file for one new staff member. 10A NCAC 09 .0514(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The file for one child enrolled did contained a medical report dated 10/26/2025; the child was enrolled on 8/13/2025. GS110-91(1) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, staff and administrator CBCs were also not yet linked to this profile. G.S. 110-90.2 & .2703(r) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file did not contain an application for three children enrolled, the emergency information for one staff member, and the emergency information for one regular volunteer. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response Plan was last updated on 7/15/2024. .0607(e) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Medical information, inclusive of medical report, TB test, and health questionnaire, were not observed to be maintained separately from one new staff member's individual personnel file in the center. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Health & Safety training topic #10, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, was not completed for one new staff member within 90 days of hire; this training was completed on 5/27/2025; the recorded start date for this staff member was 1/28/2025. .1102(g) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 11/18/2025. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 4948 Martin View Lane, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: A facility profile for Criminal Background Checks had not been created; hence, staff and administrator CBCs were also not yet linked to this profile. It is necessary for all staff members to be linked to the center’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Mr. Davis stated he has the instructions I sent via email to complete this process. I emailed Mr. Davis the titled ABCMS Provider Portal Technical Assistance guide during my visit. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. The Ready to Go file did not contain an application for three children enrolled, the emergency information for one staff member, and the emergency information for one regular volunteer. The file for one child enrolled did contained a medical report dated 10/26/2025; the child was enrolled on 8/13/2025. A fire drill was not available for review for the months of May through July, 2025. The most recent fire inspection was observed to have been completed on 8/13/2024. Health & Safety training topic #10, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, was not completed for one new staff member within 90 days of hire; this training was completed on 5/27/2025; the recorded start date for this staff member was 1/28/2025. The Emergency Preparedness and Response Plan was last updated on 7/15/2024. An off-premise activity schedule was not posted with the location of the activity, purpose of the activity, time and date the activity will take place, and name of the person to be contacted in the event of an emergency. Receipt of Operational and Personnel Policies were not observed to be signed an on file for one new staff member. Medical information, inclusive of medical report, TB test, and health questionnaire, were not observed to be maintained separately from one new staff member's individual personnel file in the center. Mr. Davis stated he did not realize these records were incomplete or not on file for review. He stated the fire inspection was missed in error. Mr. Davis also reported the missing fire drills were completed, but had likely been mistakenly filed at his home office. It is imperative that all records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. You may consider adding children’s applications to the Ready to Go file as soon as paperwork is submitted by the parent/guardian and thoroughly reviewing all requirements for children’s applications to ensure that all required documentation has been completed by the parent/guardian upon enrollment. You may also consider creating a routine system for reviewing staff, program, and children’s records to ensure all information is accurate and on file. You may additionally consider creating a reminder to reach out to your local fire inspector up to one month prior to your annual fire inspection being due. On the playground used by children enrolled, a wooden toy boat/ sandbox structure was observed to have a piece of wood come off the left side (facing the building), leaving this edge sharp to the touch. Mr. Davis stated he suspects this piece came off the structure during children’s play this past Friday, and he discovered it was damaged over the weekend. It is essential for the outdoor learning environment to be a safe place for children to explore in and engage with. Mr. Davis stated he plans to remove this boat from the play area, but will cover the sharp area in the meantime. Consultation Provided During Visit: The following Child Care Rules were reviewed with Mr. Davis during the visit: 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (C) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual's planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. 10A NCAC 09 .0515 PARENT PARTICIPATION (a) Each center shall have a plan that will encourage parent participation and inform parents about the program and its services. The plan shall be discussed with parents on or before the child's first day of attendance and shall be posted in the center or a copy shall be given to parents on or before the child's first day of attendance. (b) The plan shall include the following: (1) a procedure for registering a child for child care that involves both parents when possible and that encourages a visit to the center by the child and the child's parents before the child begins attending the center; (2) opportunities for caregiving staff to meet with parents on a regular basis to discuss their child's needs and progress and to exchange information about the program; (3) activities that provide parents opportunities to participate in the center's program on an individual basis and as a group; (4) a procedure for parents who need information or have complaints about the child care program. Mr. Davis will need to complete .5 credit hours of ongoing training by 11/15/2025. Please ensure “Voluntary Enhanced Requirements” is checked on each Staff: Child Ratio worksheet posted in classrooms for the facility. As the Hold Harmless period has ended, and preparations for the new QRIS Modernization process are underway, I have included the link below to DCDEE’s NC Child Care Commission’s QRIS Modernization Plan (QRIS Reform) website link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Visit the NCRLAP website: Get Ready for the 3s (ECERS-3, ITERS-3, FCCERS-3) https://ncrlap.org/Resources/pages/get-ready-for-3s/ Additionally, you may consider reaching out to local partners at Child Care Resource Center and/or Smart Start of Forsyth County. Their teams are working diligently to support programs with training and more detailed information on the ERS-3 at this time. Beginning in October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license. Mr. Davis stated the facility had an Outreach Assessment completed on 9/23/2025 and 10/01/2025, respectively, by NCRLAP assessors using the ECERS-3 and ITERS-3. Mr. Davis stated he would email me a copy of the assessment report following the visit. We scheduled a Technical Assistance visit for January, 8 2026 to further discuss Pathways 1 and 2 in detail. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. 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

GS110-91 · Violation

Name of Operation: STEP BY STEP DAY CARE Facility ID: 34000461 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 11/4/2025 Number Present: 8 Completed Date: 11/4/2025 Age: From 1 To 4 Total Minutes: 313 Time In: 09:47 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Sandra Davis and James Davis, Owners/Administrators. Your program currently operates with a 4-Star license. Restrictions include 1st and 2nd shift care and meets enhanced ratios. Mr. Davis stated the program is currently only operating 1st shift care. The Secretary of State website was monitored on 11/03/2025, and Step By Step Day Care Center, Inc. was listed as Current/ Active. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, playing outdoors, engaging in conversations and activities with their teachers, eating lunch, and napping during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 11/15/2024. A sanitation inspection was completed 3/13/2025 with a Superior classification. The last fire inspection was conducted on 8/13/2024. Mr. Davis stated the fire inspector is scheduled to visit the facility on Thursday, 11/6/25 to complete the fire inspection. Program records and required postings were monitored. A fire drill was conducted on 10/01/2025. A shelter-in-place drill was documented on 10/02/2025. An outdoor inspection was documented on 10/10/2025. Staff files and children’s records were monitored per DCDEE procedures. One new staff member was reported at the program. The file for one existing staff member was monitored during the visit. The files for two children enrolled were monitored during the visit. Storage of hazardous items was monitored today. No medications were observed, nor reported. Mr. Davis stated the program does not transport children or participate in aquatic activities at this time. Mr. Davis stated the children use the driveway outside of the facility away from the street to get fresh air on days the playground is muddy from rain and all children do not have extra clothing to be changed into or to complete planned, teacher-directed outdoor activities. We discussed the requirements for off premise activities including, but not limited to off-premise activities forms, posted off-premise activities schedule, and the definition of off-premise activities. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection was observed to have been completed on 8/13/2024. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The time of arrival for one child enrolled was not recorded, although the parent did sign the child in with a signature on the record this morning. 10A NCAC 09 .0302(d)(4) 444 A schedule of off premise activities were not posted in each participating classroom to be viewed by parents and/or copy of the schedule was not given to parents. An off-premise activity schedule was not posted with the location of the activity, purpose of the activity, time and date the activity will take place, and name of the person to be contacted in the event of an emergency. .1005(b)(5) 721 All equipment and furnishings were not in good repair. On the playground used by children enrolled, a wooden toy boat/ sandbox structure was observed to have a piece of wood come off the left side (facing the building), leaving this edge sharp to the touch. G.S. 110-91(6); .0601(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not available for review for the months of May through July, 2025. .0604(t); .0302(d)(5) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. The door to the shed located inside the fenced area of the playground used by children was observed to be unlocked; this shed contained power tools, a lawn mower, and other potentially hazardous items. .0604(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A small elastic hair tie with two small beads was observed on top of a toy shelf accessible to children less than three years of age in Space 2. .0604(q) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Receipt of Operational and Personnel Policies were not observed to be signed an on file for one new staff member. 10A NCAC 09 .0514(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The file for one child enrolled did contained a medical report dated 10/26/2025; the child was enrolled on 8/13/2025. GS110-91(1) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, staff and administrator CBCs were also not yet linked to this profile. G.S. 110-90.2 & .2703(r) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file did not contain an application for three children enrolled, the emergency information for one staff member, and the emergency information for one regular volunteer. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response Plan was last updated on 7/15/2024. .0607(e) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Medical information, inclusive of medical report, TB test, and health questionnaire, were not observed to be maintained separately from one new staff member's individual personnel file in the center. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Health & Safety training topic #10, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, was not completed for one new staff member within 90 days of hire; this training was completed on 5/27/2025; the recorded start date for this staff member was 1/28/2025. .1102(g) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 11/18/2025. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 4948 Martin View Lane, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: A facility profile for Criminal Background Checks had not been created; hence, staff and administrator CBCs were also not yet linked to this profile. It is necessary for all staff members to be linked to the center’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Mr. Davis stated he has the instructions I sent via email to complete this process. I emailed Mr. Davis the titled ABCMS Provider Portal Technical Assistance guide during my visit. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. The Ready to Go file did not contain an application for three children enrolled, the emergency information for one staff member, and the emergency information for one regular volunteer. The file for one child enrolled did contained a medical report dated 10/26/2025; the child was enrolled on 8/13/2025. A fire drill was not available for review for the months of May through July, 2025. The most recent fire inspection was observed to have been completed on 8/13/2024. Health & Safety training topic #10, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, was not completed for one new staff member within 90 days of hire; this training was completed on 5/27/2025; the recorded start date for this staff member was 1/28/2025. The Emergency Preparedness and Response Plan was last updated on 7/15/2024. An off-premise activity schedule was not posted with the location of the activity, purpose of the activity, time and date the activity will take place, and name of the person to be contacted in the event of an emergency. Receipt of Operational and Personnel Policies were not observed to be signed an on file for one new staff member. Medical information, inclusive of medical report, TB test, and health questionnaire, were not observed to be maintained separately from one new staff member's individual personnel file in the center. Mr. Davis stated he did not realize these records were incomplete or not on file for review. He stated the fire inspection was missed in error. Mr. Davis also reported the missing fire drills were completed, but had likely been mistakenly filed at his home office. It is imperative that all records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. You may consider adding children’s applications to the Ready to Go file as soon as paperwork is submitted by the parent/guardian and thoroughly reviewing all requirements for children’s applications to ensure that all required documentation has been completed by the parent/guardian upon enrollment. You may also consider creating a routine system for reviewing staff, program, and children’s records to ensure all information is accurate and on file. You may additionally consider creating a reminder to reach out to your local fire inspector up to one month prior to your annual fire inspection being due. On the playground used by children enrolled, a wooden toy boat/ sandbox structure was observed to have a piece of wood come off the left side (facing the building), leaving this edge sharp to the touch. Mr. Davis stated he suspects this piece came off the structure during children’s play this past Friday, and he discovered it was damaged over the weekend. It is essential for the outdoor learning environment to be a safe place for children to explore in and engage with. Mr. Davis stated he plans to remove this boat from the play area, but will cover the sharp area in the meantime. Consultation Provided During Visit: The following Child Care Rules were reviewed with Mr. Davis during the visit: 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (C) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual's planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. 10A NCAC 09 .0515 PARENT PARTICIPATION (a) Each center shall have a plan that will encourage parent participation and inform parents about the program and its services. The plan shall be discussed with parents on or before the child's first day of attendance and shall be posted in the center or a copy shall be given to parents on or before the child's first day of attendance. (b) The plan shall include the following: (1) a procedure for registering a child for child care that involves both parents when possible and that encourages a visit to the center by the child and the child's parents before the child begins attending the center; (2) opportunities for caregiving staff to meet with parents on a regular basis to discuss their child's needs and progress and to exchange information about the program; (3) activities that provide parents opportunities to participate in the center's program on an individual basis and as a group; (4) a procedure for parents who need information or have complaints about the child care program. Mr. Davis will need to complete .5 credit hours of ongoing training by 11/15/2025. Please ensure “Voluntary Enhanced Requirements” is checked on each Staff: Child Ratio worksheet posted in classrooms for the facility. As the Hold Harmless period has ended, and preparations for the new QRIS Modernization process are underway, I have included the link below to DCDEE’s NC Child Care Commission’s QRIS Modernization Plan (QRIS Reform) website link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Visit the NCRLAP website: Get Ready for the 3s (ECERS-3, ITERS-3, FCCERS-3) https://ncrlap.org/Resources/pages/get-ready-for-3s/ Additionally, you may consider reaching out to local partners at Child Care Resource Center and/or Smart Start of Forsyth County. Their teams are working diligently to support programs with training and more detailed information on the ERS-3 at this time. Beginning in October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license. Mr. Davis stated the facility had an Outreach Assessment completed on 9/23/2025 and 10/01/2025, respectively, by NCRLAP assessors using the ECERS-3 and ITERS-3. Mr. Davis stated he would email me a copy of the assessment report following the visit. We scheduled a Technical Assistance visit for January, 8 2026 to further discuss Pathways 1 and 2 in detail. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. 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 .0302 · Violation

Name of Operation: STEP BY STEP DAY CARE Facility ID: 34000461 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 5/1/2025 Number Present: 9 Completed Date: 5/1/2025 Age: From 2 To 3 Total Minutes: 100 Time In: 10:50 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on 2/03/2025. The Administrative Action was observed to be posted just inside the entrance of the program to the left where other required postings are located. This Administrative Action and Corrective Action Plan were reviewed in detail with Mr. James Davis during the visit conducted on 2/21/25. The children in care were observed to be engaged in circle time, general routines, and eating lunch during the visit. The items of the Corrective Action Plan, and the following information were observed and/or monitored: 1) There were no violations of child care requirements documented during today’s visit. Child care requirements regarding staff: child ratio and group sizes were monitored. 2) CAP Item #2 was submitted on 3/03/2025. Feedback was provided on this submission on 3/06/2025. CAP #2 was resubmitted on 3/10/25, and feedback was provided on 3/17/25. CAP #2 was resubmitted on 4/1/25, and an Approval Letter was emailed to Mrs. Davis on 4/11/25. 3) CAP Item #3 was completed on 4/18/2025. During today’s visit, Mr. Davis provided me a copy of the following documents: the facility’s updated Staff/Child Ratios Policies, Documentation, and Procedures; Staff Meeting Minutes from the all staff meeting conducted on 4/18/25 at 10 a.m.; and a Staff Meeting Roster with all required information. Updated Staff/Child Ratios Policies, Documentation, and Procedures state the following: 1) “We now have head count documents that will be used to follow child movement throughout the day, from classroom transitions, on and off playground, meal time, nap time…” A head count sheet was not observed to be used in Space 1. A head count sheet was observed to be used in Space 2, but was not observed to be completed daily and had not been completed since 4/14/2025. 2) “The new sign in and out sheet will have the age of every child enrolled in the center. As a policy when children arrive or depart with parent, the parents are encouraged to sign children in and out. Staff must initial after they sign.” One child was observed not to be signed in in Space 2; Mrs. Davis signed the child in during the visit. You may consider signing children in and out of the program immediately as they are arriving and departing, to ensure this requirement is not overlooked. The following violation was observed during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. One child was observed not to be signed in in Space 2. 10A NCAC 09 .0302(d)(4) Additional visits may be made during the year to monitor child care requirements. Unannounced Visits will also be conducted by a representative of the DCDEE until all CAP Items are completed and observed to be implemented consistently. The following consultation was provided to Mr. Davis during the visit: Mr. & Mrs. Davis were provided a copy of the NC FELD book during the visit. "If weather conditions permit" means: temperatures that fall within the guidelines specified on the Child Care Weather Watch chart. These guidelines shall be used when determining appropriate weather conditions for taking children outside for outdoor learning activities and playtime. This chart may be downloaded free of charge from http://idph.iowa.gov/Portals/1/Files/HCCI/weatherwatch.pdf; and is incorporated by reference and includes subsequent editions and amendments; (I emailed a copy of this Weather Watch Chart to Ms. Davis during the visit). -following the air quality standards as set out in 15A NCAC 18A .2832(d). The Air Quality Color Guide can be found on the Division's web site at https://www.deq.nc.gov/mitigationservices/publicfolder/library/news/brochures/air- quality-colorguide/download; and -no active precipitation. Caregivers may choose to go outdoors when there is active precipitation if children have appropriate clothing such as rain boots and rain coats, or if they are under a covered area. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February, 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401, and someone will assist you. The operator/ administrator was provided the opportunity to ask questions during, and at the conclusion of, the visit. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0713 · Violation

Name of Operation: STEP BY STEP DAY CARE Facility ID: 34000461 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 11/26/2024 Number Present: 9 Completed Date: 11/26/2024 Age: From 1 To 3 Total Minutes: 160 Time In: 08:35 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced An unannounced annual compliance follow-up visit was conducted at this childcare center to monitor staff: child ratios after a violation was cited during the AC visit conducted on 11/15/2024. This visit was also conducted to verify correction of violations documented during my 11/15/24 Annual Compliance Visit. Today’s visit was conducted by Cara McKeown-Stewart, Childcare Consultant with James Davis. Today, the following items were monitored: • Supervision • Staff / Child Ratio • Adequate / Approved Space • Permit Restrictions The license was observed, and the restrictions were found in compliance. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. Mr. Davis mentioned he needed to go to the store for bread, and we discussed meeting enhanced staff: child ratio when children one year of age are in care requires one staff member for every six children. Mr. Davis amended the menu for today during the visit. On 11/15/2024 date, a staff: child ratio violation was observed and documented. Today, I observed eight (8) children, one to three years of age, being supervised in Space 1 by Mr. and Mrs. Davis. Due to a violation regarding staff: child ratios documented on two consecutive visits, an administrative action may be recommended, and you will be notified in writing of any action taken. In addition, a follow-up visit will be conducted. The following violations documented during the Annual Compliance visit on 11/15/2024 were observed to be in compliance during this visit: • Item 428: A current activity plan was not posted for each group of children for reference. A current lesson plan was not posted in Space 1; the date on the lesson plan was for the week of 11/04/24 to 11/08/2024. A current lesson plan for the week of 11/25/24 was observed to be posted in Space 1. • Item #526: Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A current menu for the week was not posted where it can be seen by parents. A current menu which repeats weekly was observed to be posted near the front entrance of the facility. • Item #830: A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. A First Aid poster was not observed to be posted in Space 1. A First Aid posted was observed to be posted in Space 1. At the time of today’s visit, a compliance letter has not been received. Violations requiring additional time for correction must be addressed immediately to ensure a safe environment for the children in your care. This may require you to stop using part of a space/block it off, and/or make other modifications while waiting on supplies (ex: mulch) to be delivered. Continued noncompliance may result in an administrative action per Child Care Rule 10A NCAC 09 .2204(6). The following violation was documented today and included one repeated violation as reflected in the violation customization: Violation Number Comment Rule 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Eight (8) children, one to three years of age, were observed being supervised in Space 1 by Mr. and Mrs. Davis. 10A NCAC 09 .0713(a)(6) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 12/10/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. An unannounced follow-up visit will be conducted to monitor staff/child ratio requirements. Technical Assistance Provided During Today’s Visit: Today, I observed eight (8) children, one to three years of age, being supervised in Space 1 by Mr. and Mrs. Davis. We also discussed children between the ages of 12 months and 24 months may not be grouped with older children unless all children in the group are less than three years of age. Mr. Davis stated he was not expecting me this week, and he was working on correcting all violations cited. He also stated he was training Ms. Brooks on meal preparation and kitchen duties. I reminded Mr. Davis as stated in the Annual Compliance visit summary, all violations must be corrected immediately, and a compliance letter verifying this must be received by the established due date. Child Care Rule 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age. During the visit, the children were separated into the classrooms designated for each age group; Mr. Davis remained with the toddlers, and Mrs. Davis remained with children enrolled who were three years of age. Consultation provided during today’s visit: The following Child Care Sanitation Rule was reviewed with Mr. Davis during the visit: 15A NCAC 18A .2803 HANDWASHING I observed mulch had been added to the playground; however, the mulch in all fall zones, except one still measures between one and five inches in depth. You may consider raking the mulch not needed in other areas of the playground into all fall zones, including beneath the slides and on both sides of all swings. During my visit on 11/15/24, Mr. Davis and I discussed if a volunteer is not compensated and is not ever part of staff/child ratio, a volunteer file may be kept onsite, but that if this individual is compensated and used as a part of staff/child ratio at any time, the person must meet all requirements for a staff member. Mr. Davis stated Ms. Chanuwan Brooks, present during the visit, volunteers daily for approximately four hours per day, and she is interested in potentially becoming a staff member in the future. He stated she is helping to prepare meals for the children and that he is in the process of completing Ms. Brooks’ volunteer file. Please ensure all required documentation for volunteers is completed and on file for review. • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .2204 · Violation

Name of Operation: STEP BY STEP DAY CARE Facility ID: 34000461 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 11/26/2024 Number Present: 9 Completed Date: 11/26/2024 Age: From 1 To 3 Total Minutes: 160 Time In: 08:35 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced An unannounced annual compliance follow-up visit was conducted at this childcare center to monitor staff: child ratios after a violation was cited during the AC visit conducted on 11/15/2024. This visit was also conducted to verify correction of violations documented during my 11/15/24 Annual Compliance Visit. Today’s visit was conducted by Cara McKeown-Stewart, Childcare Consultant with James Davis. Today, the following items were monitored: • Supervision • Staff / Child Ratio • Adequate / Approved Space • Permit Restrictions The license was observed, and the restrictions were found in compliance. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. Mr. Davis mentioned he needed to go to the store for bread, and we discussed meeting enhanced staff: child ratio when children one year of age are in care requires one staff member for every six children. Mr. Davis amended the menu for today during the visit. On 11/15/2024 date, a staff: child ratio violation was observed and documented. Today, I observed eight (8) children, one to three years of age, being supervised in Space 1 by Mr. and Mrs. Davis. Due to a violation regarding staff: child ratios documented on two consecutive visits, an administrative action may be recommended, and you will be notified in writing of any action taken. In addition, a follow-up visit will be conducted. The following violations documented during the Annual Compliance visit on 11/15/2024 were observed to be in compliance during this visit: • Item 428: A current activity plan was not posted for each group of children for reference. A current lesson plan was not posted in Space 1; the date on the lesson plan was for the week of 11/04/24 to 11/08/2024. A current lesson plan for the week of 11/25/24 was observed to be posted in Space 1. • Item #526: Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A current menu for the week was not posted where it can be seen by parents. A current menu which repeats weekly was observed to be posted near the front entrance of the facility. • Item #830: A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. A First Aid poster was not observed to be posted in Space 1. A First Aid posted was observed to be posted in Space 1. At the time of today’s visit, a compliance letter has not been received. Violations requiring additional time for correction must be addressed immediately to ensure a safe environment for the children in your care. This may require you to stop using part of a space/block it off, and/or make other modifications while waiting on supplies (ex: mulch) to be delivered. Continued noncompliance may result in an administrative action per Child Care Rule 10A NCAC 09 .2204(6). The following violation was documented today and included one repeated violation as reflected in the violation customization: Violation Number Comment Rule 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Eight (8) children, one to three years of age, were observed being supervised in Space 1 by Mr. and Mrs. Davis. 10A NCAC 09 .0713(a)(6) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 12/10/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. An unannounced follow-up visit will be conducted to monitor staff/child ratio requirements. Technical Assistance Provided During Today’s Visit: Today, I observed eight (8) children, one to three years of age, being supervised in Space 1 by Mr. and Mrs. Davis. We also discussed children between the ages of 12 months and 24 months may not be grouped with older children unless all children in the group are less than three years of age. Mr. Davis stated he was not expecting me this week, and he was working on correcting all violations cited. He also stated he was training Ms. Brooks on meal preparation and kitchen duties. I reminded Mr. Davis as stated in the Annual Compliance visit summary, all violations must be corrected immediately, and a compliance letter verifying this must be received by the established due date. Child Care Rule 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age. During the visit, the children were separated into the classrooms designated for each age group; Mr. Davis remained with the toddlers, and Mrs. Davis remained with children enrolled who were three years of age. Consultation provided during today’s visit: The following Child Care Sanitation Rule was reviewed with Mr. Davis during the visit: 15A NCAC 18A .2803 HANDWASHING I observed mulch had been added to the playground; however, the mulch in all fall zones, except one still measures between one and five inches in depth. You may consider raking the mulch not needed in other areas of the playground into all fall zones, including beneath the slides and on both sides of all swings. During my visit on 11/15/24, Mr. Davis and I discussed if a volunteer is not compensated and is not ever part of staff/child ratio, a volunteer file may be kept onsite, but that if this individual is compensated and used as a part of staff/child ratio at any time, the person must meet all requirements for a staff member. Mr. Davis stated Ms. Chanuwan Brooks, present during the visit, volunteers daily for approximately four hours per day, and she is interested in potentially becoming a staff member in the future. He stated she is helping to prepare meals for the children and that he is in the process of completing Ms. Brooks’ volunteer file. Please ensure all required documentation for volunteers is completed and on file for review. • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0713 · Violation

Name of Operation: STEP BY STEP DAY CARE Facility ID: 34000461 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 11/15/2024 Number Present: 11 Completed Date: 11/15/2024 Age: From 1 To 3 Total Minutes: 265 Time In: 10:05 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Sandra Davis and James Davis, Owners/Administrators. Your program currently operates with a 4-Star license. Restrictions include 1st and 2nd shift care and meets enhanced ratios. Mr. Davis stated the program is currently only operating 1st shift care. The Secretary of State website was monitored on 11/15/2024, and Step By Step Day Care Center, Inc. was listed as Current/ Active. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 87% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities with Mr. and Mrs. Davis and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 12/06/2023. A sanitation inspection was completed 1/08/2024 with a Superior classification. The last fire inspection was conducted on 8/13/2024. Program records and required postings were monitored. A fire drill was conducted on 11/01/2024. A shelter-in-place drill was documented on 11/01/2024. An outdoor inspection was documented on 10/07/2024. Staff files and children’s records were monitored per DCDEE procedures. No new staff were reported at the program. The file for one existing staff member was monitored during the visit. The files for two children enrolled were monitored during the visit. Storage of hazardous items was monitored today. No medications were observed, nor reported. Mr. Davis stated the program does not transport children or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. The file for one child enrolled did not contain a signed receipt of NC Summary of Child Care Law. GS 110-102 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Eleven children, one to three years of age, were observed in Space 1 with one staff member. 10A NCAC 09 .0713(a)(6) 428 A current activity plan was not posted for each group of children for reference. A current lesson plan was not posted in Space 1; the date on the lesson plan was for the week of 11/04/24 to 11/08/2024. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A current menu for the week was not posted where it can be seen by parents. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not available for review for the month of September, 2024. .0604(t); .0302(d)(5) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. A First Aid poster was not observed to be posted in Space 1. .0802(h) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A small spray bottle of hand sanitizer labeled Keep Out of Reach of Children with additional warnings was observed stored less than five feet from the ground. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 1, foam letters and small, plastic unit blocks which fit inside a choking tube were accessible to children under the age of three. In Space 2, a classroom designated for children one and two years of age, a sheet of tin foil and two foam sponges were observed accessible to children. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not available for review for the month of September, 2024. .0605(q) 1054 Documentation of staff's on-going training was not on file and/or was not current. The ongoing training log for one existing staff member was observed to be on file, but blank. 10A NCAC 09 .1106(a) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file did not contain an application for seven children enrolled. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The annual review of the Emergency Preparedness and Response Plan was completed for one existing staff member on 2/01/2024; the last annual review was completed on 1/09/2023. .0607(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On the playground used by children enrolled, the mulch surfacing in the four fall zones around the swings measured less than six inches in three of the four fall zones. The mulch surfacing in all fall zones surrounding the stationary play structure measured between one and three inches. .0605(k)(1-4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Health & Safety training topic #10, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, was observed to be last taken on 5/06/2019 for one existing staff member. .1103(b) 1907 A copy of the Prevention of Shaken Baby and Abusive Head Trauma policy was not given to or explained to parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. The file for one child enrolled did not contain a signed receipt of Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. .0608(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 11/29/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. An unannounced follow-up visit will be conducted to monitor staff/child ratio requirements. Technical Assistance Provided During Visit: Upon arrival to the program, I observed eleven (11) children, one to three years of age, being supervised in Space 1 by Mrs. Davis. Mr. Davis stated Space 2 was currently only in use during nap time, due to losing a staff member unexpectedly approximately three weeks ago. Mr. Davis was in the kitchen (located directly next to Space 1 and separated by a half door) preparing lunch for the children. I stated to Mr. Davis children between the ages of 12 months and 24 months may not be grouped with older children unless all children in the group are less than three years of age and staff members and child care administrators who are counted in meeting the staff/child ratios as stated in 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (8) may not also perform food preparation or other duties that are not direct child care responsibilities. Mr. Davis stated the staffing shortage has been difficult for the program recently and that he anticipates having a volunteer begin within the next week to two weeks to support the program in preparing meals. You may consider either having meals and snacks prepared ahead of time, or having meals and snacks catered or delivered to the program during this time. Mr. Davis stated the program had meals catered once before in a similar situation, and they would plan to do so again. He and I also discussed if the volunteer is not compensated and is not ever part of staff/child ratio, a volunteer file may be kept onsite, but that if this individual is compensated and used as a part of staff/child ratio at any time, the person must meet all requirements for a staff member. During the visit, the children were separated into the classrooms designated for each age group; Mrs. Davis remained with the toddlers, and Mr. Davis remained with children enrolled who were three years of age. The Ready to Go file did not contain an application for seven children enrolled. A First Aid poster was not observed to be posted in Space 1. The file for one child enrolled did not contain a signed receipt of NC Summary of Child Care Law, Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. A fire drill and playground inspection were not available for review for the month of September, 2024. A current menu for the week was not posted where it can be seen by parents. A current lesson plan was not posted in Space 1; the date on the lesson plan was for the week of 11/04/24 to 11/08/2024. Health & Safety training topic #10, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, was observed to be last taken on 5/06/2019 for one existing staff member. The ongoing training log for one existing staff member was observed to be on file, but blank. The annual review of the Emergency Preparedness and Response Plan was completed for one existing staff member on 2/01/2024; the last annual review was completed on 1/09/2023. Mr. Davis stated he did not realize these records were incomplete or not on file for review. It is imperative that all records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. You may consider adding children’s applications to the Ready to Go file as soon as paperwork is submitted by the parent/guardian and thoroughly reviewing all requirements for children’s applications to ensure that all required documentation has been completed by the parent/guardian upon enrollment. You may also consider creating a routine system for reviewing staff, program, and children’s records to ensure all information is accurate and on file. A small spray bottle of hand sanitizer labeled Keep Out of Reach of Children with additional warnings was observed stored less than five feet from the ground; this bottle was removed from the child care space during the visit by Mr. Davis. In Space 1, foam letters and small, plastic unit blocks which fit inside a choking tube were accessible to children under the age of three; Ms. Davis made this items inaccessible during the visit. In Space 2, a classroom designated for children one and two years of age, a sheet of tin foil and two foam sponges were observed accessible to children. Mr. Davis removed these items from the classroom during the visit. On the playground used by children enrolled, the mulch surfacing in the four fall zones around the swings measured less than six inches in three of the four fall zones. The mulch surfacing in all fall zones surrounding the stationary play structure measured between one and three inches. It is essential for the outdoor learning environment to be a safe place for children to explore in and engage with. Mr. Davis stated he planned to till the mulch in these areas and may purchase additional mulch. I stated to Mr. Davis there is not a current mulch shortage if he decides to order mulch. You may also consider adding a measurement of the surfacing in all fall zones to your monthly playground inspection. Consultation Provided During Visit: The following Child Care Rules were reviewed with Mr. Davis during the visit: 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (d) 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February, 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401, and someone will assist you. "If weather conditions permit" means: Temperatures that fall within the guidelines developed by the Iowa Department of Public Health and specified on the Child Care Weather Watch chart. These guidelines shall be used when determining appropriate weather conditions for taking children outside for outdoor learning activities and playtime. This chart may be downloaded free of charge from: http://idph.iowa.gov/Portals/1/Files/HCCI/weatherwatch.pdf; (b) Following the air quality standards as set out in 15A NCAC 18A .2832(d). The Air Quality Color Guide can be found on the Division's web site at https://xapps.ncdenr.org/aq/ForecastCenter or call 1-888-RU4NCAIR (1-888-784-6224); and (c) no active precipitation. Caregivers may choose to go outdoors when there is active precipitation if children have appropriate clothing such as rain boots and rain coats, or if they are under a covered area. Please consider keeping extra coats, sweatshirts, pants, rain coats, jackets, rain boots, shoes, socks, etc. in the classroom so that children can still spend time outdoors during a range of temperatures and weather conditions that are safe. Learn more about the ERS and meeting the “weather permitting” requirement from the following video link on NCRLAP’s website: https://vimeo.com/480411371. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. 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 .0901 · Violation

Name of Operation: STEP BY STEP DAY CARE Facility ID: 34000461 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 11/15/2024 Number Present: 11 Completed Date: 11/15/2024 Age: From 1 To 3 Total Minutes: 265 Time In: 10:05 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Sandra Davis and James Davis, Owners/Administrators. Your program currently operates with a 4-Star license. Restrictions include 1st and 2nd shift care and meets enhanced ratios. Mr. Davis stated the program is currently only operating 1st shift care. The Secretary of State website was monitored on 11/15/2024, and Step By Step Day Care Center, Inc. was listed as Current/ Active. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 87% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities with Mr. and Mrs. Davis and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 12/06/2023. A sanitation inspection was completed 1/08/2024 with a Superior classification. The last fire inspection was conducted on 8/13/2024. Program records and required postings were monitored. A fire drill was conducted on 11/01/2024. A shelter-in-place drill was documented on 11/01/2024. An outdoor inspection was documented on 10/07/2024. Staff files and children’s records were monitored per DCDEE procedures. No new staff were reported at the program. The file for one existing staff member was monitored during the visit. The files for two children enrolled were monitored during the visit. Storage of hazardous items was monitored today. No medications were observed, nor reported. Mr. Davis stated the program does not transport children or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. The file for one child enrolled did not contain a signed receipt of NC Summary of Child Care Law. GS 110-102 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Eleven children, one to three years of age, were observed in Space 1 with one staff member. 10A NCAC 09 .0713(a)(6) 428 A current activity plan was not posted for each group of children for reference. A current lesson plan was not posted in Space 1; the date on the lesson plan was for the week of 11/04/24 to 11/08/2024. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A current menu for the week was not posted where it can be seen by parents. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not available for review for the month of September, 2024. .0604(t); .0302(d)(5) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. A First Aid poster was not observed to be posted in Space 1. .0802(h) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A small spray bottle of hand sanitizer labeled Keep Out of Reach of Children with additional warnings was observed stored less than five feet from the ground. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 1, foam letters and small, plastic unit blocks which fit inside a choking tube were accessible to children under the age of three. In Space 2, a classroom designated for children one and two years of age, a sheet of tin foil and two foam sponges were observed accessible to children. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not available for review for the month of September, 2024. .0605(q) 1054 Documentation of staff's on-going training was not on file and/or was not current. The ongoing training log for one existing staff member was observed to be on file, but blank. 10A NCAC 09 .1106(a) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file did not contain an application for seven children enrolled. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The annual review of the Emergency Preparedness and Response Plan was completed for one existing staff member on 2/01/2024; the last annual review was completed on 1/09/2023. .0607(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On the playground used by children enrolled, the mulch surfacing in the four fall zones around the swings measured less than six inches in three of the four fall zones. The mulch surfacing in all fall zones surrounding the stationary play structure measured between one and three inches. .0605(k)(1-4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Health & Safety training topic #10, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, was observed to be last taken on 5/06/2019 for one existing staff member. .1103(b) 1907 A copy of the Prevention of Shaken Baby and Abusive Head Trauma policy was not given to or explained to parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. The file for one child enrolled did not contain a signed receipt of Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. .0608(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 11/29/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. An unannounced follow-up visit will be conducted to monitor staff/child ratio requirements. Technical Assistance Provided During Visit: Upon arrival to the program, I observed eleven (11) children, one to three years of age, being supervised in Space 1 by Mrs. Davis. Mr. Davis stated Space 2 was currently only in use during nap time, due to losing a staff member unexpectedly approximately three weeks ago. Mr. Davis was in the kitchen (located directly next to Space 1 and separated by a half door) preparing lunch for the children. I stated to Mr. Davis children between the ages of 12 months and 24 months may not be grouped with older children unless all children in the group are less than three years of age and staff members and child care administrators who are counted in meeting the staff/child ratios as stated in 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (8) may not also perform food preparation or other duties that are not direct child care responsibilities. Mr. Davis stated the staffing shortage has been difficult for the program recently and that he anticipates having a volunteer begin within the next week to two weeks to support the program in preparing meals. You may consider either having meals and snacks prepared ahead of time, or having meals and snacks catered or delivered to the program during this time. Mr. Davis stated the program had meals catered once before in a similar situation, and they would plan to do so again. He and I also discussed if the volunteer is not compensated and is not ever part of staff/child ratio, a volunteer file may be kept onsite, but that if this individual is compensated and used as a part of staff/child ratio at any time, the person must meet all requirements for a staff member. During the visit, the children were separated into the classrooms designated for each age group; Mrs. Davis remained with the toddlers, and Mr. Davis remained with children enrolled who were three years of age. The Ready to Go file did not contain an application for seven children enrolled. A First Aid poster was not observed to be posted in Space 1. The file for one child enrolled did not contain a signed receipt of NC Summary of Child Care Law, Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. A fire drill and playground inspection were not available for review for the month of September, 2024. A current menu for the week was not posted where it can be seen by parents. A current lesson plan was not posted in Space 1; the date on the lesson plan was for the week of 11/04/24 to 11/08/2024. Health & Safety training topic #10, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, was observed to be last taken on 5/06/2019 for one existing staff member. The ongoing training log for one existing staff member was observed to be on file, but blank. The annual review of the Emergency Preparedness and Response Plan was completed for one existing staff member on 2/01/2024; the last annual review was completed on 1/09/2023. Mr. Davis stated he did not realize these records were incomplete or not on file for review. It is imperative that all records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. You may consider adding children’s applications to the Ready to Go file as soon as paperwork is submitted by the parent/guardian and thoroughly reviewing all requirements for children’s applications to ensure that all required documentation has been completed by the parent/guardian upon enrollment. You may also consider creating a routine system for reviewing staff, program, and children’s records to ensure all information is accurate and on file. A small spray bottle of hand sanitizer labeled Keep Out of Reach of Children with additional warnings was observed stored less than five feet from the ground; this bottle was removed from the child care space during the visit by Mr. Davis. In Space 1, foam letters and small, plastic unit blocks which fit inside a choking tube were accessible to children under the age of three; Ms. Davis made this items inaccessible during the visit. In Space 2, a classroom designated for children one and two years of age, a sheet of tin foil and two foam sponges were observed accessible to children. Mr. Davis removed these items from the classroom during the visit. On the playground used by children enrolled, the mulch surfacing in the four fall zones around the swings measured less than six inches in three of the four fall zones. The mulch surfacing in all fall zones surrounding the stationary play structure measured between one and three inches. It is essential for the outdoor learning environment to be a safe place for children to explore in and engage with. Mr. Davis stated he planned to till the mulch in these areas and may purchase additional mulch. I stated to Mr. Davis there is not a current mulch shortage if he decides to order mulch. You may also consider adding a measurement of the surfacing in all fall zones to your monthly playground inspection. Consultation Provided During Visit: The following Child Care Rules were reviewed with Mr. Davis during the visit: 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (d) 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February, 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401, and someone will assist you. "If weather conditions permit" means: Temperatures that fall within the guidelines developed by the Iowa Department of Public Health and specified on the Child Care Weather Watch chart. These guidelines shall be used when determining appropriate weather conditions for taking children outside for outdoor learning activities and playtime. This chart may be downloaded free of charge from: http://idph.iowa.gov/Portals/1/Files/HCCI/weatherwatch.pdf; (b) Following the air quality standards as set out in 15A NCAC 18A .2832(d). The Air Quality Color Guide can be found on the Division's web site at https://xapps.ncdenr.org/aq/ForecastCenter or call 1-888-RU4NCAIR (1-888-784-6224); and (c) no active precipitation. Caregivers may choose to go outdoors when there is active precipitation if children have appropriate clothing such as rain boots and rain coats, or if they are under a covered area. Please consider keeping extra coats, sweatshirts, pants, rain coats, jackets, rain boots, shoes, socks, etc. in the classroom so that children can still spend time outdoors during a range of temperatures and weather conditions that are safe. Learn more about the ERS and meeting the “weather permitting” requirement from the following video link on NCRLAP’s website: https://vimeo.com/480411371. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. 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 .1005 · Violation

Name of Operation: STEP BY STEP DAY CARE Facility ID: 34000461 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 11/15/2024 Number Present: 11 Completed Date: 11/15/2024 Age: From 1 To 3 Total Minutes: 265 Time In: 10:05 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Sandra Davis and James Davis, Owners/Administrators. Your program currently operates with a 4-Star license. Restrictions include 1st and 2nd shift care and meets enhanced ratios. Mr. Davis stated the program is currently only operating 1st shift care. The Secretary of State website was monitored on 11/15/2024, and Step By Step Day Care Center, Inc. was listed as Current/ Active. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 87% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities with Mr. and Mrs. Davis and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 12/06/2023. A sanitation inspection was completed 1/08/2024 with a Superior classification. The last fire inspection was conducted on 8/13/2024. Program records and required postings were monitored. A fire drill was conducted on 11/01/2024. A shelter-in-place drill was documented on 11/01/2024. An outdoor inspection was documented on 10/07/2024. Staff files and children’s records were monitored per DCDEE procedures. No new staff were reported at the program. The file for one existing staff member was monitored during the visit. The files for two children enrolled were monitored during the visit. Storage of hazardous items was monitored today. No medications were observed, nor reported. Mr. Davis stated the program does not transport children or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. The file for one child enrolled did not contain a signed receipt of NC Summary of Child Care Law. GS 110-102 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Eleven children, one to three years of age, were observed in Space 1 with one staff member. 10A NCAC 09 .0713(a)(6) 428 A current activity plan was not posted for each group of children for reference. A current lesson plan was not posted in Space 1; the date on the lesson plan was for the week of 11/04/24 to 11/08/2024. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A current menu for the week was not posted where it can be seen by parents. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not available for review for the month of September, 2024. .0604(t); .0302(d)(5) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. A First Aid poster was not observed to be posted in Space 1. .0802(h) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A small spray bottle of hand sanitizer labeled Keep Out of Reach of Children with additional warnings was observed stored less than five feet from the ground. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 1, foam letters and small, plastic unit blocks which fit inside a choking tube were accessible to children under the age of three. In Space 2, a classroom designated for children one and two years of age, a sheet of tin foil and two foam sponges were observed accessible to children. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not available for review for the month of September, 2024. .0605(q) 1054 Documentation of staff's on-going training was not on file and/or was not current. The ongoing training log for one existing staff member was observed to be on file, but blank. 10A NCAC 09 .1106(a) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file did not contain an application for seven children enrolled. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The annual review of the Emergency Preparedness and Response Plan was completed for one existing staff member on 2/01/2024; the last annual review was completed on 1/09/2023. .0607(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On the playground used by children enrolled, the mulch surfacing in the four fall zones around the swings measured less than six inches in three of the four fall zones. The mulch surfacing in all fall zones surrounding the stationary play structure measured between one and three inches. .0605(k)(1-4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Health & Safety training topic #10, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, was observed to be last taken on 5/06/2019 for one existing staff member. .1103(b) 1907 A copy of the Prevention of Shaken Baby and Abusive Head Trauma policy was not given to or explained to parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. The file for one child enrolled did not contain a signed receipt of Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. .0608(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 11/29/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. An unannounced follow-up visit will be conducted to monitor staff/child ratio requirements. Technical Assistance Provided During Visit: Upon arrival to the program, I observed eleven (11) children, one to three years of age, being supervised in Space 1 by Mrs. Davis. Mr. Davis stated Space 2 was currently only in use during nap time, due to losing a staff member unexpectedly approximately three weeks ago. Mr. Davis was in the kitchen (located directly next to Space 1 and separated by a half door) preparing lunch for the children. I stated to Mr. Davis children between the ages of 12 months and 24 months may not be grouped with older children unless all children in the group are less than three years of age and staff members and child care administrators who are counted in meeting the staff/child ratios as stated in 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (8) may not also perform food preparation or other duties that are not direct child care responsibilities. Mr. Davis stated the staffing shortage has been difficult for the program recently and that he anticipates having a volunteer begin within the next week to two weeks to support the program in preparing meals. You may consider either having meals and snacks prepared ahead of time, or having meals and snacks catered or delivered to the program during this time. Mr. Davis stated the program had meals catered once before in a similar situation, and they would plan to do so again. He and I also discussed if the volunteer is not compensated and is not ever part of staff/child ratio, a volunteer file may be kept onsite, but that if this individual is compensated and used as a part of staff/child ratio at any time, the person must meet all requirements for a staff member. During the visit, the children were separated into the classrooms designated for each age group; Mrs. Davis remained with the toddlers, and Mr. Davis remained with children enrolled who were three years of age. The Ready to Go file did not contain an application for seven children enrolled. A First Aid poster was not observed to be posted in Space 1. The file for one child enrolled did not contain a signed receipt of NC Summary of Child Care Law, Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. A fire drill and playground inspection were not available for review for the month of September, 2024. A current menu for the week was not posted where it can be seen by parents. A current lesson plan was not posted in Space 1; the date on the lesson plan was for the week of 11/04/24 to 11/08/2024. Health & Safety training topic #10, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, was observed to be last taken on 5/06/2019 for one existing staff member. The ongoing training log for one existing staff member was observed to be on file, but blank. The annual review of the Emergency Preparedness and Response Plan was completed for one existing staff member on 2/01/2024; the last annual review was completed on 1/09/2023. Mr. Davis stated he did not realize these records were incomplete or not on file for review. It is imperative that all records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. You may consider adding children’s applications to the Ready to Go file as soon as paperwork is submitted by the parent/guardian and thoroughly reviewing all requirements for children’s applications to ensure that all required documentation has been completed by the parent/guardian upon enrollment. You may also consider creating a routine system for reviewing staff, program, and children’s records to ensure all information is accurate and on file. A small spray bottle of hand sanitizer labeled Keep Out of Reach of Children with additional warnings was observed stored less than five feet from the ground; this bottle was removed from the child care space during the visit by Mr. Davis. In Space 1, foam letters and small, plastic unit blocks which fit inside a choking tube were accessible to children under the age of three; Ms. Davis made this items inaccessible during the visit. In Space 2, a classroom designated for children one and two years of age, a sheet of tin foil and two foam sponges were observed accessible to children. Mr. Davis removed these items from the classroom during the visit. On the playground used by children enrolled, the mulch surfacing in the four fall zones around the swings measured less than six inches in three of the four fall zones. The mulch surfacing in all fall zones surrounding the stationary play structure measured between one and three inches. It is essential for the outdoor learning environment to be a safe place for children to explore in and engage with. Mr. Davis stated he planned to till the mulch in these areas and may purchase additional mulch. I stated to Mr. Davis there is not a current mulch shortage if he decides to order mulch. You may also consider adding a measurement of the surfacing in all fall zones to your monthly playground inspection. Consultation Provided During Visit: The following Child Care Rules were reviewed with Mr. Davis during the visit: 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (d) 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February, 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401, and someone will assist you. "If weather conditions permit" means: Temperatures that fall within the guidelines developed by the Iowa Department of Public Health and specified on the Child Care Weather Watch chart. These guidelines shall be used when determining appropriate weather conditions for taking children outside for outdoor learning activities and playtime. This chart may be downloaded free of charge from: http://idph.iowa.gov/Portals/1/Files/HCCI/weatherwatch.pdf; (b) Following the air quality standards as set out in 15A NCAC 18A .2832(d). The Air Quality Color Guide can be found on the Division's web site at https://xapps.ncdenr.org/aq/ForecastCenter or call 1-888-RU4NCAIR (1-888-784-6224); and (c) no active precipitation. Caregivers may choose to go outdoors when there is active precipitation if children have appropriate clothing such as rain boots and rain coats, or if they are under a covered area. Please consider keeping extra coats, sweatshirts, pants, rain coats, jackets, rain boots, shoes, socks, etc. in the classroom so that children can still spend time outdoors during a range of temperatures and weather conditions that are safe. Learn more about the ERS and meeting the “weather permitting” requirement from the following video link on NCRLAP’s website: https://vimeo.com/480411371. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. 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 .1106 · Violation

Name of Operation: STEP BY STEP DAY CARE Facility ID: 34000461 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 11/15/2024 Number Present: 11 Completed Date: 11/15/2024 Age: From 1 To 3 Total Minutes: 265 Time In: 10:05 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Sandra Davis and James Davis, Owners/Administrators. Your program currently operates with a 4-Star license. Restrictions include 1st and 2nd shift care and meets enhanced ratios. Mr. Davis stated the program is currently only operating 1st shift care. The Secretary of State website was monitored on 11/15/2024, and Step By Step Day Care Center, Inc. was listed as Current/ Active. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 87% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities with Mr. and Mrs. Davis and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 12/06/2023. A sanitation inspection was completed 1/08/2024 with a Superior classification. The last fire inspection was conducted on 8/13/2024. Program records and required postings were monitored. A fire drill was conducted on 11/01/2024. A shelter-in-place drill was documented on 11/01/2024. An outdoor inspection was documented on 10/07/2024. Staff files and children’s records were monitored per DCDEE procedures. No new staff were reported at the program. The file for one existing staff member was monitored during the visit. The files for two children enrolled were monitored during the visit. Storage of hazardous items was monitored today. No medications were observed, nor reported. Mr. Davis stated the program does not transport children or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. The file for one child enrolled did not contain a signed receipt of NC Summary of Child Care Law. GS 110-102 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Eleven children, one to three years of age, were observed in Space 1 with one staff member. 10A NCAC 09 .0713(a)(6) 428 A current activity plan was not posted for each group of children for reference. A current lesson plan was not posted in Space 1; the date on the lesson plan was for the week of 11/04/24 to 11/08/2024. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A current menu for the week was not posted where it can be seen by parents. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not available for review for the month of September, 2024. .0604(t); .0302(d)(5) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. A First Aid poster was not observed to be posted in Space 1. .0802(h) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A small spray bottle of hand sanitizer labeled Keep Out of Reach of Children with additional warnings was observed stored less than five feet from the ground. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 1, foam letters and small, plastic unit blocks which fit inside a choking tube were accessible to children under the age of three. In Space 2, a classroom designated for children one and two years of age, a sheet of tin foil and two foam sponges were observed accessible to children. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not available for review for the month of September, 2024. .0605(q) 1054 Documentation of staff's on-going training was not on file and/or was not current. The ongoing training log for one existing staff member was observed to be on file, but blank. 10A NCAC 09 .1106(a) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file did not contain an application for seven children enrolled. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The annual review of the Emergency Preparedness and Response Plan was completed for one existing staff member on 2/01/2024; the last annual review was completed on 1/09/2023. .0607(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On the playground used by children enrolled, the mulch surfacing in the four fall zones around the swings measured less than six inches in three of the four fall zones. The mulch surfacing in all fall zones surrounding the stationary play structure measured between one and three inches. .0605(k)(1-4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Health & Safety training topic #10, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, was observed to be last taken on 5/06/2019 for one existing staff member. .1103(b) 1907 A copy of the Prevention of Shaken Baby and Abusive Head Trauma policy was not given to or explained to parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. The file for one child enrolled did not contain a signed receipt of Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. .0608(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 11/29/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. An unannounced follow-up visit will be conducted to monitor staff/child ratio requirements. Technical Assistance Provided During Visit: Upon arrival to the program, I observed eleven (11) children, one to three years of age, being supervised in Space 1 by Mrs. Davis. Mr. Davis stated Space 2 was currently only in use during nap time, due to losing a staff member unexpectedly approximately three weeks ago. Mr. Davis was in the kitchen (located directly next to Space 1 and separated by a half door) preparing lunch for the children. I stated to Mr. Davis children between the ages of 12 months and 24 months may not be grouped with older children unless all children in the group are less than three years of age and staff members and child care administrators who are counted in meeting the staff/child ratios as stated in 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (8) may not also perform food preparation or other duties that are not direct child care responsibilities. Mr. Davis stated the staffing shortage has been difficult for the program recently and that he anticipates having a volunteer begin within the next week to two weeks to support the program in preparing meals. You may consider either having meals and snacks prepared ahead of time, or having meals and snacks catered or delivered to the program during this time. Mr. Davis stated the program had meals catered once before in a similar situation, and they would plan to do so again. He and I also discussed if the volunteer is not compensated and is not ever part of staff/child ratio, a volunteer file may be kept onsite, but that if this individual is compensated and used as a part of staff/child ratio at any time, the person must meet all requirements for a staff member. During the visit, the children were separated into the classrooms designated for each age group; Mrs. Davis remained with the toddlers, and Mr. Davis remained with children enrolled who were three years of age. The Ready to Go file did not contain an application for seven children enrolled. A First Aid poster was not observed to be posted in Space 1. The file for one child enrolled did not contain a signed receipt of NC Summary of Child Care Law, Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. A fire drill and playground inspection were not available for review for the month of September, 2024. A current menu for the week was not posted where it can be seen by parents. A current lesson plan was not posted in Space 1; the date on the lesson plan was for the week of 11/04/24 to 11/08/2024. Health & Safety training topic #10, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, was observed to be last taken on 5/06/2019 for one existing staff member. The ongoing training log for one existing staff member was observed to be on file, but blank. The annual review of the Emergency Preparedness and Response Plan was completed for one existing staff member on 2/01/2024; the last annual review was completed on 1/09/2023. Mr. Davis stated he did not realize these records were incomplete or not on file for review. It is imperative that all records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. You may consider adding children’s applications to the Ready to Go file as soon as paperwork is submitted by the parent/guardian and thoroughly reviewing all requirements for children’s applications to ensure that all required documentation has been completed by the parent/guardian upon enrollment. You may also consider creating a routine system for reviewing staff, program, and children’s records to ensure all information is accurate and on file. A small spray bottle of hand sanitizer labeled Keep Out of Reach of Children with additional warnings was observed stored less than five feet from the ground; this bottle was removed from the child care space during the visit by Mr. Davis. In Space 1, foam letters and small, plastic unit blocks which fit inside a choking tube were accessible to children under the age of three; Ms. Davis made this items inaccessible during the visit. In Space 2, a classroom designated for children one and two years of age, a sheet of tin foil and two foam sponges were observed accessible to children. Mr. Davis removed these items from the classroom during the visit. On the playground used by children enrolled, the mulch surfacing in the four fall zones around the swings measured less than six inches in three of the four fall zones. The mulch surfacing in all fall zones surrounding the stationary play structure measured between one and three inches. It is essential for the outdoor learning environment to be a safe place for children to explore in and engage with. Mr. Davis stated he planned to till the mulch in these areas and may purchase additional mulch. I stated to Mr. Davis there is not a current mulch shortage if he decides to order mulch. You may also consider adding a measurement of the surfacing in all fall zones to your monthly playground inspection. Consultation Provided During Visit: The following Child Care Rules were reviewed with Mr. Davis during the visit: 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (d) 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February, 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401, and someone will assist you. "If weather conditions permit" means: Temperatures that fall within the guidelines developed by the Iowa Department of Public Health and specified on the Child Care Weather Watch chart. These guidelines shall be used when determining appropriate weather conditions for taking children outside for outdoor learning activities and playtime. This chart may be downloaded free of charge from: http://idph.iowa.gov/Portals/1/Files/HCCI/weatherwatch.pdf; (b) Following the air quality standards as set out in 15A NCAC 18A .2832(d). The Air Quality Color Guide can be found on the Division's web site at https://xapps.ncdenr.org/aq/ForecastCenter or call 1-888-RU4NCAIR (1-888-784-6224); and (c) no active precipitation. Caregivers may choose to go outdoors when there is active precipitation if children have appropriate clothing such as rain boots and rain coats, or if they are under a covered area. Please consider keeping extra coats, sweatshirts, pants, rain coats, jackets, rain boots, shoes, socks, etc. in the classroom so that children can still spend time outdoors during a range of temperatures and weather conditions that are safe. Learn more about the ERS and meeting the “weather permitting” requirement from the following video link on NCRLAP’s website: https://vimeo.com/480411371. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-102 · Violation

Name of Operation: STEP BY STEP DAY CARE Facility ID: 34000461 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 11/15/2024 Number Present: 11 Completed Date: 11/15/2024 Age: From 1 To 3 Total Minutes: 265 Time In: 10:05 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Sandra Davis and James Davis, Owners/Administrators. Your program currently operates with a 4-Star license. Restrictions include 1st and 2nd shift care and meets enhanced ratios. Mr. Davis stated the program is currently only operating 1st shift care. The Secretary of State website was monitored on 11/15/2024, and Step By Step Day Care Center, Inc. was listed as Current/ Active. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 87% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities with Mr. and Mrs. Davis and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 12/06/2023. A sanitation inspection was completed 1/08/2024 with a Superior classification. The last fire inspection was conducted on 8/13/2024. Program records and required postings were monitored. A fire drill was conducted on 11/01/2024. A shelter-in-place drill was documented on 11/01/2024. An outdoor inspection was documented on 10/07/2024. Staff files and children’s records were monitored per DCDEE procedures. No new staff were reported at the program. The file for one existing staff member was monitored during the visit. The files for two children enrolled were monitored during the visit. Storage of hazardous items was monitored today. No medications were observed, nor reported. Mr. Davis stated the program does not transport children or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. The file for one child enrolled did not contain a signed receipt of NC Summary of Child Care Law. GS 110-102 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Eleven children, one to three years of age, were observed in Space 1 with one staff member. 10A NCAC 09 .0713(a)(6) 428 A current activity plan was not posted for each group of children for reference. A current lesson plan was not posted in Space 1; the date on the lesson plan was for the week of 11/04/24 to 11/08/2024. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A current menu for the week was not posted where it can be seen by parents. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not available for review for the month of September, 2024. .0604(t); .0302(d)(5) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. A First Aid poster was not observed to be posted in Space 1. .0802(h) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A small spray bottle of hand sanitizer labeled Keep Out of Reach of Children with additional warnings was observed stored less than five feet from the ground. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 1, foam letters and small, plastic unit blocks which fit inside a choking tube were accessible to children under the age of three. In Space 2, a classroom designated for children one and two years of age, a sheet of tin foil and two foam sponges were observed accessible to children. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not available for review for the month of September, 2024. .0605(q) 1054 Documentation of staff's on-going training was not on file and/or was not current. The ongoing training log for one existing staff member was observed to be on file, but blank. 10A NCAC 09 .1106(a) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file did not contain an application for seven children enrolled. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The annual review of the Emergency Preparedness and Response Plan was completed for one existing staff member on 2/01/2024; the last annual review was completed on 1/09/2023. .0607(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On the playground used by children enrolled, the mulch surfacing in the four fall zones around the swings measured less than six inches in three of the four fall zones. The mulch surfacing in all fall zones surrounding the stationary play structure measured between one and three inches. .0605(k)(1-4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Health & Safety training topic #10, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, was observed to be last taken on 5/06/2019 for one existing staff member. .1103(b) 1907 A copy of the Prevention of Shaken Baby and Abusive Head Trauma policy was not given to or explained to parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. The file for one child enrolled did not contain a signed receipt of Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. .0608(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 11/29/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. An unannounced follow-up visit will be conducted to monitor staff/child ratio requirements. Technical Assistance Provided During Visit: Upon arrival to the program, I observed eleven (11) children, one to three years of age, being supervised in Space 1 by Mrs. Davis. Mr. Davis stated Space 2 was currently only in use during nap time, due to losing a staff member unexpectedly approximately three weeks ago. Mr. Davis was in the kitchen (located directly next to Space 1 and separated by a half door) preparing lunch for the children. I stated to Mr. Davis children between the ages of 12 months and 24 months may not be grouped with older children unless all children in the group are less than three years of age and staff members and child care administrators who are counted in meeting the staff/child ratios as stated in 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (8) may not also perform food preparation or other duties that are not direct child care responsibilities. Mr. Davis stated the staffing shortage has been difficult for the program recently and that he anticipates having a volunteer begin within the next week to two weeks to support the program in preparing meals. You may consider either having meals and snacks prepared ahead of time, or having meals and snacks catered or delivered to the program during this time. Mr. Davis stated the program had meals catered once before in a similar situation, and they would plan to do so again. He and I also discussed if the volunteer is not compensated and is not ever part of staff/child ratio, a volunteer file may be kept onsite, but that if this individual is compensated and used as a part of staff/child ratio at any time, the person must meet all requirements for a staff member. During the visit, the children were separated into the classrooms designated for each age group; Mrs. Davis remained with the toddlers, and Mr. Davis remained with children enrolled who were three years of age. The Ready to Go file did not contain an application for seven children enrolled. A First Aid poster was not observed to be posted in Space 1. The file for one child enrolled did not contain a signed receipt of NC Summary of Child Care Law, Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. A fire drill and playground inspection were not available for review for the month of September, 2024. A current menu for the week was not posted where it can be seen by parents. A current lesson plan was not posted in Space 1; the date on the lesson plan was for the week of 11/04/24 to 11/08/2024. Health & Safety training topic #10, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, was observed to be last taken on 5/06/2019 for one existing staff member. The ongoing training log for one existing staff member was observed to be on file, but blank. The annual review of the Emergency Preparedness and Response Plan was completed for one existing staff member on 2/01/2024; the last annual review was completed on 1/09/2023. Mr. Davis stated he did not realize these records were incomplete or not on file for review. It is imperative that all records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. You may consider adding children’s applications to the Ready to Go file as soon as paperwork is submitted by the parent/guardian and thoroughly reviewing all requirements for children’s applications to ensure that all required documentation has been completed by the parent/guardian upon enrollment. You may also consider creating a routine system for reviewing staff, program, and children’s records to ensure all information is accurate and on file. A small spray bottle of hand sanitizer labeled Keep Out of Reach of Children with additional warnings was observed stored less than five feet from the ground; this bottle was removed from the child care space during the visit by Mr. Davis. In Space 1, foam letters and small, plastic unit blocks which fit inside a choking tube were accessible to children under the age of three; Ms. Davis made this items inaccessible during the visit. In Space 2, a classroom designated for children one and two years of age, a sheet of tin foil and two foam sponges were observed accessible to children. Mr. Davis removed these items from the classroom during the visit. On the playground used by children enrolled, the mulch surfacing in the four fall zones around the swings measured less than six inches in three of the four fall zones. The mulch surfacing in all fall zones surrounding the stationary play structure measured between one and three inches. It is essential for the outdoor learning environment to be a safe place for children to explore in and engage with. Mr. Davis stated he planned to till the mulch in these areas and may purchase additional mulch. I stated to Mr. Davis there is not a current mulch shortage if he decides to order mulch. You may also consider adding a measurement of the surfacing in all fall zones to your monthly playground inspection. Consultation Provided During Visit: The following Child Care Rules were reviewed with Mr. Davis during the visit: 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (d) 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February, 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401, and someone will assist you. "If weather conditions permit" means: Temperatures that fall within the guidelines developed by the Iowa Department of Public Health and specified on the Child Care Weather Watch chart. These guidelines shall be used when determining appropriate weather conditions for taking children outside for outdoor learning activities and playtime. This chart may be downloaded free of charge from: http://idph.iowa.gov/Portals/1/Files/HCCI/weatherwatch.pdf; (b) Following the air quality standards as set out in 15A NCAC 18A .2832(d). The Air Quality Color Guide can be found on the Division's web site at https://xapps.ncdenr.org/aq/ForecastCenter or call 1-888-RU4NCAIR (1-888-784-6224); and (c) no active precipitation. Caregivers may choose to go outdoors when there is active precipitation if children have appropriate clothing such as rain boots and rain coats, or if they are under a covered area. Please consider keeping extra coats, sweatshirts, pants, rain coats, jackets, rain boots, shoes, socks, etc. in the classroom so that children can still spend time outdoors during a range of temperatures and weather conditions that are safe. Learn more about the ERS and meeting the “weather permitting” requirement from the following video link on NCRLAP’s website: https://vimeo.com/480411371. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: STEP BY STEP DAY CARE Facility ID: 34000461 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 11/15/2024 Number Present: 11 Completed Date: 11/15/2024 Age: From 1 To 3 Total Minutes: 265 Time In: 10:05 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Sandra Davis and James Davis, Owners/Administrators. Your program currently operates with a 4-Star license. Restrictions include 1st and 2nd shift care and meets enhanced ratios. Mr. Davis stated the program is currently only operating 1st shift care. The Secretary of State website was monitored on 11/15/2024, and Step By Step Day Care Center, Inc. was listed as Current/ Active. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 87% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities with Mr. and Mrs. Davis and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 12/06/2023. A sanitation inspection was completed 1/08/2024 with a Superior classification. The last fire inspection was conducted on 8/13/2024. Program records and required postings were monitored. A fire drill was conducted on 11/01/2024. A shelter-in-place drill was documented on 11/01/2024. An outdoor inspection was documented on 10/07/2024. Staff files and children’s records were monitored per DCDEE procedures. No new staff were reported at the program. The file for one existing staff member was monitored during the visit. The files for two children enrolled were monitored during the visit. Storage of hazardous items was monitored today. No medications were observed, nor reported. Mr. Davis stated the program does not transport children or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. The file for one child enrolled did not contain a signed receipt of NC Summary of Child Care Law. GS 110-102 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Eleven children, one to three years of age, were observed in Space 1 with one staff member. 10A NCAC 09 .0713(a)(6) 428 A current activity plan was not posted for each group of children for reference. A current lesson plan was not posted in Space 1; the date on the lesson plan was for the week of 11/04/24 to 11/08/2024. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A current menu for the week was not posted where it can be seen by parents. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not available for review for the month of September, 2024. .0604(t); .0302(d)(5) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. A First Aid poster was not observed to be posted in Space 1. .0802(h) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A small spray bottle of hand sanitizer labeled Keep Out of Reach of Children with additional warnings was observed stored less than five feet from the ground. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 1, foam letters and small, plastic unit blocks which fit inside a choking tube were accessible to children under the age of three. In Space 2, a classroom designated for children one and two years of age, a sheet of tin foil and two foam sponges were observed accessible to children. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not available for review for the month of September, 2024. .0605(q) 1054 Documentation of staff's on-going training was not on file and/or was not current. The ongoing training log for one existing staff member was observed to be on file, but blank. 10A NCAC 09 .1106(a) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file did not contain an application for seven children enrolled. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The annual review of the Emergency Preparedness and Response Plan was completed for one existing staff member on 2/01/2024; the last annual review was completed on 1/09/2023. .0607(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On the playground used by children enrolled, the mulch surfacing in the four fall zones around the swings measured less than six inches in three of the four fall zones. The mulch surfacing in all fall zones surrounding the stationary play structure measured between one and three inches. .0605(k)(1-4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Health & Safety training topic #10, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, was observed to be last taken on 5/06/2019 for one existing staff member. .1103(b) 1907 A copy of the Prevention of Shaken Baby and Abusive Head Trauma policy was not given to or explained to parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. The file for one child enrolled did not contain a signed receipt of Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. .0608(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 11/29/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. An unannounced follow-up visit will be conducted to monitor staff/child ratio requirements. Technical Assistance Provided During Visit: Upon arrival to the program, I observed eleven (11) children, one to three years of age, being supervised in Space 1 by Mrs. Davis. Mr. Davis stated Space 2 was currently only in use during nap time, due to losing a staff member unexpectedly approximately three weeks ago. Mr. Davis was in the kitchen (located directly next to Space 1 and separated by a half door) preparing lunch for the children. I stated to Mr. Davis children between the ages of 12 months and 24 months may not be grouped with older children unless all children in the group are less than three years of age and staff members and child care administrators who are counted in meeting the staff/child ratios as stated in 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (8) may not also perform food preparation or other duties that are not direct child care responsibilities. Mr. Davis stated the staffing shortage has been difficult for the program recently and that he anticipates having a volunteer begin within the next week to two weeks to support the program in preparing meals. You may consider either having meals and snacks prepared ahead of time, or having meals and snacks catered or delivered to the program during this time. Mr. Davis stated the program had meals catered once before in a similar situation, and they would plan to do so again. He and I also discussed if the volunteer is not compensated and is not ever part of staff/child ratio, a volunteer file may be kept onsite, but that if this individual is compensated and used as a part of staff/child ratio at any time, the person must meet all requirements for a staff member. During the visit, the children were separated into the classrooms designated for each age group; Mrs. Davis remained with the toddlers, and Mr. Davis remained with children enrolled who were three years of age. The Ready to Go file did not contain an application for seven children enrolled. A First Aid poster was not observed to be posted in Space 1. The file for one child enrolled did not contain a signed receipt of NC Summary of Child Care Law, Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. A fire drill and playground inspection were not available for review for the month of September, 2024. A current menu for the week was not posted where it can be seen by parents. A current lesson plan was not posted in Space 1; the date on the lesson plan was for the week of 11/04/24 to 11/08/2024. Health & Safety training topic #10, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, was observed to be last taken on 5/06/2019 for one existing staff member. The ongoing training log for one existing staff member was observed to be on file, but blank. The annual review of the Emergency Preparedness and Response Plan was completed for one existing staff member on 2/01/2024; the last annual review was completed on 1/09/2023. Mr. Davis stated he did not realize these records were incomplete or not on file for review. It is imperative that all records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. You may consider adding children’s applications to the Ready to Go file as soon as paperwork is submitted by the parent/guardian and thoroughly reviewing all requirements for children’s applications to ensure that all required documentation has been completed by the parent/guardian upon enrollment. You may also consider creating a routine system for reviewing staff, program, and children’s records to ensure all information is accurate and on file. A small spray bottle of hand sanitizer labeled Keep Out of Reach of Children with additional warnings was observed stored less than five feet from the ground; this bottle was removed from the child care space during the visit by Mr. Davis. In Space 1, foam letters and small, plastic unit blocks which fit inside a choking tube were accessible to children under the age of three; Ms. Davis made this items inaccessible during the visit. In Space 2, a classroom designated for children one and two years of age, a sheet of tin foil and two foam sponges were observed accessible to children. Mr. Davis removed these items from the classroom during the visit. On the playground used by children enrolled, the mulch surfacing in the four fall zones around the swings measured less than six inches in three of the four fall zones. The mulch surfacing in all fall zones surrounding the stationary play structure measured between one and three inches. It is essential for the outdoor learning environment to be a safe place for children to explore in and engage with. Mr. Davis stated he planned to till the mulch in these areas and may purchase additional mulch. I stated to Mr. Davis there is not a current mulch shortage if he decides to order mulch. You may also consider adding a measurement of the surfacing in all fall zones to your monthly playground inspection. Consultation Provided During Visit: The following Child Care Rules were reviewed with Mr. Davis during the visit: 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (d) 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February, 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401, and someone will assist you. "If weather conditions permit" means: Temperatures that fall within the guidelines developed by the Iowa Department of Public Health and specified on the Child Care Weather Watch chart. These guidelines shall be used when determining appropriate weather conditions for taking children outside for outdoor learning activities and playtime. This chart may be downloaded free of charge from: http://idph.iowa.gov/Portals/1/Files/HCCI/weatherwatch.pdf; (b) Following the air quality standards as set out in 15A NCAC 18A .2832(d). The Air Quality Color Guide can be found on the Division's web site at https://xapps.ncdenr.org/aq/ForecastCenter or call 1-888-RU4NCAIR (1-888-784-6224); and (c) no active precipitation. Caregivers may choose to go outdoors when there is active precipitation if children have appropriate clothing such as rain boots and rain coats, or if they are under a covered area. Please consider keeping extra coats, sweatshirts, pants, rain coats, jackets, rain boots, shoes, socks, etc. in the classroom so that children can still spend time outdoors during a range of temperatures and weather conditions that are safe. Learn more about the ERS and meeting the “weather permitting” requirement from the following video link on NCRLAP’s website: https://vimeo.com/480411371. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. 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 .0304 · Violation

Name of Operation: STEP BY STEP DAY CARE Facility ID: 34000461 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 6/27/2024 Number Present: 10 Completed Date: 6/27/2024 Age: From 0 To 5 Total Minutes: 175 Time In: 11:05 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center 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, Childcare Consultant with Sandra Davis, Director, and James Davis, Owner. Your program currently operates with a 4-Star license effective 8/24/2018. Restrictions include 1st and 2nd shift care and meets enhanced ratios. The program’s compliance history was 87% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children participating in general routines, eating lunch, and napping during the visit. No new staff members were reported at this program. No medications were reported at this program. Storage of hazardous items was monitored today and found to be in compliance. A playground inspection was recorded 5/29/2024. A fire drill was recorded 6/07/2024. A shelter-in-place drill for the facility was recorded 5/29/2024. The most recent fire inspection was on 1/18/2023. I observed a sanitation inspection was last conducted on 1/08/2024 earning a Superior classification. The program does not currently transport children enrolled. The program does not participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A current fire inspection was not observed to be on file for review; the most recent inspection was dated 1/18/23 10A NCAC 09 .0304(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 2, a classroom caring for toddlers, one open plastic diaper wrapper was observed on a shelf located less than five feet from the ground. .0604(q) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The CBC qualification letter for Mr. Davis expired on 6/12/2024. G.S. 110-90.2(b) & .2703(n)&(o) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown/ shelter-in-place drill was not conducted every three months. A lockdown/ shelter-in-place drill was conducted in October, 2023 and then not again until 2/1/2024. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The current Emergency Preparedness and Response Plan was available for review, but had not been updated since 5/30/2018. .0607(e) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 7/11/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: • In Space 2, a classroom caring for toddlers, one open plastic diaper wrapper was observed on a shelf located less than five feet from the ground. The teacher disposed of this plastic wrapper during the visit. • The current Emergency Preparedness and Response Plan was available for review, but had not been updated since 5/30/2018. It is essential for the Emergency Preparedness and Response Plan to be updated annually in the Risk Management Portal to ensure all staff have access to the most current and updated guidance to follow in the event of an emergency. Mr. Davis stated the Ready to Go file was current and updated information for all children and staff, as well as other required documentation, with the exception of this plan. I observed this as well during the visit. You may consider setting a yearly reminder (approximately 1-2 months ahead of time) to review and update the EPR plan in the portal. • A lockdown/ shelter-in-place drill was not conducted every three months. A lockdown/ shelter-in-place drill was conducted in October, 2023 and then not again until 2/1/2024. Mr. Davis stated he was not aware this had not occurred within the required time frame. A current fire inspection was not observed to be on file for review; the most recent inspection was dated 1/18/23. Mr. Davis stated he is almost certain the fire inspector has already made a visit to the facility this year. I observed documentation for 4/2024 of the fire alarm system inspection during the visit, and Mr. Davis contacted the fire inspector’s office and left a message during the visit requesting documentation of the facility’s most recent fire inspection. It is important to ensure all required drills are completed when due and a copy maintained on file to ensure the health and safety of children enrolled. You may consider reviewing required emergency drill and inspection logs quarterly to ensure all inspections have been completed and placed on file for review to date. You may also consider requesting an annual fire inspection at least two months prior to the due date. • The Criminal Background Check Qualification Letter for J. Davis was observed to have expired on 6/12/2024. This violation must be corrected within fifteen (15) days, and a copy of the Qualification Letter must be mailed to Ms. McKeown-Stewart with the compliance letter. It is important to have a current Criminal Background Check Qualification letter on file as verification of being approved for providing child care. Mr. Davis stated he had begun the process of submitting his fingerprints and application for his CBC renewal; I verified in the ABCMS system that Mr. Davis’ application is In Process, as of 6/05/2024. You may consider setting a reminder to begin to complete this process six months prior to your next CBC expiration date. Consultation Provided During Visit: On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mr. Davis confirmed during today’s visit that the email was received and provided information that he completed the webinar on 2/22/2024. The following Child Care Rules were reviewed with Mr. Davis during the visit: 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (b) 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) (3) Please remember to place a date on your monthly lesson plans. The current status of Step By Step Day Care, Inc. is listed as “Active – Not Current” on the Secretary of State website, indicating your facility is considered to be active on the NC Business Registry, but is delinquent on one or more required filings. Please contact a representative for NC Secretary of State for additional information as soon as possible. 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. o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0605 · Violation

Name of Operation: STEP BY STEP DAY CARE Facility ID: 34000461 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 6/27/2024 Number Present: 10 Completed Date: 6/27/2024 Age: From 0 To 5 Total Minutes: 175 Time In: 11:05 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center 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, Childcare Consultant with Sandra Davis, Director, and James Davis, Owner. Your program currently operates with a 4-Star license effective 8/24/2018. Restrictions include 1st and 2nd shift care and meets enhanced ratios. The program’s compliance history was 87% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children participating in general routines, eating lunch, and napping during the visit. No new staff members were reported at this program. No medications were reported at this program. Storage of hazardous items was monitored today and found to be in compliance. A playground inspection was recorded 5/29/2024. A fire drill was recorded 6/07/2024. A shelter-in-place drill for the facility was recorded 5/29/2024. The most recent fire inspection was on 1/18/2023. I observed a sanitation inspection was last conducted on 1/08/2024 earning a Superior classification. The program does not currently transport children enrolled. The program does not participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A current fire inspection was not observed to be on file for review; the most recent inspection was dated 1/18/23 10A NCAC 09 .0304(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 2, a classroom caring for toddlers, one open plastic diaper wrapper was observed on a shelf located less than five feet from the ground. .0604(q) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The CBC qualification letter for Mr. Davis expired on 6/12/2024. G.S. 110-90.2(b) & .2703(n)&(o) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown/ shelter-in-place drill was not conducted every three months. A lockdown/ shelter-in-place drill was conducted in October, 2023 and then not again until 2/1/2024. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The current Emergency Preparedness and Response Plan was available for review, but had not been updated since 5/30/2018. .0607(e) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 7/11/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: • In Space 2, a classroom caring for toddlers, one open plastic diaper wrapper was observed on a shelf located less than five feet from the ground. The teacher disposed of this plastic wrapper during the visit. • The current Emergency Preparedness and Response Plan was available for review, but had not been updated since 5/30/2018. It is essential for the Emergency Preparedness and Response Plan to be updated annually in the Risk Management Portal to ensure all staff have access to the most current and updated guidance to follow in the event of an emergency. Mr. Davis stated the Ready to Go file was current and updated information for all children and staff, as well as other required documentation, with the exception of this plan. I observed this as well during the visit. You may consider setting a yearly reminder (approximately 1-2 months ahead of time) to review and update the EPR plan in the portal. • A lockdown/ shelter-in-place drill was not conducted every three months. A lockdown/ shelter-in-place drill was conducted in October, 2023 and then not again until 2/1/2024. Mr. Davis stated he was not aware this had not occurred within the required time frame. A current fire inspection was not observed to be on file for review; the most recent inspection was dated 1/18/23. Mr. Davis stated he is almost certain the fire inspector has already made a visit to the facility this year. I observed documentation for 4/2024 of the fire alarm system inspection during the visit, and Mr. Davis contacted the fire inspector’s office and left a message during the visit requesting documentation of the facility’s most recent fire inspection. It is important to ensure all required drills are completed when due and a copy maintained on file to ensure the health and safety of children enrolled. You may consider reviewing required emergency drill and inspection logs quarterly to ensure all inspections have been completed and placed on file for review to date. You may also consider requesting an annual fire inspection at least two months prior to the due date. • The Criminal Background Check Qualification Letter for J. Davis was observed to have expired on 6/12/2024. This violation must be corrected within fifteen (15) days, and a copy of the Qualification Letter must be mailed to Ms. McKeown-Stewart with the compliance letter. It is important to have a current Criminal Background Check Qualification letter on file as verification of being approved for providing child care. Mr. Davis stated he had begun the process of submitting his fingerprints and application for his CBC renewal; I verified in the ABCMS system that Mr. Davis’ application is In Process, as of 6/05/2024. You may consider setting a reminder to begin to complete this process six months prior to your next CBC expiration date. Consultation Provided During Visit: On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mr. Davis confirmed during today’s visit that the email was received and provided information that he completed the webinar on 2/22/2024. The following Child Care Rules were reviewed with Mr. Davis during the visit: 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (b) 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) (3) Please remember to place a date on your monthly lesson plans. The current status of Step By Step Day Care, Inc. is listed as “Active – Not Current” on the Secretary of State website, indicating your facility is considered to be active on the NC Business Registry, but is delinquent on one or more required filings. Please contact a representative for NC Secretary of State for additional information as soon as possible. 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. o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2818 · Violation

Name of Operation: STEP BY STEP DAY CARE Facility ID: 34000461 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 6/27/2024 Number Present: 10 Completed Date: 6/27/2024 Age: From 0 To 5 Total Minutes: 175 Time In: 11:05 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center 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, Childcare Consultant with Sandra Davis, Director, and James Davis, Owner. Your program currently operates with a 4-Star license effective 8/24/2018. Restrictions include 1st and 2nd shift care and meets enhanced ratios. The program’s compliance history was 87% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children participating in general routines, eating lunch, and napping during the visit. No new staff members were reported at this program. No medications were reported at this program. Storage of hazardous items was monitored today and found to be in compliance. A playground inspection was recorded 5/29/2024. A fire drill was recorded 6/07/2024. A shelter-in-place drill for the facility was recorded 5/29/2024. The most recent fire inspection was on 1/18/2023. I observed a sanitation inspection was last conducted on 1/08/2024 earning a Superior classification. The program does not currently transport children enrolled. The program does not participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A current fire inspection was not observed to be on file for review; the most recent inspection was dated 1/18/23 10A NCAC 09 .0304(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 2, a classroom caring for toddlers, one open plastic diaper wrapper was observed on a shelf located less than five feet from the ground. .0604(q) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The CBC qualification letter for Mr. Davis expired on 6/12/2024. G.S. 110-90.2(b) & .2703(n)&(o) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown/ shelter-in-place drill was not conducted every three months. A lockdown/ shelter-in-place drill was conducted in October, 2023 and then not again until 2/1/2024. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The current Emergency Preparedness and Response Plan was available for review, but had not been updated since 5/30/2018. .0607(e) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 7/11/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: • In Space 2, a classroom caring for toddlers, one open plastic diaper wrapper was observed on a shelf located less than five feet from the ground. The teacher disposed of this plastic wrapper during the visit. • The current Emergency Preparedness and Response Plan was available for review, but had not been updated since 5/30/2018. It is essential for the Emergency Preparedness and Response Plan to be updated annually in the Risk Management Portal to ensure all staff have access to the most current and updated guidance to follow in the event of an emergency. Mr. Davis stated the Ready to Go file was current and updated information for all children and staff, as well as other required documentation, with the exception of this plan. I observed this as well during the visit. You may consider setting a yearly reminder (approximately 1-2 months ahead of time) to review and update the EPR plan in the portal. • A lockdown/ shelter-in-place drill was not conducted every three months. A lockdown/ shelter-in-place drill was conducted in October, 2023 and then not again until 2/1/2024. Mr. Davis stated he was not aware this had not occurred within the required time frame. A current fire inspection was not observed to be on file for review; the most recent inspection was dated 1/18/23. Mr. Davis stated he is almost certain the fire inspector has already made a visit to the facility this year. I observed documentation for 4/2024 of the fire alarm system inspection during the visit, and Mr. Davis contacted the fire inspector’s office and left a message during the visit requesting documentation of the facility’s most recent fire inspection. It is important to ensure all required drills are completed when due and a copy maintained on file to ensure the health and safety of children enrolled. You may consider reviewing required emergency drill and inspection logs quarterly to ensure all inspections have been completed and placed on file for review to date. You may also consider requesting an annual fire inspection at least two months prior to the due date. • The Criminal Background Check Qualification Letter for J. Davis was observed to have expired on 6/12/2024. This violation must be corrected within fifteen (15) days, and a copy of the Qualification Letter must be mailed to Ms. McKeown-Stewart with the compliance letter. It is important to have a current Criminal Background Check Qualification letter on file as verification of being approved for providing child care. Mr. Davis stated he had begun the process of submitting his fingerprints and application for his CBC renewal; I verified in the ABCMS system that Mr. Davis’ application is In Process, as of 6/05/2024. You may consider setting a reminder to begin to complete this process six months prior to your next CBC expiration date. Consultation Provided During Visit: On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mr. Davis confirmed during today’s visit that the email was received and provided information that he completed the webinar on 2/22/2024. The following Child Care Rules were reviewed with Mr. Davis during the visit: 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (b) 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) (3) Please remember to place a date on your monthly lesson plans. The current status of Step By Step Day Care, Inc. is listed as “Active – Not Current” on the Secretary of State website, indicating your facility is considered to be active on the NC Business Registry, but is delinquent on one or more required filings. Please contact a representative for NC Secretary of State for additional information as soon as possible. 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. o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: STEP BY STEP DAY CARE Facility ID: 34000461 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 6/27/2024 Number Present: 10 Completed Date: 6/27/2024 Age: From 0 To 5 Total Minutes: 175 Time In: 11:05 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center 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, Childcare Consultant with Sandra Davis, Director, and James Davis, Owner. Your program currently operates with a 4-Star license effective 8/24/2018. Restrictions include 1st and 2nd shift care and meets enhanced ratios. The program’s compliance history was 87% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children participating in general routines, eating lunch, and napping during the visit. No new staff members were reported at this program. No medications were reported at this program. Storage of hazardous items was monitored today and found to be in compliance. A playground inspection was recorded 5/29/2024. A fire drill was recorded 6/07/2024. A shelter-in-place drill for the facility was recorded 5/29/2024. The most recent fire inspection was on 1/18/2023. I observed a sanitation inspection was last conducted on 1/08/2024 earning a Superior classification. The program does not currently transport children enrolled. The program does not participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A current fire inspection was not observed to be on file for review; the most recent inspection was dated 1/18/23 10A NCAC 09 .0304(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 2, a classroom caring for toddlers, one open plastic diaper wrapper was observed on a shelf located less than five feet from the ground. .0604(q) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The CBC qualification letter for Mr. Davis expired on 6/12/2024. G.S. 110-90.2(b) & .2703(n)&(o) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown/ shelter-in-place drill was not conducted every three months. A lockdown/ shelter-in-place drill was conducted in October, 2023 and then not again until 2/1/2024. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The current Emergency Preparedness and Response Plan was available for review, but had not been updated since 5/30/2018. .0607(e) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 7/11/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: • In Space 2, a classroom caring for toddlers, one open plastic diaper wrapper was observed on a shelf located less than five feet from the ground. The teacher disposed of this plastic wrapper during the visit. • The current Emergency Preparedness and Response Plan was available for review, but had not been updated since 5/30/2018. It is essential for the Emergency Preparedness and Response Plan to be updated annually in the Risk Management Portal to ensure all staff have access to the most current and updated guidance to follow in the event of an emergency. Mr. Davis stated the Ready to Go file was current and updated information for all children and staff, as well as other required documentation, with the exception of this plan. I observed this as well during the visit. You may consider setting a yearly reminder (approximately 1-2 months ahead of time) to review and update the EPR plan in the portal. • A lockdown/ shelter-in-place drill was not conducted every three months. A lockdown/ shelter-in-place drill was conducted in October, 2023 and then not again until 2/1/2024. Mr. Davis stated he was not aware this had not occurred within the required time frame. A current fire inspection was not observed to be on file for review; the most recent inspection was dated 1/18/23. Mr. Davis stated he is almost certain the fire inspector has already made a visit to the facility this year. I observed documentation for 4/2024 of the fire alarm system inspection during the visit, and Mr. Davis contacted the fire inspector’s office and left a message during the visit requesting documentation of the facility’s most recent fire inspection. It is important to ensure all required drills are completed when due and a copy maintained on file to ensure the health and safety of children enrolled. You may consider reviewing required emergency drill and inspection logs quarterly to ensure all inspections have been completed and placed on file for review to date. You may also consider requesting an annual fire inspection at least two months prior to the due date. • The Criminal Background Check Qualification Letter for J. Davis was observed to have expired on 6/12/2024. This violation must be corrected within fifteen (15) days, and a copy of the Qualification Letter must be mailed to Ms. McKeown-Stewart with the compliance letter. It is important to have a current Criminal Background Check Qualification letter on file as verification of being approved for providing child care. Mr. Davis stated he had begun the process of submitting his fingerprints and application for his CBC renewal; I verified in the ABCMS system that Mr. Davis’ application is In Process, as of 6/05/2024. You may consider setting a reminder to begin to complete this process six months prior to your next CBC expiration date. Consultation Provided During Visit: On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mr. Davis confirmed during today’s visit that the email was received and provided information that he completed the webinar on 2/22/2024. The following Child Care Rules were reviewed with Mr. Davis during the visit: 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (b) 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) (3) Please remember to place a date on your monthly lesson plans. The current status of Step By Step Day Care, Inc. is listed as “Active – Not Current” on the Secretary of State website, indicating your facility is considered to be active on the NC Business Registry, but is delinquent on one or more required filings. Please contact a representative for NC Secretary of State for additional information as soon as possible. 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. o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: STEP BY STEP DAY CARE Facility ID: 34000461 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 12/6/2023 Number Present: 10 Completed Date: 12/6/2023 Age: From 1 To 4 Total Minutes: 320 Time In: 09:40 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. James Davis and Sandra Davis, Owner and Director, assisted me with the visit. Your program currently operates with a four-star license, issued August 24, 2018, earning 4 points in the education component, 5 points in the program standards component (meeting enhanced ratios) and 1 quality point for the center having 75% of lead teachers and teachers having at least 10 years of EC experience). The Secretary of State website was reviewed on 12/05/2023, and Step By Step Day Care Center, Inc. was observed to be listed as current and active. The sanitation inspection was completed 7/13/2023 with a “Superior” classification. A fire inspection was completed on 1/18/2023, and the facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 94% as of December 6, 2023. All programs are required to maintain 75% compliance. Upon arrival, the license was posted, and restrictions were observed to be in compliance. Two classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. On the playground, the edge on the side bar of the swing set on the front left of the set (facing the shed), was observed to be sharp to the touch in two places. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed the children playing in activity areas, participating in general routines, engaging in conversations, reading, and activities with their teachers, and eating lunch during the visit. I observed positive interactions between staff and children. An allergy list was posted. Storage of hazardous items was monitored. A container of Let’s Jam Condition and Shine Gel and a container of Blue Magic Originals Castor Oil labeled Keep Out of Reach of Children with additional warnings was observed in a clear bag on the floor of a closet in Space 2 and in unlocked storage. This was corrected during the visit. No medications were observed, nor reported. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted. The program does not participate in off-premise activities or aquatic activities at this time. Mr. Davis stated children enrolled semi-regularly use the sidewalk/driveway area to run around or to play when the fenced-in playground is muddy. He stated he places caution markers in the driveway prior to this occurring so traffic may not enter. I stated to Mr. Davis that while this space may be used for special activities and events which are documented on the activity plan or on a special events calendar as long as written permission is on file for children to spend time outside the fenced-in area, this space may not be used regularly for outdoor play and activities. A staff training worksheet was submitted prior to the visit; the file for one existing staff member and one new staff member was monitored. Health and Safety training topic numbers (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices were not observed on file for this staff member. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were not maintained separately from the staff member's individual personnel file in the center for one new and one existing staff member. A record of training activities was not observed on file for one existing staff member. The most recent Health Questionnaire for one existing staff member was completed on 1/21/2022. The Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training was not completed by one new employee within 90 days after employment; the employee began work on 3/27/23, and the training was completed on 12/4/2023. A medical assessment was not observed on file for one employee. An Emergency Medical Care Plan review was not conducted with one new employee during orientation, and this employee did not received 16 clock hours of onsite orientation training within the first six weeks of employment; the employee received 13 hours of onsite orientation training. Children’s Records forms were completed during the visit. The files for two children enrolled were monitored. Documentation of discussion of a health assessment was not on file for both children enrolled. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 11/01/2023. A lockdown drill and shelter in place drill were completed on 10/06/2023. A playground inspection was completed on 11/06/2023. The following violations were cited during today's visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the playground, the edge on the side bar of the swing set on the front left of the set (facing the shed), was observed to be sharp to the touch in two places. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A container of Let’s Jam Condition and Shine Gel and a container of Blue Magic Originals Castor Oil labeled Keep Out of Reach of Children with additional warnings was observed in a clear bag on the floor of a closet in Space 2 and in unlocked storage. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical assessment was not observed on file for one employee. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The most recent Health Questionnaire for one existing staff member was completed on 1/21/2022. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One new employee did not received 16 clock hours of onsite orientation training within the first six weeks of employment; the employee received 13 hours of onsite orientation training in the first six weeks and in total. Hours received did not include a review of the Emergency Medical Care Plan. .1101(a) 1068 On-going training documentation did not include all applicable information: subject matter, topic area in G.S. 110-91(11), name of training provider, date training was provided, number of hours of training, and name of staff. A record of training activities was not observed on file for one existing staff member. .1106(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The files for two children enrolled were monitored. Documentation of discussion of a health assessment was not on file for both children enrolled. GS110-91(1) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were not maintained separately from the staff member's individual personnel file in the center for one new and one existing staff member. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. The Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training was not completed by one new employee within 90 days after employment; the employee began work on 3/27/23, and the training was completed on 12/4/2023. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Health and Safety training topic numbers (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices were not observed on file for one existing staff member. .1103(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 12/20/2023. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: • 15A NCAC 18A .2820 STORAGE (b) A container of Let’s Jam Condition and Shine Gel and a container of Blue Magic Originals Castor Oil labeled Keep Out of Reach of Children with additional warnings was observed in a clear bag on the floor of a closet in Space 2 and in unlocked storage. This was corrected during the visit. • 10A NCAC 09 .0601(a) Safe Environment An outdoor learning environment free of safety hazards is important so children can explore the outdoor play area safely. On the playground, the edge on the side bar of the swing set on the front left of the set (facing the shed), was observed to be sharp to the touch in two places. Mr. Davis stated he was unaware of this issue. He stated ___________________________. • GS 110-91(11); 10A NCAC 09.1102(b)(1-11) (g) HEALTH AND SAFETY TRAINING • 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) • 10A NCAC 09 .2409 CHILDREN'S RECORDS (a) (1) • 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) • 10A NCAC 09 .1106 DOCUMENTATION OF ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) • Health and Safety training topic numbers (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices were not observed on file for this staff member. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were not maintained separately from the staff member's individual personnel file in the center for one new and one existing staff member. A record of training activities was not observed on file for one existing staff member. The most recent Health Questionnaire for one existing staff member was completed on 1/21/2022. The Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training was not completed by one new employee within 90 days after employment; the employee began work on 3/27/23, and the training was completed on 12/4/2023. A medical assessment was not observed on file for one employee. An Emergency Medical Care Plan review was not conducted with one new employee during orientation, and this employee did not received 16 clock hours of onsite orientation training within the first six weeks of employment; the employee received 13 hours of onsite orientation training. Mr. Davis stated ________________________________. I recommended Mr. and Mrs. Davis set a regular schedule to review new and existing staff files to ensure all required documentation is on file, as well as setting calendar reminders for upcoming documentation due dates. Consultation Provided During Visit: • The following Child Care Rules were reviewed with Mr. Davis during the visit: 10A NCAC 09 .1706 NUTRITION STANDARDS ‘ (g) The operator, additional caregivers, and substitute providers shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. • Please review all posted Staff: Child Ratio Worksheets to ensure “Voluntary Enhanced Requirements” are checked. • Please monitor bolts on outdoor equipment and S-hooks on the swing set for developing areas of rust. • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. • Please be reminded that all checklists for Program, Children, Staff, Substitutes, and Volunteers can be found on the Division’s website at the following link: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms . • When screen time is offered, please record on your log the developmental domain(s) in accordance with the North Carolina Foundations for Early Learning and Development addressed during this time. • Please rake mulch into the fall zones surrounding the swing set to ensure mulch measures six inches in depth at all fall zones. • Please add doctor’s contact information to the Emergency Information form for your new employee. • Please use the updated Documentation of Staff Orientation for Child Care Centers for all new employees located on the Division website at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/O/Orientation_Documentation_Centers.pdf?ver=jUHkP8MRicb7YitgO6vMpw%3d%3d • Please ensure all operational and personnel policies are signed and dated for the date received and reviewed. • Please contact Smart Start of Forsyth County, Inc. for the date the training “Children with Special Health Care Needs” was completed, and record this date on the training certificates for Ms. Davis and your new employee. • Please add an on-going training log to your new employee’s file. • Please ensure a menu is posted in a place where parents may easily view it. • Please remove any completed Nutritional Opt-Out forms from children’s files who do not opt out of the regular menu. • Please consider removing, leveling, covering, or placing a caution barrier near/around the tree stump located near the boat sandbox on the playground so this does not present a tripping hazard. • Please keep foam activities inaccessible to children under three years of age, unless used for a teacher-directed activity under adult supervision. • Please consider adding additional opportunities to your Parent Handbook for parents and families to be involved with your program on an individual and/or group basis. 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 this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were emailed to you. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. 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 .0601 · Violation

Name of Operation: STEP BY STEP DAY CARE Facility ID: 34000461 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 12/6/2023 Number Present: 10 Completed Date: 12/6/2023 Age: From 1 To 4 Total Minutes: 320 Time In: 09:40 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. James Davis and Sandra Davis, Owner and Director, assisted me with the visit. Your program currently operates with a four-star license, issued August 24, 2018, earning 4 points in the education component, 5 points in the program standards component (meeting enhanced ratios) and 1 quality point for the center having 75% of lead teachers and teachers having at least 10 years of EC experience). The Secretary of State website was reviewed on 12/05/2023, and Step By Step Day Care Center, Inc. was observed to be listed as current and active. The sanitation inspection was completed 7/13/2023 with a “Superior” classification. A fire inspection was completed on 1/18/2023, and the facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 94% as of December 6, 2023. All programs are required to maintain 75% compliance. Upon arrival, the license was posted, and restrictions were observed to be in compliance. Two classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. On the playground, the edge on the side bar of the swing set on the front left of the set (facing the shed), was observed to be sharp to the touch in two places. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed the children playing in activity areas, participating in general routines, engaging in conversations, reading, and activities with their teachers, and eating lunch during the visit. I observed positive interactions between staff and children. An allergy list was posted. Storage of hazardous items was monitored. A container of Let’s Jam Condition and Shine Gel and a container of Blue Magic Originals Castor Oil labeled Keep Out of Reach of Children with additional warnings was observed in a clear bag on the floor of a closet in Space 2 and in unlocked storage. This was corrected during the visit. No medications were observed, nor reported. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted. The program does not participate in off-premise activities or aquatic activities at this time. Mr. Davis stated children enrolled semi-regularly use the sidewalk/driveway area to run around or to play when the fenced-in playground is muddy. He stated he places caution markers in the driveway prior to this occurring so traffic may not enter. I stated to Mr. Davis that while this space may be used for special activities and events which are documented on the activity plan or on a special events calendar as long as written permission is on file for children to spend time outside the fenced-in area, this space may not be used regularly for outdoor play and activities. A staff training worksheet was submitted prior to the visit; the file for one existing staff member and one new staff member was monitored. Health and Safety training topic numbers (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices were not observed on file for this staff member. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were not maintained separately from the staff member's individual personnel file in the center for one new and one existing staff member. A record of training activities was not observed on file for one existing staff member. The most recent Health Questionnaire for one existing staff member was completed on 1/21/2022. The Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training was not completed by one new employee within 90 days after employment; the employee began work on 3/27/23, and the training was completed on 12/4/2023. A medical assessment was not observed on file for one employee. An Emergency Medical Care Plan review was not conducted with one new employee during orientation, and this employee did not received 16 clock hours of onsite orientation training within the first six weeks of employment; the employee received 13 hours of onsite orientation training. Children’s Records forms were completed during the visit. The files for two children enrolled were monitored. Documentation of discussion of a health assessment was not on file for both children enrolled. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 11/01/2023. A lockdown drill and shelter in place drill were completed on 10/06/2023. A playground inspection was completed on 11/06/2023. The following violations were cited during today's visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the playground, the edge on the side bar of the swing set on the front left of the set (facing the shed), was observed to be sharp to the touch in two places. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A container of Let’s Jam Condition and Shine Gel and a container of Blue Magic Originals Castor Oil labeled Keep Out of Reach of Children with additional warnings was observed in a clear bag on the floor of a closet in Space 2 and in unlocked storage. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical assessment was not observed on file for one employee. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The most recent Health Questionnaire for one existing staff member was completed on 1/21/2022. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One new employee did not received 16 clock hours of onsite orientation training within the first six weeks of employment; the employee received 13 hours of onsite orientation training in the first six weeks and in total. Hours received did not include a review of the Emergency Medical Care Plan. .1101(a) 1068 On-going training documentation did not include all applicable information: subject matter, topic area in G.S. 110-91(11), name of training provider, date training was provided, number of hours of training, and name of staff. A record of training activities was not observed on file for one existing staff member. .1106(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The files for two children enrolled were monitored. Documentation of discussion of a health assessment was not on file for both children enrolled. GS110-91(1) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were not maintained separately from the staff member's individual personnel file in the center for one new and one existing staff member. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. The Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training was not completed by one new employee within 90 days after employment; the employee began work on 3/27/23, and the training was completed on 12/4/2023. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Health and Safety training topic numbers (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices were not observed on file for one existing staff member. .1103(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 12/20/2023. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: • 15A NCAC 18A .2820 STORAGE (b) A container of Let’s Jam Condition and Shine Gel and a container of Blue Magic Originals Castor Oil labeled Keep Out of Reach of Children with additional warnings was observed in a clear bag on the floor of a closet in Space 2 and in unlocked storage. This was corrected during the visit. • 10A NCAC 09 .0601(a) Safe Environment An outdoor learning environment free of safety hazards is important so children can explore the outdoor play area safely. On the playground, the edge on the side bar of the swing set on the front left of the set (facing the shed), was observed to be sharp to the touch in two places. Mr. Davis stated he was unaware of this issue. He stated ___________________________. • GS 110-91(11); 10A NCAC 09.1102(b)(1-11) (g) HEALTH AND SAFETY TRAINING • 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) • 10A NCAC 09 .2409 CHILDREN'S RECORDS (a) (1) • 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) • 10A NCAC 09 .1106 DOCUMENTATION OF ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) • Health and Safety training topic numbers (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices were not observed on file for this staff member. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were not maintained separately from the staff member's individual personnel file in the center for one new and one existing staff member. A record of training activities was not observed on file for one existing staff member. The most recent Health Questionnaire for one existing staff member was completed on 1/21/2022. The Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training was not completed by one new employee within 90 days after employment; the employee began work on 3/27/23, and the training was completed on 12/4/2023. A medical assessment was not observed on file for one employee. An Emergency Medical Care Plan review was not conducted with one new employee during orientation, and this employee did not received 16 clock hours of onsite orientation training within the first six weeks of employment; the employee received 13 hours of onsite orientation training. Mr. Davis stated ________________________________. I recommended Mr. and Mrs. Davis set a regular schedule to review new and existing staff files to ensure all required documentation is on file, as well as setting calendar reminders for upcoming documentation due dates. Consultation Provided During Visit: • The following Child Care Rules were reviewed with Mr. Davis during the visit: 10A NCAC 09 .1706 NUTRITION STANDARDS ‘ (g) The operator, additional caregivers, and substitute providers shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. • Please review all posted Staff: Child Ratio Worksheets to ensure “Voluntary Enhanced Requirements” are checked. • Please monitor bolts on outdoor equipment and S-hooks on the swing set for developing areas of rust. • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. • Please be reminded that all checklists for Program, Children, Staff, Substitutes, and Volunteers can be found on the Division’s website at the following link: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms . • When screen time is offered, please record on your log the developmental domain(s) in accordance with the North Carolina Foundations for Early Learning and Development addressed during this time. • Please rake mulch into the fall zones surrounding the swing set to ensure mulch measures six inches in depth at all fall zones. • Please add doctor’s contact information to the Emergency Information form for your new employee. • Please use the updated Documentation of Staff Orientation for Child Care Centers for all new employees located on the Division website at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/O/Orientation_Documentation_Centers.pdf?ver=jUHkP8MRicb7YitgO6vMpw%3d%3d • Please ensure all operational and personnel policies are signed and dated for the date received and reviewed. • Please contact Smart Start of Forsyth County, Inc. for the date the training “Children with Special Health Care Needs” was completed, and record this date on the training certificates for Ms. Davis and your new employee. • Please add an on-going training log to your new employee’s file. • Please ensure a menu is posted in a place where parents may easily view it. • Please remove any completed Nutritional Opt-Out forms from children’s files who do not opt out of the regular menu. • Please consider removing, leveling, covering, or placing a caution barrier near/around the tree stump located near the boat sandbox on the playground so this does not present a tripping hazard. • Please keep foam activities inaccessible to children under three years of age, unless used for a teacher-directed activity under adult supervision. • Please consider adding additional opportunities to your Parent Handbook for parents and families to be involved with your program on an individual and/or group basis. 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 this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were emailed to you. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. 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 .0701 · Violation

Name of Operation: STEP BY STEP DAY CARE Facility ID: 34000461 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 12/6/2023 Number Present: 10 Completed Date: 12/6/2023 Age: From 1 To 4 Total Minutes: 320 Time In: 09:40 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. James Davis and Sandra Davis, Owner and Director, assisted me with the visit. Your program currently operates with a four-star license, issued August 24, 2018, earning 4 points in the education component, 5 points in the program standards component (meeting enhanced ratios) and 1 quality point for the center having 75% of lead teachers and teachers having at least 10 years of EC experience). The Secretary of State website was reviewed on 12/05/2023, and Step By Step Day Care Center, Inc. was observed to be listed as current and active. The sanitation inspection was completed 7/13/2023 with a “Superior” classification. A fire inspection was completed on 1/18/2023, and the facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 94% as of December 6, 2023. All programs are required to maintain 75% compliance. Upon arrival, the license was posted, and restrictions were observed to be in compliance. Two classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. On the playground, the edge on the side bar of the swing set on the front left of the set (facing the shed), was observed to be sharp to the touch in two places. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed the children playing in activity areas, participating in general routines, engaging in conversations, reading, and activities with their teachers, and eating lunch during the visit. I observed positive interactions between staff and children. An allergy list was posted. Storage of hazardous items was monitored. A container of Let’s Jam Condition and Shine Gel and a container of Blue Magic Originals Castor Oil labeled Keep Out of Reach of Children with additional warnings was observed in a clear bag on the floor of a closet in Space 2 and in unlocked storage. This was corrected during the visit. No medications were observed, nor reported. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted. The program does not participate in off-premise activities or aquatic activities at this time. Mr. Davis stated children enrolled semi-regularly use the sidewalk/driveway area to run around or to play when the fenced-in playground is muddy. He stated he places caution markers in the driveway prior to this occurring so traffic may not enter. I stated to Mr. Davis that while this space may be used for special activities and events which are documented on the activity plan or on a special events calendar as long as written permission is on file for children to spend time outside the fenced-in area, this space may not be used regularly for outdoor play and activities. A staff training worksheet was submitted prior to the visit; the file for one existing staff member and one new staff member was monitored. Health and Safety training topic numbers (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices were not observed on file for this staff member. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were not maintained separately from the staff member's individual personnel file in the center for one new and one existing staff member. A record of training activities was not observed on file for one existing staff member. The most recent Health Questionnaire for one existing staff member was completed on 1/21/2022. The Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training was not completed by one new employee within 90 days after employment; the employee began work on 3/27/23, and the training was completed on 12/4/2023. A medical assessment was not observed on file for one employee. An Emergency Medical Care Plan review was not conducted with one new employee during orientation, and this employee did not received 16 clock hours of onsite orientation training within the first six weeks of employment; the employee received 13 hours of onsite orientation training. Children’s Records forms were completed during the visit. The files for two children enrolled were monitored. Documentation of discussion of a health assessment was not on file for both children enrolled. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 11/01/2023. A lockdown drill and shelter in place drill were completed on 10/06/2023. A playground inspection was completed on 11/06/2023. The following violations were cited during today's visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the playground, the edge on the side bar of the swing set on the front left of the set (facing the shed), was observed to be sharp to the touch in two places. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A container of Let’s Jam Condition and Shine Gel and a container of Blue Magic Originals Castor Oil labeled Keep Out of Reach of Children with additional warnings was observed in a clear bag on the floor of a closet in Space 2 and in unlocked storage. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical assessment was not observed on file for one employee. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The most recent Health Questionnaire for one existing staff member was completed on 1/21/2022. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One new employee did not received 16 clock hours of onsite orientation training within the first six weeks of employment; the employee received 13 hours of onsite orientation training in the first six weeks and in total. Hours received did not include a review of the Emergency Medical Care Plan. .1101(a) 1068 On-going training documentation did not include all applicable information: subject matter, topic area in G.S. 110-91(11), name of training provider, date training was provided, number of hours of training, and name of staff. A record of training activities was not observed on file for one existing staff member. .1106(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The files for two children enrolled were monitored. Documentation of discussion of a health assessment was not on file for both children enrolled. GS110-91(1) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were not maintained separately from the staff member's individual personnel file in the center for one new and one existing staff member. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. The Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training was not completed by one new employee within 90 days after employment; the employee began work on 3/27/23, and the training was completed on 12/4/2023. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Health and Safety training topic numbers (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices were not observed on file for one existing staff member. .1103(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 12/20/2023. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: • 15A NCAC 18A .2820 STORAGE (b) A container of Let’s Jam Condition and Shine Gel and a container of Blue Magic Originals Castor Oil labeled Keep Out of Reach of Children with additional warnings was observed in a clear bag on the floor of a closet in Space 2 and in unlocked storage. This was corrected during the visit. • 10A NCAC 09 .0601(a) Safe Environment An outdoor learning environment free of safety hazards is important so children can explore the outdoor play area safely. On the playground, the edge on the side bar of the swing set on the front left of the set (facing the shed), was observed to be sharp to the touch in two places. Mr. Davis stated he was unaware of this issue. He stated ___________________________. • GS 110-91(11); 10A NCAC 09.1102(b)(1-11) (g) HEALTH AND SAFETY TRAINING • 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) • 10A NCAC 09 .2409 CHILDREN'S RECORDS (a) (1) • 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) • 10A NCAC 09 .1106 DOCUMENTATION OF ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) • Health and Safety training topic numbers (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices were not observed on file for this staff member. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were not maintained separately from the staff member's individual personnel file in the center for one new and one existing staff member. A record of training activities was not observed on file for one existing staff member. The most recent Health Questionnaire for one existing staff member was completed on 1/21/2022. The Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training was not completed by one new employee within 90 days after employment; the employee began work on 3/27/23, and the training was completed on 12/4/2023. A medical assessment was not observed on file for one employee. An Emergency Medical Care Plan review was not conducted with one new employee during orientation, and this employee did not received 16 clock hours of onsite orientation training within the first six weeks of employment; the employee received 13 hours of onsite orientation training. Mr. Davis stated ________________________________. I recommended Mr. and Mrs. Davis set a regular schedule to review new and existing staff files to ensure all required documentation is on file, as well as setting calendar reminders for upcoming documentation due dates. Consultation Provided During Visit: • The following Child Care Rules were reviewed with Mr. Davis during the visit: 10A NCAC 09 .1706 NUTRITION STANDARDS ‘ (g) The operator, additional caregivers, and substitute providers shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. • Please review all posted Staff: Child Ratio Worksheets to ensure “Voluntary Enhanced Requirements” are checked. • Please monitor bolts on outdoor equipment and S-hooks on the swing set for developing areas of rust. • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. • Please be reminded that all checklists for Program, Children, Staff, Substitutes, and Volunteers can be found on the Division’s website at the following link: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms . • When screen time is offered, please record on your log the developmental domain(s) in accordance with the North Carolina Foundations for Early Learning and Development addressed during this time. • Please rake mulch into the fall zones surrounding the swing set to ensure mulch measures six inches in depth at all fall zones. • Please add doctor’s contact information to the Emergency Information form for your new employee. • Please use the updated Documentation of Staff Orientation for Child Care Centers for all new employees located on the Division website at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/O/Orientation_Documentation_Centers.pdf?ver=jUHkP8MRicb7YitgO6vMpw%3d%3d • Please ensure all operational and personnel policies are signed and dated for the date received and reviewed. • Please contact Smart Start of Forsyth County, Inc. for the date the training “Children with Special Health Care Needs” was completed, and record this date on the training certificates for Ms. Davis and your new employee. • Please add an on-going training log to your new employee’s file. • Please ensure a menu is posted in a place where parents may easily view it. • Please remove any completed Nutritional Opt-Out forms from children’s files who do not opt out of the regular menu. • Please consider removing, leveling, covering, or placing a caution barrier near/around the tree stump located near the boat sandbox on the playground so this does not present a tripping hazard. • Please keep foam activities inaccessible to children under three years of age, unless used for a teacher-directed activity under adult supervision. • Please consider adding additional opportunities to your Parent Handbook for parents and families to be involved with your program on an individual and/or group basis. 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 this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were emailed to you. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. 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 .1101 · Violation

Name of Operation: STEP BY STEP DAY CARE Facility ID: 34000461 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 12/6/2023 Number Present: 10 Completed Date: 12/6/2023 Age: From 1 To 4 Total Minutes: 320 Time In: 09:40 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. James Davis and Sandra Davis, Owner and Director, assisted me with the visit. Your program currently operates with a four-star license, issued August 24, 2018, earning 4 points in the education component, 5 points in the program standards component (meeting enhanced ratios) and 1 quality point for the center having 75% of lead teachers and teachers having at least 10 years of EC experience). The Secretary of State website was reviewed on 12/05/2023, and Step By Step Day Care Center, Inc. was observed to be listed as current and active. The sanitation inspection was completed 7/13/2023 with a “Superior” classification. A fire inspection was completed on 1/18/2023, and the facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 94% as of December 6, 2023. All programs are required to maintain 75% compliance. Upon arrival, the license was posted, and restrictions were observed to be in compliance. Two classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. On the playground, the edge on the side bar of the swing set on the front left of the set (facing the shed), was observed to be sharp to the touch in two places. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed the children playing in activity areas, participating in general routines, engaging in conversations, reading, and activities with their teachers, and eating lunch during the visit. I observed positive interactions between staff and children. An allergy list was posted. Storage of hazardous items was monitored. A container of Let’s Jam Condition and Shine Gel and a container of Blue Magic Originals Castor Oil labeled Keep Out of Reach of Children with additional warnings was observed in a clear bag on the floor of a closet in Space 2 and in unlocked storage. This was corrected during the visit. No medications were observed, nor reported. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted. The program does not participate in off-premise activities or aquatic activities at this time. Mr. Davis stated children enrolled semi-regularly use the sidewalk/driveway area to run around or to play when the fenced-in playground is muddy. He stated he places caution markers in the driveway prior to this occurring so traffic may not enter. I stated to Mr. Davis that while this space may be used for special activities and events which are documented on the activity plan or on a special events calendar as long as written permission is on file for children to spend time outside the fenced-in area, this space may not be used regularly for outdoor play and activities. A staff training worksheet was submitted prior to the visit; the file for one existing staff member and one new staff member was monitored. Health and Safety training topic numbers (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices were not observed on file for this staff member. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were not maintained separately from the staff member's individual personnel file in the center for one new and one existing staff member. A record of training activities was not observed on file for one existing staff member. The most recent Health Questionnaire for one existing staff member was completed on 1/21/2022. The Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training was not completed by one new employee within 90 days after employment; the employee began work on 3/27/23, and the training was completed on 12/4/2023. A medical assessment was not observed on file for one employee. An Emergency Medical Care Plan review was not conducted with one new employee during orientation, and this employee did not received 16 clock hours of onsite orientation training within the first six weeks of employment; the employee received 13 hours of onsite orientation training. Children’s Records forms were completed during the visit. The files for two children enrolled were monitored. Documentation of discussion of a health assessment was not on file for both children enrolled. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 11/01/2023. A lockdown drill and shelter in place drill were completed on 10/06/2023. A playground inspection was completed on 11/06/2023. The following violations were cited during today's visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the playground, the edge on the side bar of the swing set on the front left of the set (facing the shed), was observed to be sharp to the touch in two places. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A container of Let’s Jam Condition and Shine Gel and a container of Blue Magic Originals Castor Oil labeled Keep Out of Reach of Children with additional warnings was observed in a clear bag on the floor of a closet in Space 2 and in unlocked storage. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical assessment was not observed on file for one employee. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The most recent Health Questionnaire for one existing staff member was completed on 1/21/2022. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One new employee did not received 16 clock hours of onsite orientation training within the first six weeks of employment; the employee received 13 hours of onsite orientation training in the first six weeks and in total. Hours received did not include a review of the Emergency Medical Care Plan. .1101(a) 1068 On-going training documentation did not include all applicable information: subject matter, topic area in G.S. 110-91(11), name of training provider, date training was provided, number of hours of training, and name of staff. A record of training activities was not observed on file for one existing staff member. .1106(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The files for two children enrolled were monitored. Documentation of discussion of a health assessment was not on file for both children enrolled. GS110-91(1) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were not maintained separately from the staff member's individual personnel file in the center for one new and one existing staff member. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. The Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training was not completed by one new employee within 90 days after employment; the employee began work on 3/27/23, and the training was completed on 12/4/2023. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Health and Safety training topic numbers (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices were not observed on file for one existing staff member. .1103(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 12/20/2023. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: • 15A NCAC 18A .2820 STORAGE (b) A container of Let’s Jam Condition and Shine Gel and a container of Blue Magic Originals Castor Oil labeled Keep Out of Reach of Children with additional warnings was observed in a clear bag on the floor of a closet in Space 2 and in unlocked storage. This was corrected during the visit. • 10A NCAC 09 .0601(a) Safe Environment An outdoor learning environment free of safety hazards is important so children can explore the outdoor play area safely. On the playground, the edge on the side bar of the swing set on the front left of the set (facing the shed), was observed to be sharp to the touch in two places. Mr. Davis stated he was unaware of this issue. He stated ___________________________. • GS 110-91(11); 10A NCAC 09.1102(b)(1-11) (g) HEALTH AND SAFETY TRAINING • 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) • 10A NCAC 09 .2409 CHILDREN'S RECORDS (a) (1) • 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) • 10A NCAC 09 .1106 DOCUMENTATION OF ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) • Health and Safety training topic numbers (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices were not observed on file for this staff member. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were not maintained separately from the staff member's individual personnel file in the center for one new and one existing staff member. A record of training activities was not observed on file for one existing staff member. The most recent Health Questionnaire for one existing staff member was completed on 1/21/2022. The Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training was not completed by one new employee within 90 days after employment; the employee began work on 3/27/23, and the training was completed on 12/4/2023. A medical assessment was not observed on file for one employee. An Emergency Medical Care Plan review was not conducted with one new employee during orientation, and this employee did not received 16 clock hours of onsite orientation training within the first six weeks of employment; the employee received 13 hours of onsite orientation training. Mr. Davis stated ________________________________. I recommended Mr. and Mrs. Davis set a regular schedule to review new and existing staff files to ensure all required documentation is on file, as well as setting calendar reminders for upcoming documentation due dates. Consultation Provided During Visit: • The following Child Care Rules were reviewed with Mr. Davis during the visit: 10A NCAC 09 .1706 NUTRITION STANDARDS ‘ (g) The operator, additional caregivers, and substitute providers shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. • Please review all posted Staff: Child Ratio Worksheets to ensure “Voluntary Enhanced Requirements” are checked. • Please monitor bolts on outdoor equipment and S-hooks on the swing set for developing areas of rust. • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. • Please be reminded that all checklists for Program, Children, Staff, Substitutes, and Volunteers can be found on the Division’s website at the following link: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms . • When screen time is offered, please record on your log the developmental domain(s) in accordance with the North Carolina Foundations for Early Learning and Development addressed during this time. • Please rake mulch into the fall zones surrounding the swing set to ensure mulch measures six inches in depth at all fall zones. • Please add doctor’s contact information to the Emergency Information form for your new employee. • Please use the updated Documentation of Staff Orientation for Child Care Centers for all new employees located on the Division website at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/O/Orientation_Documentation_Centers.pdf?ver=jUHkP8MRicb7YitgO6vMpw%3d%3d • Please ensure all operational and personnel policies are signed and dated for the date received and reviewed. • Please contact Smart Start of Forsyth County, Inc. for the date the training “Children with Special Health Care Needs” was completed, and record this date on the training certificates for Ms. Davis and your new employee. • Please add an on-going training log to your new employee’s file. • Please ensure a menu is posted in a place where parents may easily view it. • Please remove any completed Nutritional Opt-Out forms from children’s files who do not opt out of the regular menu. • Please consider removing, leveling, covering, or placing a caution barrier near/around the tree stump located near the boat sandbox on the playground so this does not present a tripping hazard. • Please keep foam activities inaccessible to children under three years of age, unless used for a teacher-directed activity under adult supervision. • Please consider adding additional opportunities to your Parent Handbook for parents and families to be involved with your program on an individual and/or group basis. 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 this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were emailed to you. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. 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 .1106 · Violation

Name of Operation: STEP BY STEP DAY CARE Facility ID: 34000461 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 12/6/2023 Number Present: 10 Completed Date: 12/6/2023 Age: From 1 To 4 Total Minutes: 320 Time In: 09:40 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. James Davis and Sandra Davis, Owner and Director, assisted me with the visit. Your program currently operates with a four-star license, issued August 24, 2018, earning 4 points in the education component, 5 points in the program standards component (meeting enhanced ratios) and 1 quality point for the center having 75% of lead teachers and teachers having at least 10 years of EC experience). The Secretary of State website was reviewed on 12/05/2023, and Step By Step Day Care Center, Inc. was observed to be listed as current and active. The sanitation inspection was completed 7/13/2023 with a “Superior” classification. A fire inspection was completed on 1/18/2023, and the facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 94% as of December 6, 2023. All programs are required to maintain 75% compliance. Upon arrival, the license was posted, and restrictions were observed to be in compliance. Two classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. On the playground, the edge on the side bar of the swing set on the front left of the set (facing the shed), was observed to be sharp to the touch in two places. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed the children playing in activity areas, participating in general routines, engaging in conversations, reading, and activities with their teachers, and eating lunch during the visit. I observed positive interactions between staff and children. An allergy list was posted. Storage of hazardous items was monitored. A container of Let’s Jam Condition and Shine Gel and a container of Blue Magic Originals Castor Oil labeled Keep Out of Reach of Children with additional warnings was observed in a clear bag on the floor of a closet in Space 2 and in unlocked storage. This was corrected during the visit. No medications were observed, nor reported. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted. The program does not participate in off-premise activities or aquatic activities at this time. Mr. Davis stated children enrolled semi-regularly use the sidewalk/driveway area to run around or to play when the fenced-in playground is muddy. He stated he places caution markers in the driveway prior to this occurring so traffic may not enter. I stated to Mr. Davis that while this space may be used for special activities and events which are documented on the activity plan or on a special events calendar as long as written permission is on file for children to spend time outside the fenced-in area, this space may not be used regularly for outdoor play and activities. A staff training worksheet was submitted prior to the visit; the file for one existing staff member and one new staff member was monitored. Health and Safety training topic numbers (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices were not observed on file for this staff member. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were not maintained separately from the staff member's individual personnel file in the center for one new and one existing staff member. A record of training activities was not observed on file for one existing staff member. The most recent Health Questionnaire for one existing staff member was completed on 1/21/2022. The Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training was not completed by one new employee within 90 days after employment; the employee began work on 3/27/23, and the training was completed on 12/4/2023. A medical assessment was not observed on file for one employee. An Emergency Medical Care Plan review was not conducted with one new employee during orientation, and this employee did not received 16 clock hours of onsite orientation training within the first six weeks of employment; the employee received 13 hours of onsite orientation training. Children’s Records forms were completed during the visit. The files for two children enrolled were monitored. Documentation of discussion of a health assessment was not on file for both children enrolled. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 11/01/2023. A lockdown drill and shelter in place drill were completed on 10/06/2023. A playground inspection was completed on 11/06/2023. The following violations were cited during today's visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the playground, the edge on the side bar of the swing set on the front left of the set (facing the shed), was observed to be sharp to the touch in two places. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A container of Let’s Jam Condition and Shine Gel and a container of Blue Magic Originals Castor Oil labeled Keep Out of Reach of Children with additional warnings was observed in a clear bag on the floor of a closet in Space 2 and in unlocked storage. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical assessment was not observed on file for one employee. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The most recent Health Questionnaire for one existing staff member was completed on 1/21/2022. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One new employee did not received 16 clock hours of onsite orientation training within the first six weeks of employment; the employee received 13 hours of onsite orientation training in the first six weeks and in total. Hours received did not include a review of the Emergency Medical Care Plan. .1101(a) 1068 On-going training documentation did not include all applicable information: subject matter, topic area in G.S. 110-91(11), name of training provider, date training was provided, number of hours of training, and name of staff. A record of training activities was not observed on file for one existing staff member. .1106(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The files for two children enrolled were monitored. Documentation of discussion of a health assessment was not on file for both children enrolled. GS110-91(1) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were not maintained separately from the staff member's individual personnel file in the center for one new and one existing staff member. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. The Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training was not completed by one new employee within 90 days after employment; the employee began work on 3/27/23, and the training was completed on 12/4/2023. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Health and Safety training topic numbers (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices were not observed on file for one existing staff member. .1103(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 12/20/2023. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: • 15A NCAC 18A .2820 STORAGE (b) A container of Let’s Jam Condition and Shine Gel and a container of Blue Magic Originals Castor Oil labeled Keep Out of Reach of Children with additional warnings was observed in a clear bag on the floor of a closet in Space 2 and in unlocked storage. This was corrected during the visit. • 10A NCAC 09 .0601(a) Safe Environment An outdoor learning environment free of safety hazards is important so children can explore the outdoor play area safely. On the playground, the edge on the side bar of the swing set on the front left of the set (facing the shed), was observed to be sharp to the touch in two places. Mr. Davis stated he was unaware of this issue. He stated ___________________________. • GS 110-91(11); 10A NCAC 09.1102(b)(1-11) (g) HEALTH AND SAFETY TRAINING • 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) • 10A NCAC 09 .2409 CHILDREN'S RECORDS (a) (1) • 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) • 10A NCAC 09 .1106 DOCUMENTATION OF ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) • Health and Safety training topic numbers (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices were not observed on file for this staff member. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were not maintained separately from the staff member's individual personnel file in the center for one new and one existing staff member. A record of training activities was not observed on file for one existing staff member. The most recent Health Questionnaire for one existing staff member was completed on 1/21/2022. The Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training was not completed by one new employee within 90 days after employment; the employee began work on 3/27/23, and the training was completed on 12/4/2023. A medical assessment was not observed on file for one employee. An Emergency Medical Care Plan review was not conducted with one new employee during orientation, and this employee did not received 16 clock hours of onsite orientation training within the first six weeks of employment; the employee received 13 hours of onsite orientation training. Mr. Davis stated ________________________________. I recommended Mr. and Mrs. Davis set a regular schedule to review new and existing staff files to ensure all required documentation is on file, as well as setting calendar reminders for upcoming documentation due dates. Consultation Provided During Visit: • The following Child Care Rules were reviewed with Mr. Davis during the visit: 10A NCAC 09 .1706 NUTRITION STANDARDS ‘ (g) The operator, additional caregivers, and substitute providers shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. • Please review all posted Staff: Child Ratio Worksheets to ensure “Voluntary Enhanced Requirements” are checked. • Please monitor bolts on outdoor equipment and S-hooks on the swing set for developing areas of rust. • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. • Please be reminded that all checklists for Program, Children, Staff, Substitutes, and Volunteers can be found on the Division’s website at the following link: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms . • When screen time is offered, please record on your log the developmental domain(s) in accordance with the North Carolina Foundations for Early Learning and Development addressed during this time. • Please rake mulch into the fall zones surrounding the swing set to ensure mulch measures six inches in depth at all fall zones. • Please add doctor’s contact information to the Emergency Information form for your new employee. • Please use the updated Documentation of Staff Orientation for Child Care Centers for all new employees located on the Division website at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/O/Orientation_Documentation_Centers.pdf?ver=jUHkP8MRicb7YitgO6vMpw%3d%3d • Please ensure all operational and personnel policies are signed and dated for the date received and reviewed. • Please contact Smart Start of Forsyth County, Inc. for the date the training “Children with Special Health Care Needs” was completed, and record this date on the training certificates for Ms. Davis and your new employee. • Please add an on-going training log to your new employee’s file. • Please ensure a menu is posted in a place where parents may easily view it. • Please remove any completed Nutritional Opt-Out forms from children’s files who do not opt out of the regular menu. • Please consider removing, leveling, covering, or placing a caution barrier near/around the tree stump located near the boat sandbox on the playground so this does not present a tripping hazard. • Please keep foam activities inaccessible to children under three years of age, unless used for a teacher-directed activity under adult supervision. • Please consider adding additional opportunities to your Parent Handbook for parents and families to be involved with your program on an individual and/or group basis. 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 this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were emailed to you. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1706 · Violation

Name of Operation: STEP BY STEP DAY CARE Facility ID: 34000461 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 12/6/2023 Number Present: 10 Completed Date: 12/6/2023 Age: From 1 To 4 Total Minutes: 320 Time In: 09:40 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. James Davis and Sandra Davis, Owner and Director, assisted me with the visit. Your program currently operates with a four-star license, issued August 24, 2018, earning 4 points in the education component, 5 points in the program standards component (meeting enhanced ratios) and 1 quality point for the center having 75% of lead teachers and teachers having at least 10 years of EC experience). The Secretary of State website was reviewed on 12/05/2023, and Step By Step Day Care Center, Inc. was observed to be listed as current and active. The sanitation inspection was completed 7/13/2023 with a “Superior” classification. A fire inspection was completed on 1/18/2023, and the facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 94% as of December 6, 2023. All programs are required to maintain 75% compliance. Upon arrival, the license was posted, and restrictions were observed to be in compliance. Two classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. On the playground, the edge on the side bar of the swing set on the front left of the set (facing the shed), was observed to be sharp to the touch in two places. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed the children playing in activity areas, participating in general routines, engaging in conversations, reading, and activities with their teachers, and eating lunch during the visit. I observed positive interactions between staff and children. An allergy list was posted. Storage of hazardous items was monitored. A container of Let’s Jam Condition and Shine Gel and a container of Blue Magic Originals Castor Oil labeled Keep Out of Reach of Children with additional warnings was observed in a clear bag on the floor of a closet in Space 2 and in unlocked storage. This was corrected during the visit. No medications were observed, nor reported. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted. The program does not participate in off-premise activities or aquatic activities at this time. Mr. Davis stated children enrolled semi-regularly use the sidewalk/driveway area to run around or to play when the fenced-in playground is muddy. He stated he places caution markers in the driveway prior to this occurring so traffic may not enter. I stated to Mr. Davis that while this space may be used for special activities and events which are documented on the activity plan or on a special events calendar as long as written permission is on file for children to spend time outside the fenced-in area, this space may not be used regularly for outdoor play and activities. A staff training worksheet was submitted prior to the visit; the file for one existing staff member and one new staff member was monitored. Health and Safety training topic numbers (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices were not observed on file for this staff member. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were not maintained separately from the staff member's individual personnel file in the center for one new and one existing staff member. A record of training activities was not observed on file for one existing staff member. The most recent Health Questionnaire for one existing staff member was completed on 1/21/2022. The Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training was not completed by one new employee within 90 days after employment; the employee began work on 3/27/23, and the training was completed on 12/4/2023. A medical assessment was not observed on file for one employee. An Emergency Medical Care Plan review was not conducted with one new employee during orientation, and this employee did not received 16 clock hours of onsite orientation training within the first six weeks of employment; the employee received 13 hours of onsite orientation training. Children’s Records forms were completed during the visit. The files for two children enrolled were monitored. Documentation of discussion of a health assessment was not on file for both children enrolled. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 11/01/2023. A lockdown drill and shelter in place drill were completed on 10/06/2023. A playground inspection was completed on 11/06/2023. The following violations were cited during today's visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the playground, the edge on the side bar of the swing set on the front left of the set (facing the shed), was observed to be sharp to the touch in two places. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A container of Let’s Jam Condition and Shine Gel and a container of Blue Magic Originals Castor Oil labeled Keep Out of Reach of Children with additional warnings was observed in a clear bag on the floor of a closet in Space 2 and in unlocked storage. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical assessment was not observed on file for one employee. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The most recent Health Questionnaire for one existing staff member was completed on 1/21/2022. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One new employee did not received 16 clock hours of onsite orientation training within the first six weeks of employment; the employee received 13 hours of onsite orientation training in the first six weeks and in total. Hours received did not include a review of the Emergency Medical Care Plan. .1101(a) 1068 On-going training documentation did not include all applicable information: subject matter, topic area in G.S. 110-91(11), name of training provider, date training was provided, number of hours of training, and name of staff. A record of training activities was not observed on file for one existing staff member. .1106(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The files for two children enrolled were monitored. Documentation of discussion of a health assessment was not on file for both children enrolled. GS110-91(1) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were not maintained separately from the staff member's individual personnel file in the center for one new and one existing staff member. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. The Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training was not completed by one new employee within 90 days after employment; the employee began work on 3/27/23, and the training was completed on 12/4/2023. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Health and Safety training topic numbers (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices were not observed on file for one existing staff member. .1103(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 12/20/2023. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: • 15A NCAC 18A .2820 STORAGE (b) A container of Let’s Jam Condition and Shine Gel and a container of Blue Magic Originals Castor Oil labeled Keep Out of Reach of Children with additional warnings was observed in a clear bag on the floor of a closet in Space 2 and in unlocked storage. This was corrected during the visit. • 10A NCAC 09 .0601(a) Safe Environment An outdoor learning environment free of safety hazards is important so children can explore the outdoor play area safely. On the playground, the edge on the side bar of the swing set on the front left of the set (facing the shed), was observed to be sharp to the touch in two places. Mr. Davis stated he was unaware of this issue. He stated ___________________________. • GS 110-91(11); 10A NCAC 09.1102(b)(1-11) (g) HEALTH AND SAFETY TRAINING • 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) • 10A NCAC 09 .2409 CHILDREN'S RECORDS (a) (1) • 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) • 10A NCAC 09 .1106 DOCUMENTATION OF ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) • Health and Safety training topic numbers (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices were not observed on file for this staff member. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were not maintained separately from the staff member's individual personnel file in the center for one new and one existing staff member. A record of training activities was not observed on file for one existing staff member. The most recent Health Questionnaire for one existing staff member was completed on 1/21/2022. The Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training was not completed by one new employee within 90 days after employment; the employee began work on 3/27/23, and the training was completed on 12/4/2023. A medical assessment was not observed on file for one employee. An Emergency Medical Care Plan review was not conducted with one new employee during orientation, and this employee did not received 16 clock hours of onsite orientation training within the first six weeks of employment; the employee received 13 hours of onsite orientation training. Mr. Davis stated ________________________________. I recommended Mr. and Mrs. Davis set a regular schedule to review new and existing staff files to ensure all required documentation is on file, as well as setting calendar reminders for upcoming documentation due dates. Consultation Provided During Visit: • The following Child Care Rules were reviewed with Mr. Davis during the visit: 10A NCAC 09 .1706 NUTRITION STANDARDS ‘ (g) The operator, additional caregivers, and substitute providers shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. • Please review all posted Staff: Child Ratio Worksheets to ensure “Voluntary Enhanced Requirements” are checked. • Please monitor bolts on outdoor equipment and S-hooks on the swing set for developing areas of rust. • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. • Please be reminded that all checklists for Program, Children, Staff, Substitutes, and Volunteers can be found on the Division’s website at the following link: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms . • When screen time is offered, please record on your log the developmental domain(s) in accordance with the North Carolina Foundations for Early Learning and Development addressed during this time. • Please rake mulch into the fall zones surrounding the swing set to ensure mulch measures six inches in depth at all fall zones. • Please add doctor’s contact information to the Emergency Information form for your new employee. • Please use the updated Documentation of Staff Orientation for Child Care Centers for all new employees located on the Division website at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/O/Orientation_Documentation_Centers.pdf?ver=jUHkP8MRicb7YitgO6vMpw%3d%3d • Please ensure all operational and personnel policies are signed and dated for the date received and reviewed. • Please contact Smart Start of Forsyth County, Inc. for the date the training “Children with Special Health Care Needs” was completed, and record this date on the training certificates for Ms. Davis and your new employee. • Please add an on-going training log to your new employee’s file. • Please ensure a menu is posted in a place where parents may easily view it. • Please remove any completed Nutritional Opt-Out forms from children’s files who do not opt out of the regular menu. • Please consider removing, leveling, covering, or placing a caution barrier near/around the tree stump located near the boat sandbox on the playground so this does not present a tripping hazard. • Please keep foam activities inaccessible to children under three years of age, unless used for a teacher-directed activity under adult supervision. • Please consider adding additional opportunities to your Parent Handbook for parents and families to be involved with your program on an individual and/or group basis. 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 this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were emailed to you. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. 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 .2409 · Violation

Name of Operation: STEP BY STEP DAY CARE Facility ID: 34000461 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 12/6/2023 Number Present: 10 Completed Date: 12/6/2023 Age: From 1 To 4 Total Minutes: 320 Time In: 09:40 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. James Davis and Sandra Davis, Owner and Director, assisted me with the visit. Your program currently operates with a four-star license, issued August 24, 2018, earning 4 points in the education component, 5 points in the program standards component (meeting enhanced ratios) and 1 quality point for the center having 75% of lead teachers and teachers having at least 10 years of EC experience). The Secretary of State website was reviewed on 12/05/2023, and Step By Step Day Care Center, Inc. was observed to be listed as current and active. The sanitation inspection was completed 7/13/2023 with a “Superior” classification. A fire inspection was completed on 1/18/2023, and the facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 94% as of December 6, 2023. All programs are required to maintain 75% compliance. Upon arrival, the license was posted, and restrictions were observed to be in compliance. Two classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. On the playground, the edge on the side bar of the swing set on the front left of the set (facing the shed), was observed to be sharp to the touch in two places. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed the children playing in activity areas, participating in general routines, engaging in conversations, reading, and activities with their teachers, and eating lunch during the visit. I observed positive interactions between staff and children. An allergy list was posted. Storage of hazardous items was monitored. A container of Let’s Jam Condition and Shine Gel and a container of Blue Magic Originals Castor Oil labeled Keep Out of Reach of Children with additional warnings was observed in a clear bag on the floor of a closet in Space 2 and in unlocked storage. This was corrected during the visit. No medications were observed, nor reported. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted. The program does not participate in off-premise activities or aquatic activities at this time. Mr. Davis stated children enrolled semi-regularly use the sidewalk/driveway area to run around or to play when the fenced-in playground is muddy. He stated he places caution markers in the driveway prior to this occurring so traffic may not enter. I stated to Mr. Davis that while this space may be used for special activities and events which are documented on the activity plan or on a special events calendar as long as written permission is on file for children to spend time outside the fenced-in area, this space may not be used regularly for outdoor play and activities. A staff training worksheet was submitted prior to the visit; the file for one existing staff member and one new staff member was monitored. Health and Safety training topic numbers (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices were not observed on file for this staff member. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were not maintained separately from the staff member's individual personnel file in the center for one new and one existing staff member. A record of training activities was not observed on file for one existing staff member. The most recent Health Questionnaire for one existing staff member was completed on 1/21/2022. The Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training was not completed by one new employee within 90 days after employment; the employee began work on 3/27/23, and the training was completed on 12/4/2023. A medical assessment was not observed on file for one employee. An Emergency Medical Care Plan review was not conducted with one new employee during orientation, and this employee did not received 16 clock hours of onsite orientation training within the first six weeks of employment; the employee received 13 hours of onsite orientation training. Children’s Records forms were completed during the visit. The files for two children enrolled were monitored. Documentation of discussion of a health assessment was not on file for both children enrolled. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 11/01/2023. A lockdown drill and shelter in place drill were completed on 10/06/2023. A playground inspection was completed on 11/06/2023. The following violations were cited during today's visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the playground, the edge on the side bar of the swing set on the front left of the set (facing the shed), was observed to be sharp to the touch in two places. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A container of Let’s Jam Condition and Shine Gel and a container of Blue Magic Originals Castor Oil labeled Keep Out of Reach of Children with additional warnings was observed in a clear bag on the floor of a closet in Space 2 and in unlocked storage. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical assessment was not observed on file for one employee. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The most recent Health Questionnaire for one existing staff member was completed on 1/21/2022. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One new employee did not received 16 clock hours of onsite orientation training within the first six weeks of employment; the employee received 13 hours of onsite orientation training in the first six weeks and in total. Hours received did not include a review of the Emergency Medical Care Plan. .1101(a) 1068 On-going training documentation did not include all applicable information: subject matter, topic area in G.S. 110-91(11), name of training provider, date training was provided, number of hours of training, and name of staff. A record of training activities was not observed on file for one existing staff member. .1106(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The files for two children enrolled were monitored. Documentation of discussion of a health assessment was not on file for both children enrolled. GS110-91(1) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were not maintained separately from the staff member's individual personnel file in the center for one new and one existing staff member. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. The Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training was not completed by one new employee within 90 days after employment; the employee began work on 3/27/23, and the training was completed on 12/4/2023. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Health and Safety training topic numbers (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices were not observed on file for one existing staff member. .1103(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 12/20/2023. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: • 15A NCAC 18A .2820 STORAGE (b) A container of Let’s Jam Condition and Shine Gel and a container of Blue Magic Originals Castor Oil labeled Keep Out of Reach of Children with additional warnings was observed in a clear bag on the floor of a closet in Space 2 and in unlocked storage. This was corrected during the visit. • 10A NCAC 09 .0601(a) Safe Environment An outdoor learning environment free of safety hazards is important so children can explore the outdoor play area safely. On the playground, the edge on the side bar of the swing set on the front left of the set (facing the shed), was observed to be sharp to the touch in two places. Mr. Davis stated he was unaware of this issue. He stated ___________________________. • GS 110-91(11); 10A NCAC 09.1102(b)(1-11) (g) HEALTH AND SAFETY TRAINING • 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) • 10A NCAC 09 .2409 CHILDREN'S RECORDS (a) (1) • 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) • 10A NCAC 09 .1106 DOCUMENTATION OF ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) • Health and Safety training topic numbers (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices were not observed on file for this staff member. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were not maintained separately from the staff member's individual personnel file in the center for one new and one existing staff member. A record of training activities was not observed on file for one existing staff member. The most recent Health Questionnaire for one existing staff member was completed on 1/21/2022. The Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training was not completed by one new employee within 90 days after employment; the employee began work on 3/27/23, and the training was completed on 12/4/2023. A medical assessment was not observed on file for one employee. An Emergency Medical Care Plan review was not conducted with one new employee during orientation, and this employee did not received 16 clock hours of onsite orientation training within the first six weeks of employment; the employee received 13 hours of onsite orientation training. Mr. Davis stated ________________________________. I recommended Mr. and Mrs. Davis set a regular schedule to review new and existing staff files to ensure all required documentation is on file, as well as setting calendar reminders for upcoming documentation due dates. Consultation Provided During Visit: • The following Child Care Rules were reviewed with Mr. Davis during the visit: 10A NCAC 09 .1706 NUTRITION STANDARDS ‘ (g) The operator, additional caregivers, and substitute providers shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. • Please review all posted Staff: Child Ratio Worksheets to ensure “Voluntary Enhanced Requirements” are checked. • Please monitor bolts on outdoor equipment and S-hooks on the swing set for developing areas of rust. • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. • Please be reminded that all checklists for Program, Children, Staff, Substitutes, and Volunteers can be found on the Division’s website at the following link: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms . • When screen time is offered, please record on your log the developmental domain(s) in accordance with the North Carolina Foundations for Early Learning and Development addressed during this time. • Please rake mulch into the fall zones surrounding the swing set to ensure mulch measures six inches in depth at all fall zones. • Please add doctor’s contact information to the Emergency Information form for your new employee. • Please use the updated Documentation of Staff Orientation for Child Care Centers for all new employees located on the Division website at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/O/Orientation_Documentation_Centers.pdf?ver=jUHkP8MRicb7YitgO6vMpw%3d%3d • Please ensure all operational and personnel policies are signed and dated for the date received and reviewed. • Please contact Smart Start of Forsyth County, Inc. for the date the training “Children with Special Health Care Needs” was completed, and record this date on the training certificates for Ms. Davis and your new employee. • Please add an on-going training log to your new employee’s file. • Please ensure a menu is posted in a place where parents may easily view it. • Please remove any completed Nutritional Opt-Out forms from children’s files who do not opt out of the regular menu. • Please consider removing, leveling, covering, or placing a caution barrier near/around the tree stump located near the boat sandbox on the playground so this does not present a tripping hazard. • Please keep foam activities inaccessible to children under three years of age, unless used for a teacher-directed activity under adult supervision. • Please consider adding additional opportunities to your Parent Handbook for parents and families to be involved with your program on an individual and/or group basis. 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 this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were emailed to you. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. 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 09.1102 · Violation

Name of Operation: STEP BY STEP DAY CARE Facility ID: 34000461 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 12/6/2023 Number Present: 10 Completed Date: 12/6/2023 Age: From 1 To 4 Total Minutes: 320 Time In: 09:40 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. James Davis and Sandra Davis, Owner and Director, assisted me with the visit. Your program currently operates with a four-star license, issued August 24, 2018, earning 4 points in the education component, 5 points in the program standards component (meeting enhanced ratios) and 1 quality point for the center having 75% of lead teachers and teachers having at least 10 years of EC experience). The Secretary of State website was reviewed on 12/05/2023, and Step By Step Day Care Center, Inc. was observed to be listed as current and active. The sanitation inspection was completed 7/13/2023 with a “Superior” classification. A fire inspection was completed on 1/18/2023, and the facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 94% as of December 6, 2023. All programs are required to maintain 75% compliance. Upon arrival, the license was posted, and restrictions were observed to be in compliance. Two classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. On the playground, the edge on the side bar of the swing set on the front left of the set (facing the shed), was observed to be sharp to the touch in two places. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed the children playing in activity areas, participating in general routines, engaging in conversations, reading, and activities with their teachers, and eating lunch during the visit. I observed positive interactions between staff and children. An allergy list was posted. Storage of hazardous items was monitored. A container of Let’s Jam Condition and Shine Gel and a container of Blue Magic Originals Castor Oil labeled Keep Out of Reach of Children with additional warnings was observed in a clear bag on the floor of a closet in Space 2 and in unlocked storage. This was corrected during the visit. No medications were observed, nor reported. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted. The program does not participate in off-premise activities or aquatic activities at this time. Mr. Davis stated children enrolled semi-regularly use the sidewalk/driveway area to run around or to play when the fenced-in playground is muddy. He stated he places caution markers in the driveway prior to this occurring so traffic may not enter. I stated to Mr. Davis that while this space may be used for special activities and events which are documented on the activity plan or on a special events calendar as long as written permission is on file for children to spend time outside the fenced-in area, this space may not be used regularly for outdoor play and activities. A staff training worksheet was submitted prior to the visit; the file for one existing staff member and one new staff member was monitored. Health and Safety training topic numbers (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices were not observed on file for this staff member. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were not maintained separately from the staff member's individual personnel file in the center for one new and one existing staff member. A record of training activities was not observed on file for one existing staff member. The most recent Health Questionnaire for one existing staff member was completed on 1/21/2022. The Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training was not completed by one new employee within 90 days after employment; the employee began work on 3/27/23, and the training was completed on 12/4/2023. A medical assessment was not observed on file for one employee. An Emergency Medical Care Plan review was not conducted with one new employee during orientation, and this employee did not received 16 clock hours of onsite orientation training within the first six weeks of employment; the employee received 13 hours of onsite orientation training. Children’s Records forms were completed during the visit. The files for two children enrolled were monitored. Documentation of discussion of a health assessment was not on file for both children enrolled. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 11/01/2023. A lockdown drill and shelter in place drill were completed on 10/06/2023. A playground inspection was completed on 11/06/2023. The following violations were cited during today's visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the playground, the edge on the side bar of the swing set on the front left of the set (facing the shed), was observed to be sharp to the touch in two places. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A container of Let’s Jam Condition and Shine Gel and a container of Blue Magic Originals Castor Oil labeled Keep Out of Reach of Children with additional warnings was observed in a clear bag on the floor of a closet in Space 2 and in unlocked storage. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical assessment was not observed on file for one employee. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The most recent Health Questionnaire for one existing staff member was completed on 1/21/2022. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One new employee did not received 16 clock hours of onsite orientation training within the first six weeks of employment; the employee received 13 hours of onsite orientation training in the first six weeks and in total. Hours received did not include a review of the Emergency Medical Care Plan. .1101(a) 1068 On-going training documentation did not include all applicable information: subject matter, topic area in G.S. 110-91(11), name of training provider, date training was provided, number of hours of training, and name of staff. A record of training activities was not observed on file for one existing staff member. .1106(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The files for two children enrolled were monitored. Documentation of discussion of a health assessment was not on file for both children enrolled. GS110-91(1) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were not maintained separately from the staff member's individual personnel file in the center for one new and one existing staff member. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. The Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training was not completed by one new employee within 90 days after employment; the employee began work on 3/27/23, and the training was completed on 12/4/2023. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Health and Safety training topic numbers (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices were not observed on file for one existing staff member. .1103(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 12/20/2023. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: • 15A NCAC 18A .2820 STORAGE (b) A container of Let’s Jam Condition and Shine Gel and a container of Blue Magic Originals Castor Oil labeled Keep Out of Reach of Children with additional warnings was observed in a clear bag on the floor of a closet in Space 2 and in unlocked storage. This was corrected during the visit. • 10A NCAC 09 .0601(a) Safe Environment An outdoor learning environment free of safety hazards is important so children can explore the outdoor play area safely. On the playground, the edge on the side bar of the swing set on the front left of the set (facing the shed), was observed to be sharp to the touch in two places. Mr. Davis stated he was unaware of this issue. He stated ___________________________. • GS 110-91(11); 10A NCAC 09.1102(b)(1-11) (g) HEALTH AND SAFETY TRAINING • 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) • 10A NCAC 09 .2409 CHILDREN'S RECORDS (a) (1) • 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) • 10A NCAC 09 .1106 DOCUMENTATION OF ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) • Health and Safety training topic numbers (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices were not observed on file for this staff member. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were not maintained separately from the staff member's individual personnel file in the center for one new and one existing staff member. A record of training activities was not observed on file for one existing staff member. The most recent Health Questionnaire for one existing staff member was completed on 1/21/2022. The Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training was not completed by one new employee within 90 days after employment; the employee began work on 3/27/23, and the training was completed on 12/4/2023. A medical assessment was not observed on file for one employee. An Emergency Medical Care Plan review was not conducted with one new employee during orientation, and this employee did not received 16 clock hours of onsite orientation training within the first six weeks of employment; the employee received 13 hours of onsite orientation training. Mr. Davis stated ________________________________. I recommended Mr. and Mrs. Davis set a regular schedule to review new and existing staff files to ensure all required documentation is on file, as well as setting calendar reminders for upcoming documentation due dates. Consultation Provided During Visit: • The following Child Care Rules were reviewed with Mr. Davis during the visit: 10A NCAC 09 .1706 NUTRITION STANDARDS ‘ (g) The operator, additional caregivers, and substitute providers shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. • Please review all posted Staff: Child Ratio Worksheets to ensure “Voluntary Enhanced Requirements” are checked. • Please monitor bolts on outdoor equipment and S-hooks on the swing set for developing areas of rust. • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. • Please be reminded that all checklists for Program, Children, Staff, Substitutes, and Volunteers can be found on the Division’s website at the following link: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms . • When screen time is offered, please record on your log the developmental domain(s) in accordance with the North Carolina Foundations for Early Learning and Development addressed during this time. • Please rake mulch into the fall zones surrounding the swing set to ensure mulch measures six inches in depth at all fall zones. • Please add doctor’s contact information to the Emergency Information form for your new employee. • Please use the updated Documentation of Staff Orientation for Child Care Centers for all new employees located on the Division website at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/O/Orientation_Documentation_Centers.pdf?ver=jUHkP8MRicb7YitgO6vMpw%3d%3d • Please ensure all operational and personnel policies are signed and dated for the date received and reviewed. • Please contact Smart Start of Forsyth County, Inc. for the date the training “Children with Special Health Care Needs” was completed, and record this date on the training certificates for Ms. Davis and your new employee. • Please add an on-going training log to your new employee’s file. • Please ensure a menu is posted in a place where parents may easily view it. • Please remove any completed Nutritional Opt-Out forms from children’s files who do not opt out of the regular menu. • Please consider removing, leveling, covering, or placing a caution barrier near/around the tree stump located near the boat sandbox on the playground so this does not present a tripping hazard. • Please keep foam activities inaccessible to children under three years of age, unless used for a teacher-directed activity under adult supervision. • Please consider adding additional opportunities to your Parent Handbook for parents and families to be involved with your program on an individual and/or group basis. 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 this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were emailed to you. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. 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: STEP BY STEP DAY CARE Facility ID: 34000461 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 12/6/2023 Number Present: 10 Completed Date: 12/6/2023 Age: From 1 To 4 Total Minutes: 320 Time In: 09:40 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. James Davis and Sandra Davis, Owner and Director, assisted me with the visit. Your program currently operates with a four-star license, issued August 24, 2018, earning 4 points in the education component, 5 points in the program standards component (meeting enhanced ratios) and 1 quality point for the center having 75% of lead teachers and teachers having at least 10 years of EC experience). The Secretary of State website was reviewed on 12/05/2023, and Step By Step Day Care Center, Inc. was observed to be listed as current and active. The sanitation inspection was completed 7/13/2023 with a “Superior” classification. A fire inspection was completed on 1/18/2023, and the facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 94% as of December 6, 2023. All programs are required to maintain 75% compliance. Upon arrival, the license was posted, and restrictions were observed to be in compliance. Two classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. On the playground, the edge on the side bar of the swing set on the front left of the set (facing the shed), was observed to be sharp to the touch in two places. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed the children playing in activity areas, participating in general routines, engaging in conversations, reading, and activities with their teachers, and eating lunch during the visit. I observed positive interactions between staff and children. An allergy list was posted. Storage of hazardous items was monitored. A container of Let’s Jam Condition and Shine Gel and a container of Blue Magic Originals Castor Oil labeled Keep Out of Reach of Children with additional warnings was observed in a clear bag on the floor of a closet in Space 2 and in unlocked storage. This was corrected during the visit. No medications were observed, nor reported. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted. The program does not participate in off-premise activities or aquatic activities at this time. Mr. Davis stated children enrolled semi-regularly use the sidewalk/driveway area to run around or to play when the fenced-in playground is muddy. He stated he places caution markers in the driveway prior to this occurring so traffic may not enter. I stated to Mr. Davis that while this space may be used for special activities and events which are documented on the activity plan or on a special events calendar as long as written permission is on file for children to spend time outside the fenced-in area, this space may not be used regularly for outdoor play and activities. A staff training worksheet was submitted prior to the visit; the file for one existing staff member and one new staff member was monitored. Health and Safety training topic numbers (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices were not observed on file for this staff member. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were not maintained separately from the staff member's individual personnel file in the center for one new and one existing staff member. A record of training activities was not observed on file for one existing staff member. The most recent Health Questionnaire for one existing staff member was completed on 1/21/2022. The Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training was not completed by one new employee within 90 days after employment; the employee began work on 3/27/23, and the training was completed on 12/4/2023. A medical assessment was not observed on file for one employee. An Emergency Medical Care Plan review was not conducted with one new employee during orientation, and this employee did not received 16 clock hours of onsite orientation training within the first six weeks of employment; the employee received 13 hours of onsite orientation training. Children’s Records forms were completed during the visit. The files for two children enrolled were monitored. Documentation of discussion of a health assessment was not on file for both children enrolled. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 11/01/2023. A lockdown drill and shelter in place drill were completed on 10/06/2023. A playground inspection was completed on 11/06/2023. The following violations were cited during today's visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the playground, the edge on the side bar of the swing set on the front left of the set (facing the shed), was observed to be sharp to the touch in two places. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A container of Let’s Jam Condition and Shine Gel and a container of Blue Magic Originals Castor Oil labeled Keep Out of Reach of Children with additional warnings was observed in a clear bag on the floor of a closet in Space 2 and in unlocked storage. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical assessment was not observed on file for one employee. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The most recent Health Questionnaire for one existing staff member was completed on 1/21/2022. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One new employee did not received 16 clock hours of onsite orientation training within the first six weeks of employment; the employee received 13 hours of onsite orientation training in the first six weeks and in total. Hours received did not include a review of the Emergency Medical Care Plan. .1101(a) 1068 On-going training documentation did not include all applicable information: subject matter, topic area in G.S. 110-91(11), name of training provider, date training was provided, number of hours of training, and name of staff. A record of training activities was not observed on file for one existing staff member. .1106(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The files for two children enrolled were monitored. Documentation of discussion of a health assessment was not on file for both children enrolled. GS110-91(1) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were not maintained separately from the staff member's individual personnel file in the center for one new and one existing staff member. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. The Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training was not completed by one new employee within 90 days after employment; the employee began work on 3/27/23, and the training was completed on 12/4/2023. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Health and Safety training topic numbers (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices were not observed on file for one existing staff member. .1103(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 12/20/2023. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: • 15A NCAC 18A .2820 STORAGE (b) A container of Let’s Jam Condition and Shine Gel and a container of Blue Magic Originals Castor Oil labeled Keep Out of Reach of Children with additional warnings was observed in a clear bag on the floor of a closet in Space 2 and in unlocked storage. This was corrected during the visit. • 10A NCAC 09 .0601(a) Safe Environment An outdoor learning environment free of safety hazards is important so children can explore the outdoor play area safely. On the playground, the edge on the side bar of the swing set on the front left of the set (facing the shed), was observed to be sharp to the touch in two places. Mr. Davis stated he was unaware of this issue. He stated ___________________________. • GS 110-91(11); 10A NCAC 09.1102(b)(1-11) (g) HEALTH AND SAFETY TRAINING • 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) • 10A NCAC 09 .2409 CHILDREN'S RECORDS (a) (1) • 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) • 10A NCAC 09 .1106 DOCUMENTATION OF ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) • Health and Safety training topic numbers (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices were not observed on file for this staff member. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were not maintained separately from the staff member's individual personnel file in the center for one new and one existing staff member. A record of training activities was not observed on file for one existing staff member. The most recent Health Questionnaire for one existing staff member was completed on 1/21/2022. The Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training was not completed by one new employee within 90 days after employment; the employee began work on 3/27/23, and the training was completed on 12/4/2023. A medical assessment was not observed on file for one employee. An Emergency Medical Care Plan review was not conducted with one new employee during orientation, and this employee did not received 16 clock hours of onsite orientation training within the first six weeks of employment; the employee received 13 hours of onsite orientation training. Mr. Davis stated ________________________________. I recommended Mr. and Mrs. Davis set a regular schedule to review new and existing staff files to ensure all required documentation is on file, as well as setting calendar reminders for upcoming documentation due dates. Consultation Provided During Visit: • The following Child Care Rules were reviewed with Mr. Davis during the visit: 10A NCAC 09 .1706 NUTRITION STANDARDS ‘ (g) The operator, additional caregivers, and substitute providers shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. • Please review all posted Staff: Child Ratio Worksheets to ensure “Voluntary Enhanced Requirements” are checked. • Please monitor bolts on outdoor equipment and S-hooks on the swing set for developing areas of rust. • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. • Please be reminded that all checklists for Program, Children, Staff, Substitutes, and Volunteers can be found on the Division’s website at the following link: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms . • When screen time is offered, please record on your log the developmental domain(s) in accordance with the North Carolina Foundations for Early Learning and Development addressed during this time. • Please rake mulch into the fall zones surrounding the swing set to ensure mulch measures six inches in depth at all fall zones. • Please add doctor’s contact information to the Emergency Information form for your new employee. • Please use the updated Documentation of Staff Orientation for Child Care Centers for all new employees located on the Division website at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/O/Orientation_Documentation_Centers.pdf?ver=jUHkP8MRicb7YitgO6vMpw%3d%3d • Please ensure all operational and personnel policies are signed and dated for the date received and reviewed. • Please contact Smart Start of Forsyth County, Inc. for the date the training “Children with Special Health Care Needs” was completed, and record this date on the training certificates for Ms. Davis and your new employee. • Please add an on-going training log to your new employee’s file. • Please ensure a menu is posted in a place where parents may easily view it. • Please remove any completed Nutritional Opt-Out forms from children’s files who do not opt out of the regular menu. • Please consider removing, leveling, covering, or placing a caution barrier near/around the tree stump located near the boat sandbox on the playground so this does not present a tripping hazard. • Please keep foam activities inaccessible to children under three years of age, unless used for a teacher-directed activity under adult supervision. • Please consider adding additional opportunities to your Parent Handbook for parents and families to be involved with your program on an individual and/or group basis. 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 this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were emailed to you. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: STEP BY STEP DAY CARE Facility ID: 34000461 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 12/6/2023 Number Present: 10 Completed Date: 12/6/2023 Age: From 1 To 4 Total Minutes: 320 Time In: 09:40 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. James Davis and Sandra Davis, Owner and Director, assisted me with the visit. Your program currently operates with a four-star license, issued August 24, 2018, earning 4 points in the education component, 5 points in the program standards component (meeting enhanced ratios) and 1 quality point for the center having 75% of lead teachers and teachers having at least 10 years of EC experience). The Secretary of State website was reviewed on 12/05/2023, and Step By Step Day Care Center, Inc. was observed to be listed as current and active. The sanitation inspection was completed 7/13/2023 with a “Superior” classification. A fire inspection was completed on 1/18/2023, and the facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 94% as of December 6, 2023. All programs are required to maintain 75% compliance. Upon arrival, the license was posted, and restrictions were observed to be in compliance. Two classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. On the playground, the edge on the side bar of the swing set on the front left of the set (facing the shed), was observed to be sharp to the touch in two places. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed the children playing in activity areas, participating in general routines, engaging in conversations, reading, and activities with their teachers, and eating lunch during the visit. I observed positive interactions between staff and children. An allergy list was posted. Storage of hazardous items was monitored. A container of Let’s Jam Condition and Shine Gel and a container of Blue Magic Originals Castor Oil labeled Keep Out of Reach of Children with additional warnings was observed in a clear bag on the floor of a closet in Space 2 and in unlocked storage. This was corrected during the visit. No medications were observed, nor reported. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted. The program does not participate in off-premise activities or aquatic activities at this time. Mr. Davis stated children enrolled semi-regularly use the sidewalk/driveway area to run around or to play when the fenced-in playground is muddy. He stated he places caution markers in the driveway prior to this occurring so traffic may not enter. I stated to Mr. Davis that while this space may be used for special activities and events which are documented on the activity plan or on a special events calendar as long as written permission is on file for children to spend time outside the fenced-in area, this space may not be used regularly for outdoor play and activities. A staff training worksheet was submitted prior to the visit; the file for one existing staff member and one new staff member was monitored. Health and Safety training topic numbers (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices were not observed on file for this staff member. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were not maintained separately from the staff member's individual personnel file in the center for one new and one existing staff member. A record of training activities was not observed on file for one existing staff member. The most recent Health Questionnaire for one existing staff member was completed on 1/21/2022. The Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training was not completed by one new employee within 90 days after employment; the employee began work on 3/27/23, and the training was completed on 12/4/2023. A medical assessment was not observed on file for one employee. An Emergency Medical Care Plan review was not conducted with one new employee during orientation, and this employee did not received 16 clock hours of onsite orientation training within the first six weeks of employment; the employee received 13 hours of onsite orientation training. Children’s Records forms were completed during the visit. The files for two children enrolled were monitored. Documentation of discussion of a health assessment was not on file for both children enrolled. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 11/01/2023. A lockdown drill and shelter in place drill were completed on 10/06/2023. A playground inspection was completed on 11/06/2023. The following violations were cited during today's visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the playground, the edge on the side bar of the swing set on the front left of the set (facing the shed), was observed to be sharp to the touch in two places. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A container of Let’s Jam Condition and Shine Gel and a container of Blue Magic Originals Castor Oil labeled Keep Out of Reach of Children with additional warnings was observed in a clear bag on the floor of a closet in Space 2 and in unlocked storage. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical assessment was not observed on file for one employee. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The most recent Health Questionnaire for one existing staff member was completed on 1/21/2022. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One new employee did not received 16 clock hours of onsite orientation training within the first six weeks of employment; the employee received 13 hours of onsite orientation training in the first six weeks and in total. Hours received did not include a review of the Emergency Medical Care Plan. .1101(a) 1068 On-going training documentation did not include all applicable information: subject matter, topic area in G.S. 110-91(11), name of training provider, date training was provided, number of hours of training, and name of staff. A record of training activities was not observed on file for one existing staff member. .1106(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The files for two children enrolled were monitored. Documentation of discussion of a health assessment was not on file for both children enrolled. GS110-91(1) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were not maintained separately from the staff member's individual personnel file in the center for one new and one existing staff member. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. The Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training was not completed by one new employee within 90 days after employment; the employee began work on 3/27/23, and the training was completed on 12/4/2023. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Health and Safety training topic numbers (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices were not observed on file for one existing staff member. .1103(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 12/20/2023. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: • 15A NCAC 18A .2820 STORAGE (b) A container of Let’s Jam Condition and Shine Gel and a container of Blue Magic Originals Castor Oil labeled Keep Out of Reach of Children with additional warnings was observed in a clear bag on the floor of a closet in Space 2 and in unlocked storage. This was corrected during the visit. • 10A NCAC 09 .0601(a) Safe Environment An outdoor learning environment free of safety hazards is important so children can explore the outdoor play area safely. On the playground, the edge on the side bar of the swing set on the front left of the set (facing the shed), was observed to be sharp to the touch in two places. Mr. Davis stated he was unaware of this issue. He stated ___________________________. • GS 110-91(11); 10A NCAC 09.1102(b)(1-11) (g) HEALTH AND SAFETY TRAINING • 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) • 10A NCAC 09 .2409 CHILDREN'S RECORDS (a) (1) • 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) • 10A NCAC 09 .1106 DOCUMENTATION OF ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) • Health and Safety training topic numbers (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices were not observed on file for this staff member. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were not maintained separately from the staff member's individual personnel file in the center for one new and one existing staff member. A record of training activities was not observed on file for one existing staff member. The most recent Health Questionnaire for one existing staff member was completed on 1/21/2022. The Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training was not completed by one new employee within 90 days after employment; the employee began work on 3/27/23, and the training was completed on 12/4/2023. A medical assessment was not observed on file for one employee. An Emergency Medical Care Plan review was not conducted with one new employee during orientation, and this employee did not received 16 clock hours of onsite orientation training within the first six weeks of employment; the employee received 13 hours of onsite orientation training. Mr. Davis stated ________________________________. I recommended Mr. and Mrs. Davis set a regular schedule to review new and existing staff files to ensure all required documentation is on file, as well as setting calendar reminders for upcoming documentation due dates. Consultation Provided During Visit: • The following Child Care Rules were reviewed with Mr. Davis during the visit: 10A NCAC 09 .1706 NUTRITION STANDARDS ‘ (g) The operator, additional caregivers, and substitute providers shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. • Please review all posted Staff: Child Ratio Worksheets to ensure “Voluntary Enhanced Requirements” are checked. • Please monitor bolts on outdoor equipment and S-hooks on the swing set for developing areas of rust. • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. • Please be reminded that all checklists for Program, Children, Staff, Substitutes, and Volunteers can be found on the Division’s website at the following link: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms . • When screen time is offered, please record on your log the developmental domain(s) in accordance with the North Carolina Foundations for Early Learning and Development addressed during this time. • Please rake mulch into the fall zones surrounding the swing set to ensure mulch measures six inches in depth at all fall zones. • Please add doctor’s contact information to the Emergency Information form for your new employee. • Please use the updated Documentation of Staff Orientation for Child Care Centers for all new employees located on the Division website at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/O/Orientation_Documentation_Centers.pdf?ver=jUHkP8MRicb7YitgO6vMpw%3d%3d • Please ensure all operational and personnel policies are signed and dated for the date received and reviewed. • Please contact Smart Start of Forsyth County, Inc. for the date the training “Children with Special Health Care Needs” was completed, and record this date on the training certificates for Ms. Davis and your new employee. • Please add an on-going training log to your new employee’s file. • Please ensure a menu is posted in a place where parents may easily view it. • Please remove any completed Nutritional Opt-Out forms from children’s files who do not opt out of the regular menu. • Please consider removing, leveling, covering, or placing a caution barrier near/around the tree stump located near the boat sandbox on the playground so this does not present a tripping hazard. • Please keep foam activities inaccessible to children under three years of age, unless used for a teacher-directed activity under adult supervision. • Please consider adding additional opportunities to your Parent Handbook for parents and families to be involved with your program on an individual and/or group basis. 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 this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were emailed to you. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. 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

GS110-91 · Violation

Name of Operation: STEP BY STEP DAY CARE Facility ID: 34000461 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 12/6/2023 Number Present: 10 Completed Date: 12/6/2023 Age: From 1 To 4 Total Minutes: 320 Time In: 09:40 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. James Davis and Sandra Davis, Owner and Director, assisted me with the visit. Your program currently operates with a four-star license, issued August 24, 2018, earning 4 points in the education component, 5 points in the program standards component (meeting enhanced ratios) and 1 quality point for the center having 75% of lead teachers and teachers having at least 10 years of EC experience). The Secretary of State website was reviewed on 12/05/2023, and Step By Step Day Care Center, Inc. was observed to be listed as current and active. The sanitation inspection was completed 7/13/2023 with a “Superior” classification. A fire inspection was completed on 1/18/2023, and the facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 94% as of December 6, 2023. All programs are required to maintain 75% compliance. Upon arrival, the license was posted, and restrictions were observed to be in compliance. Two classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. On the playground, the edge on the side bar of the swing set on the front left of the set (facing the shed), was observed to be sharp to the touch in two places. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed the children playing in activity areas, participating in general routines, engaging in conversations, reading, and activities with their teachers, and eating lunch during the visit. I observed positive interactions between staff and children. An allergy list was posted. Storage of hazardous items was monitored. A container of Let’s Jam Condition and Shine Gel and a container of Blue Magic Originals Castor Oil labeled Keep Out of Reach of Children with additional warnings was observed in a clear bag on the floor of a closet in Space 2 and in unlocked storage. This was corrected during the visit. No medications were observed, nor reported. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted. The program does not participate in off-premise activities or aquatic activities at this time. Mr. Davis stated children enrolled semi-regularly use the sidewalk/driveway area to run around or to play when the fenced-in playground is muddy. He stated he places caution markers in the driveway prior to this occurring so traffic may not enter. I stated to Mr. Davis that while this space may be used for special activities and events which are documented on the activity plan or on a special events calendar as long as written permission is on file for children to spend time outside the fenced-in area, this space may not be used regularly for outdoor play and activities. A staff training worksheet was submitted prior to the visit; the file for one existing staff member and one new staff member was monitored. Health and Safety training topic numbers (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices were not observed on file for this staff member. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were not maintained separately from the staff member's individual personnel file in the center for one new and one existing staff member. A record of training activities was not observed on file for one existing staff member. The most recent Health Questionnaire for one existing staff member was completed on 1/21/2022. The Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training was not completed by one new employee within 90 days after employment; the employee began work on 3/27/23, and the training was completed on 12/4/2023. A medical assessment was not observed on file for one employee. An Emergency Medical Care Plan review was not conducted with one new employee during orientation, and this employee did not received 16 clock hours of onsite orientation training within the first six weeks of employment; the employee received 13 hours of onsite orientation training. Children’s Records forms were completed during the visit. The files for two children enrolled were monitored. Documentation of discussion of a health assessment was not on file for both children enrolled. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 11/01/2023. A lockdown drill and shelter in place drill were completed on 10/06/2023. A playground inspection was completed on 11/06/2023. The following violations were cited during today's visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the playground, the edge on the side bar of the swing set on the front left of the set (facing the shed), was observed to be sharp to the touch in two places. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A container of Let’s Jam Condition and Shine Gel and a container of Blue Magic Originals Castor Oil labeled Keep Out of Reach of Children with additional warnings was observed in a clear bag on the floor of a closet in Space 2 and in unlocked storage. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical assessment was not observed on file for one employee. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The most recent Health Questionnaire for one existing staff member was completed on 1/21/2022. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One new employee did not received 16 clock hours of onsite orientation training within the first six weeks of employment; the employee received 13 hours of onsite orientation training in the first six weeks and in total. Hours received did not include a review of the Emergency Medical Care Plan. .1101(a) 1068 On-going training documentation did not include all applicable information: subject matter, topic area in G.S. 110-91(11), name of training provider, date training was provided, number of hours of training, and name of staff. A record of training activities was not observed on file for one existing staff member. .1106(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The files for two children enrolled were monitored. Documentation of discussion of a health assessment was not on file for both children enrolled. GS110-91(1) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were not maintained separately from the staff member's individual personnel file in the center for one new and one existing staff member. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. The Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training was not completed by one new employee within 90 days after employment; the employee began work on 3/27/23, and the training was completed on 12/4/2023. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Health and Safety training topic numbers (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices were not observed on file for one existing staff member. .1103(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 12/20/2023. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: • 15A NCAC 18A .2820 STORAGE (b) A container of Let’s Jam Condition and Shine Gel and a container of Blue Magic Originals Castor Oil labeled Keep Out of Reach of Children with additional warnings was observed in a clear bag on the floor of a closet in Space 2 and in unlocked storage. This was corrected during the visit. • 10A NCAC 09 .0601(a) Safe Environment An outdoor learning environment free of safety hazards is important so children can explore the outdoor play area safely. On the playground, the edge on the side bar of the swing set on the front left of the set (facing the shed), was observed to be sharp to the touch in two places. Mr. Davis stated he was unaware of this issue. He stated ___________________________. • GS 110-91(11); 10A NCAC 09.1102(b)(1-11) (g) HEALTH AND SAFETY TRAINING • 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) • 10A NCAC 09 .2409 CHILDREN'S RECORDS (a) (1) • 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) • 10A NCAC 09 .1106 DOCUMENTATION OF ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) • Health and Safety training topic numbers (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices were not observed on file for this staff member. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were not maintained separately from the staff member's individual personnel file in the center for one new and one existing staff member. A record of training activities was not observed on file for one existing staff member. The most recent Health Questionnaire for one existing staff member was completed on 1/21/2022. The Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training was not completed by one new employee within 90 days after employment; the employee began work on 3/27/23, and the training was completed on 12/4/2023. A medical assessment was not observed on file for one employee. An Emergency Medical Care Plan review was not conducted with one new employee during orientation, and this employee did not received 16 clock hours of onsite orientation training within the first six weeks of employment; the employee received 13 hours of onsite orientation training. Mr. Davis stated ________________________________. I recommended Mr. and Mrs. Davis set a regular schedule to review new and existing staff files to ensure all required documentation is on file, as well as setting calendar reminders for upcoming documentation due dates. Consultation Provided During Visit: • The following Child Care Rules were reviewed with Mr. Davis during the visit: 10A NCAC 09 .1706 NUTRITION STANDARDS ‘ (g) The operator, additional caregivers, and substitute providers shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. • Please review all posted Staff: Child Ratio Worksheets to ensure “Voluntary Enhanced Requirements” are checked. • Please monitor bolts on outdoor equipment and S-hooks on the swing set for developing areas of rust. • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. • Please be reminded that all checklists for Program, Children, Staff, Substitutes, and Volunteers can be found on the Division’s website at the following link: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms . • When screen time is offered, please record on your log the developmental domain(s) in accordance with the North Carolina Foundations for Early Learning and Development addressed during this time. • Please rake mulch into the fall zones surrounding the swing set to ensure mulch measures six inches in depth at all fall zones. • Please add doctor’s contact information to the Emergency Information form for your new employee. • Please use the updated Documentation of Staff Orientation for Child Care Centers for all new employees located on the Division website at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/O/Orientation_Documentation_Centers.pdf?ver=jUHkP8MRicb7YitgO6vMpw%3d%3d • Please ensure all operational and personnel policies are signed and dated for the date received and reviewed. • Please contact Smart Start of Forsyth County, Inc. for the date the training “Children with Special Health Care Needs” was completed, and record this date on the training certificates for Ms. Davis and your new employee. • Please add an on-going training log to your new employee’s file. • Please ensure a menu is posted in a place where parents may easily view it. • Please remove any completed Nutritional Opt-Out forms from children’s files who do not opt out of the regular menu. • Please consider removing, leveling, covering, or placing a caution barrier near/around the tree stump located near the boat sandbox on the playground so this does not present a tripping hazard. • Please keep foam activities inaccessible to children under three years of age, unless used for a teacher-directed activity under adult supervision. • Please consider adding additional opportunities to your Parent Handbook for parents and families to be involved with your program on an individual and/or group basis. 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 this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were emailed to you. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. 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