10A NCAC 09 .1719 · Violation

Name of Operation: T'S CREATION CHRISTIAN HOME CHILD PROVIDER Facility ID: 34000556 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 1/20/2026 Number Present: 3 Completed Date: 1/20/2026 Age: From 2 To 4 Total Minutes: 168 Time In: 09:47 AM Time Out: 12:35 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Tammy Melton, Operator, assisted me with the visit. Your program currently operates with a 5-Star license effective 6/20/2024. Restrictions include 1st, 2nd, and 3rd shift care, a maximum of five preschool children at any time, and serves no more than two children less than one year of age. The program’s compliance history was 96% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Ms. Melton stated she is the only person living in the home. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed the children in care playing with toys, engaging in conversations and general routines with Ms. Melton, and playing with toys during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, ITS-SIDS, and Criminal Background Checks. No medications were observed nor reported. Storage of hazardous items was monitored today. A playground inspection was recorded 11/16/2025. A fire drill was last observed recorded 10/15/2025. A lockdown and shelter in place drill for the facility were recorded on 9/17/2025. There are currently no pets in the home. Ms. Melton stated she is not providing transportation for any reason or participating in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 714 Monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division. The last playground inspection was recorded on 11/16/2025. 10A NCAC .1721(e)(5)(A-F) 904 Documentation of the operator’s emergency medical care plan to follow in the event of a child medical emergency, was not on file and available for review. The Emergency Medical Care Plan on file was not updated with current information. .1713 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. A record of attendance and arrival and departure information were not available for review. .1721(e)(6) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Greater than five small beads and one crafting glue pin sharp to the touch were observed to be accessible to children, one under three years of age. 10A NCAC 09 .1719 (a) 1831 A valid qualification letter was not on file and available for review at the facility. A Criminal Background Check qualification letter was not observed on file for the operator; however, a valid CBC qualification letter was observed in ABCMS for Ms. Melton which will not expire until 2/17/2027. G.S. 110-90.2 (b) & (d) & .2703(e) .1702(b)(1) 1853 The operator did not conduct a monthly fire drill. The last fire drill was recorded on 10/15/2025. .1719(a)(15) & .1721( e)(2) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. The last lockdown and shelter in place drills were recorded on 9/17/2025. .1719(a )(16) & .1721(e )(7) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The Ready to Go file was located in Ms. Melton’s office in another part of the home and unavailable for review. .1714(d)(10) 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The Emergency Preparedness and Response Plan for the facility was last updated on 6/10/2024. .1714(e ) 2048 Products that are labeled “keep out of reach of children” with an additional warning(s) on the label, were not kept in locked storage while children were in care. The door to the laundry room located in the child care space which contains laundry detergent and other items labeled Keep Out of Reach of Children with additional warnings was observed to be unlocked. 10A NCAC 09 .1719(a)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 10-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 2/03/2026. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 4948 Martin View Lane Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided during today’s visit: A Criminal Background Check qualification letter was not observed on file for the operator; however, a valid CBC qualification letter was observed in ABCMS for Ms. Melton which will not expire until 2/17/2027. The Emergency Preparedness and Response Plan for the facility was last updated on 6/10/2024. The Ready to Go file was located in Ms. Melton’s office in another part of the home and unavailable for review. The Emergency Medical Care Plan on file was not updated with current information. The last fire drill was recorded on 10/15/2025. The last lockdown and shelter in place drills were recorded on 9/17/2025. The last playground inspection was recorded on 11/16/2025. A record of attendance and arrival and departure information were not available for review. It is imperative that all required records are current and on file for review to ensure the health, safety, and quality of care for children enrolled. Ms. Melton stated she has been behind in updating her paperwork due to unexpected personal matters requiring her immediate attention. You may consider creating a routine, ongoing system for reviewing Operator, Program, and other files to ensure all required paperwork is on file and available for review. Consultation provided during today’s visit: The following Child Care Rule was reviewed with Ms. Melton during the visit: 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) (8) regarding washing children’s hands after having their noses wiped Remember to update the Child Care Consultant phone number in your Emergency Preparedness and Response Plan when you update it in the Risk Management Portal. Please monitor any playground equipment or furniture for developing rust and remove all items not intended for children's play near the front of the fencing prior to children using the playground. As the Hold Harmless period has ended, and preparations for the new QRIS Modernization process are underway, I have included the link below to DCDEE’s NC Child Care Commission’s QRIS Modernization Plan (QRIS Reform) website link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Consider participating in an outreach assessment: https://ncrlap.org/Resources/pages/outreachassessments/ • Visit the NCRLAP website: Get Ready for the 3s (ECERS-3, ITERS-3, FCCERS-3) https://ncrlap.org/Resources/pages/get-ready-for-3s/ Additionally, you may consider reaching out to local partners at Child Care Resource Center and/or Smart Start of Forsyth County. Their teams are working diligently to support programs with training and more detailed information on the ERS-3 at this time. Beginning in October, child care consultants began discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license. Ms. Melton is not due for her Rated License Assessment until 2027, but stated she is potentially interested in the Pathway for Classroom and Instructional Quality. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov At the completion of the visit, this visit summary was reviewed with you, and you were given the opportunity to ask questions. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1725 · Violation

Name of Operation: T'S CREATION CHRISTIAN HOME CHILD PROVIDER Facility ID: 34000556 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 1/20/2026 Number Present: 3 Completed Date: 1/20/2026 Age: From 2 To 4 Total Minutes: 168 Time In: 09:47 AM Time Out: 12:35 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Tammy Melton, Operator, assisted me with the visit. Your program currently operates with a 5-Star license effective 6/20/2024. Restrictions include 1st, 2nd, and 3rd shift care, a maximum of five preschool children at any time, and serves no more than two children less than one year of age. The program’s compliance history was 96% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Ms. Melton stated she is the only person living in the home. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed the children in care playing with toys, engaging in conversations and general routines with Ms. Melton, and playing with toys during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, ITS-SIDS, and Criminal Background Checks. No medications were observed nor reported. Storage of hazardous items was monitored today. A playground inspection was recorded 11/16/2025. A fire drill was last observed recorded 10/15/2025. A lockdown and shelter in place drill for the facility were recorded on 9/17/2025. There are currently no pets in the home. Ms. Melton stated she is not providing transportation for any reason or participating in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 714 Monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division. The last playground inspection was recorded on 11/16/2025. 10A NCAC .1721(e)(5)(A-F) 904 Documentation of the operator’s emergency medical care plan to follow in the event of a child medical emergency, was not on file and available for review. The Emergency Medical Care Plan on file was not updated with current information. .1713 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. A record of attendance and arrival and departure information were not available for review. .1721(e)(6) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Greater than five small beads and one crafting glue pin sharp to the touch were observed to be accessible to children, one under three years of age. 10A NCAC 09 .1719 (a) 1831 A valid qualification letter was not on file and available for review at the facility. A Criminal Background Check qualification letter was not observed on file for the operator; however, a valid CBC qualification letter was observed in ABCMS for Ms. Melton which will not expire until 2/17/2027. G.S. 110-90.2 (b) & (d) & .2703(e) .1702(b)(1) 1853 The operator did not conduct a monthly fire drill. The last fire drill was recorded on 10/15/2025. .1719(a)(15) & .1721( e)(2) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. The last lockdown and shelter in place drills were recorded on 9/17/2025. .1719(a )(16) & .1721(e )(7) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The Ready to Go file was located in Ms. Melton’s office in another part of the home and unavailable for review. .1714(d)(10) 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The Emergency Preparedness and Response Plan for the facility was last updated on 6/10/2024. .1714(e ) 2048 Products that are labeled “keep out of reach of children” with an additional warning(s) on the label, were not kept in locked storage while children were in care. The door to the laundry room located in the child care space which contains laundry detergent and other items labeled Keep Out of Reach of Children with additional warnings was observed to be unlocked. 10A NCAC 09 .1719(a)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 10-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 2/03/2026. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 4948 Martin View Lane Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided during today’s visit: A Criminal Background Check qualification letter was not observed on file for the operator; however, a valid CBC qualification letter was observed in ABCMS for Ms. Melton which will not expire until 2/17/2027. The Emergency Preparedness and Response Plan for the facility was last updated on 6/10/2024. The Ready to Go file was located in Ms. Melton’s office in another part of the home and unavailable for review. The Emergency Medical Care Plan on file was not updated with current information. The last fire drill was recorded on 10/15/2025. The last lockdown and shelter in place drills were recorded on 9/17/2025. The last playground inspection was recorded on 11/16/2025. A record of attendance and arrival and departure information were not available for review. It is imperative that all required records are current and on file for review to ensure the health, safety, and quality of care for children enrolled. Ms. Melton stated she has been behind in updating her paperwork due to unexpected personal matters requiring her immediate attention. You may consider creating a routine, ongoing system for reviewing Operator, Program, and other files to ensure all required paperwork is on file and available for review. Consultation provided during today’s visit: The following Child Care Rule was reviewed with Ms. Melton during the visit: 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) (8) regarding washing children’s hands after having their noses wiped Remember to update the Child Care Consultant phone number in your Emergency Preparedness and Response Plan when you update it in the Risk Management Portal. Please monitor any playground equipment or furniture for developing rust and remove all items not intended for children's play near the front of the fencing prior to children using the playground. As the Hold Harmless period has ended, and preparations for the new QRIS Modernization process are underway, I have included the link below to DCDEE’s NC Child Care Commission’s QRIS Modernization Plan (QRIS Reform) website link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Consider participating in an outreach assessment: https://ncrlap.org/Resources/pages/outreachassessments/ • Visit the NCRLAP website: Get Ready for the 3s (ECERS-3, ITERS-3, FCCERS-3) https://ncrlap.org/Resources/pages/get-ready-for-3s/ Additionally, you may consider reaching out to local partners at Child Care Resource Center and/or Smart Start of Forsyth County. Their teams are working diligently to support programs with training and more detailed information on the ERS-3 at this time. Beginning in October, child care consultants began discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license. Ms. Melton is not due for her Rated License Assessment until 2027, but stated she is potentially interested in the Pathway for Classroom and Instructional Quality. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov At the completion of the visit, this visit summary was reviewed with you, and you were given the opportunity to ask questions. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: T'S CREATION CHRISTIAN HOME CHILD PROVIDER Facility ID: 34000556 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 1/20/2026 Number Present: 3 Completed Date: 1/20/2026 Age: From 2 To 4 Total Minutes: 168 Time In: 09:47 AM Time Out: 12:35 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Tammy Melton, Operator, assisted me with the visit. Your program currently operates with a 5-Star license effective 6/20/2024. Restrictions include 1st, 2nd, and 3rd shift care, a maximum of five preschool children at any time, and serves no more than two children less than one year of age. The program’s compliance history was 96% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Ms. Melton stated she is the only person living in the home. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed the children in care playing with toys, engaging in conversations and general routines with Ms. Melton, and playing with toys during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, ITS-SIDS, and Criminal Background Checks. No medications were observed nor reported. Storage of hazardous items was monitored today. A playground inspection was recorded 11/16/2025. A fire drill was last observed recorded 10/15/2025. A lockdown and shelter in place drill for the facility were recorded on 9/17/2025. There are currently no pets in the home. Ms. Melton stated she is not providing transportation for any reason or participating in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 714 Monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division. The last playground inspection was recorded on 11/16/2025. 10A NCAC .1721(e)(5)(A-F) 904 Documentation of the operator’s emergency medical care plan to follow in the event of a child medical emergency, was not on file and available for review. The Emergency Medical Care Plan on file was not updated with current information. .1713 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. A record of attendance and arrival and departure information were not available for review. .1721(e)(6) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Greater than five small beads and one crafting glue pin sharp to the touch were observed to be accessible to children, one under three years of age. 10A NCAC 09 .1719 (a) 1831 A valid qualification letter was not on file and available for review at the facility. A Criminal Background Check qualification letter was not observed on file for the operator; however, a valid CBC qualification letter was observed in ABCMS for Ms. Melton which will not expire until 2/17/2027. G.S. 110-90.2 (b) & (d) & .2703(e) .1702(b)(1) 1853 The operator did not conduct a monthly fire drill. The last fire drill was recorded on 10/15/2025. .1719(a)(15) & .1721( e)(2) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. The last lockdown and shelter in place drills were recorded on 9/17/2025. .1719(a )(16) & .1721(e )(7) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The Ready to Go file was located in Ms. Melton’s office in another part of the home and unavailable for review. .1714(d)(10) 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The Emergency Preparedness and Response Plan for the facility was last updated on 6/10/2024. .1714(e ) 2048 Products that are labeled “keep out of reach of children” with an additional warning(s) on the label, were not kept in locked storage while children were in care. The door to the laundry room located in the child care space which contains laundry detergent and other items labeled Keep Out of Reach of Children with additional warnings was observed to be unlocked. 10A NCAC 09 .1719(a)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 10-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 2/03/2026. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 4948 Martin View Lane Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided during today’s visit: A Criminal Background Check qualification letter was not observed on file for the operator; however, a valid CBC qualification letter was observed in ABCMS for Ms. Melton which will not expire until 2/17/2027. The Emergency Preparedness and Response Plan for the facility was last updated on 6/10/2024. The Ready to Go file was located in Ms. Melton’s office in another part of the home and unavailable for review. The Emergency Medical Care Plan on file was not updated with current information. The last fire drill was recorded on 10/15/2025. The last lockdown and shelter in place drills were recorded on 9/17/2025. The last playground inspection was recorded on 11/16/2025. A record of attendance and arrival and departure information were not available for review. It is imperative that all required records are current and on file for review to ensure the health, safety, and quality of care for children enrolled. Ms. Melton stated she has been behind in updating her paperwork due to unexpected personal matters requiring her immediate attention. You may consider creating a routine, ongoing system for reviewing Operator, Program, and other files to ensure all required paperwork is on file and available for review. Consultation provided during today’s visit: The following Child Care Rule was reviewed with Ms. Melton during the visit: 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) (8) regarding washing children’s hands after having their noses wiped Remember to update the Child Care Consultant phone number in your Emergency Preparedness and Response Plan when you update it in the Risk Management Portal. Please monitor any playground equipment or furniture for developing rust and remove all items not intended for children's play near the front of the fencing prior to children using the playground. As the Hold Harmless period has ended, and preparations for the new QRIS Modernization process are underway, I have included the link below to DCDEE’s NC Child Care Commission’s QRIS Modernization Plan (QRIS Reform) website link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Consider participating in an outreach assessment: https://ncrlap.org/Resources/pages/outreachassessments/ • Visit the NCRLAP website: Get Ready for the 3s (ECERS-3, ITERS-3, FCCERS-3) https://ncrlap.org/Resources/pages/get-ready-for-3s/ Additionally, you may consider reaching out to local partners at Child Care Resource Center and/or Smart Start of Forsyth County. Their teams are working diligently to support programs with training and more detailed information on the ERS-3 at this time. Beginning in October, child care consultants began discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license. Ms. Melton is not due for her Rated License Assessment until 2027, but stated she is potentially interested in the Pathway for Classroom and Instructional Quality. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov At the completion of the visit, this visit summary was reviewed with you, and you were given the opportunity to ask questions. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1705 · Violation

Name of Operation: T'S CREATION CHRISTIAN HOME CHILD PROVIDER Facility ID: 34000556 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 6/16/2025 Number Present: 5 Completed Date: 6/16/2025 Age: From 1 To 5 Total Minutes: 205 Time In: 09:20 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted with Tammy Melton, Operator. Pamela Hauser, Licensing Supervisor, was also present during the visit. Your program currently operates with a 5-Star license. Restrictions include 1st, 2nd, and 3rd shift care, a maximum of five preschoolers at any time, and serves no more than two children one year of age. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 96% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Ms. Melton is currently providing care for children in the living room of her home; this space was approved by the Division for temporary care while contracting work is being completed in the space designated for child care. Ms. Melton anticipates being able to return to giving care in the space designated for child care by the 7/1/25. Upon arrival, capacity was monitored as indicated on the attached worksheet. Five children were present during the visit; they were observed playing with toys, participating in general routines, engaging in conversations and activities with Ms. Melton, and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 6/20/2024. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator during the visit. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The most recent fire drill was documented on 5/14/2025. The most recent shelter in place and lockdown drills were both documented on 4/16/2025. The last outdoor inspection was documented on 5/21/2025. There are currently no pets at the facility. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and found to be in compliance. No medications were observed nor reported. Ms. Melton stated is not transporting children or participating in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 709 Equipment and toys were not in good repair and developmentally appropriate. A wooden rocking toy leaning against the fence inside the outdoor play area was observed to have wooden siding which was peeling, splintered, and sharp to the touch in areas. 10 A NCAC 09.1720(a)(7) 908 Health questionnaire was not completed annually. The most recent health questionnaire on file for the operator was completed on 5/08/2024. .1703(a)(1) 916 Operator did not maintain a record of on-going training in which he/she has participated. A written record of ongoing trainings was not observed to be on file for the operator. 10A NCAC 09 .1705(b)(4)(C) 920 Records were not made available for review. A child file was not available for review for the infant family member of the operator who was present during the visit. G.S. 110-91(9) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. The time of arrival for one child enrolled was not observed to be documented at the point of service. .1721(e)(6) 1720 Operator did not give written notice of the written plan of care amendment to parents of all children enrolled, at least 30 days before the change was implemented. Each parent did not sign a statement acknowledging the receipt and explanation of the amendment. The operator did not retain the acknowledgment in the child's record for as long as the child was enrolled in the home and a copy was not maintained on file for review by Division representatives. The Written Plans of Care for three children enrolled were not observed to be current. .1712(f) 2025 Operator and/or staff members did not complete a professional development plan within one year of employment. The most recently completed professional development plan on file for the operator was dated 1/04/2024. .1703(i) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 6/30/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided following today’s visit: • A child file was not available for review for the infant family member of the operator who was present during the visit. Ms. Melton stated the child normally only visits her home on weekends and when her parents are present, but is in care today due to a family emergency. It is important for all required records to be current and on file for review at all times to ensure the health, safety, and quality of care for children enrolled. You may consider creating file for this child in the event she needs care in the future. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Consultation provided following today’s visit: • Monitor playground equipment for rust and paint and plastic labeling beginning to peel. • Please consider trimming back any brush growing through the fencing. • 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, and you were provided the opportunity to ask questions during and at the conclusion of the visit. Thank you for your time and assistance with this visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-91 · Violation

Name of Operation: T'S CREATION CHRISTIAN HOME CHILD PROVIDER Facility ID: 34000556 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 6/16/2025 Number Present: 5 Completed Date: 6/16/2025 Age: From 1 To 5 Total Minutes: 205 Time In: 09:20 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted with Tammy Melton, Operator. Pamela Hauser, Licensing Supervisor, was also present during the visit. Your program currently operates with a 5-Star license. Restrictions include 1st, 2nd, and 3rd shift care, a maximum of five preschoolers at any time, and serves no more than two children one year of age. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 96% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Ms. Melton is currently providing care for children in the living room of her home; this space was approved by the Division for temporary care while contracting work is being completed in the space designated for child care. Ms. Melton anticipates being able to return to giving care in the space designated for child care by the 7/1/25. Upon arrival, capacity was monitored as indicated on the attached worksheet. Five children were present during the visit; they were observed playing with toys, participating in general routines, engaging in conversations and activities with Ms. Melton, and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 6/20/2024. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator during the visit. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The most recent fire drill was documented on 5/14/2025. The most recent shelter in place and lockdown drills were both documented on 4/16/2025. The last outdoor inspection was documented on 5/21/2025. There are currently no pets at the facility. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and found to be in compliance. No medications were observed nor reported. Ms. Melton stated is not transporting children or participating in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 709 Equipment and toys were not in good repair and developmentally appropriate. A wooden rocking toy leaning against the fence inside the outdoor play area was observed to have wooden siding which was peeling, splintered, and sharp to the touch in areas. 10 A NCAC 09.1720(a)(7) 908 Health questionnaire was not completed annually. The most recent health questionnaire on file for the operator was completed on 5/08/2024. .1703(a)(1) 916 Operator did not maintain a record of on-going training in which he/she has participated. A written record of ongoing trainings was not observed to be on file for the operator. 10A NCAC 09 .1705(b)(4)(C) 920 Records were not made available for review. A child file was not available for review for the infant family member of the operator who was present during the visit. G.S. 110-91(9) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. The time of arrival for one child enrolled was not observed to be documented at the point of service. .1721(e)(6) 1720 Operator did not give written notice of the written plan of care amendment to parents of all children enrolled, at least 30 days before the change was implemented. Each parent did not sign a statement acknowledging the receipt and explanation of the amendment. The operator did not retain the acknowledgment in the child's record for as long as the child was enrolled in the home and a copy was not maintained on file for review by Division representatives. The Written Plans of Care for three children enrolled were not observed to be current. .1712(f) 2025 Operator and/or staff members did not complete a professional development plan within one year of employment. The most recently completed professional development plan on file for the operator was dated 1/04/2024. .1703(i) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 6/30/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided following today’s visit: • A child file was not available for review for the infant family member of the operator who was present during the visit. Ms. Melton stated the child normally only visits her home on weekends and when her parents are present, but is in care today due to a family emergency. It is important for all required records to be current and on file for review at all times to ensure the health, safety, and quality of care for children enrolled. You may consider creating file for this child in the event she needs care in the future. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Consultation provided following today’s visit: • Monitor playground equipment for rust and paint and plastic labeling beginning to peel. • Please consider trimming back any brush growing through the fencing. • 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, and you were provided the opportunity to ask questions during and at the conclusion of the visit. Thank you for your time and assistance with this visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: T'S CREATION CHRISTIAN HOME CHILD PROVIDER Facility ID: 34000556 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 6/16/2025 Number Present: 5 Completed Date: 6/16/2025 Age: From 1 To 5 Total Minutes: 205 Time In: 09:20 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted with Tammy Melton, Operator. Pamela Hauser, Licensing Supervisor, was also present during the visit. Your program currently operates with a 5-Star license. Restrictions include 1st, 2nd, and 3rd shift care, a maximum of five preschoolers at any time, and serves no more than two children one year of age. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 96% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Ms. Melton is currently providing care for children in the living room of her home; this space was approved by the Division for temporary care while contracting work is being completed in the space designated for child care. Ms. Melton anticipates being able to return to giving care in the space designated for child care by the 7/1/25. Upon arrival, capacity was monitored as indicated on the attached worksheet. Five children were present during the visit; they were observed playing with toys, participating in general routines, engaging in conversations and activities with Ms. Melton, and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 6/20/2024. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator during the visit. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The most recent fire drill was documented on 5/14/2025. The most recent shelter in place and lockdown drills were both documented on 4/16/2025. The last outdoor inspection was documented on 5/21/2025. There are currently no pets at the facility. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and found to be in compliance. No medications were observed nor reported. Ms. Melton stated is not transporting children or participating in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 709 Equipment and toys were not in good repair and developmentally appropriate. A wooden rocking toy leaning against the fence inside the outdoor play area was observed to have wooden siding which was peeling, splintered, and sharp to the touch in areas. 10 A NCAC 09.1720(a)(7) 908 Health questionnaire was not completed annually. The most recent health questionnaire on file for the operator was completed on 5/08/2024. .1703(a)(1) 916 Operator did not maintain a record of on-going training in which he/she has participated. A written record of ongoing trainings was not observed to be on file for the operator. 10A NCAC 09 .1705(b)(4)(C) 920 Records were not made available for review. A child file was not available for review for the infant family member of the operator who was present during the visit. G.S. 110-91(9) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. The time of arrival for one child enrolled was not observed to be documented at the point of service. .1721(e)(6) 1720 Operator did not give written notice of the written plan of care amendment to parents of all children enrolled, at least 30 days before the change was implemented. Each parent did not sign a statement acknowledging the receipt and explanation of the amendment. The operator did not retain the acknowledgment in the child's record for as long as the child was enrolled in the home and a copy was not maintained on file for review by Division representatives. The Written Plans of Care for three children enrolled were not observed to be current. .1712(f) 2025 Operator and/or staff members did not complete a professional development plan within one year of employment. The most recently completed professional development plan on file for the operator was dated 1/04/2024. .1703(i) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 6/30/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided following today’s visit: • A child file was not available for review for the infant family member of the operator who was present during the visit. Ms. Melton stated the child normally only visits her home on weekends and when her parents are present, but is in care today due to a family emergency. It is important for all required records to be current and on file for review at all times to ensure the health, safety, and quality of care for children enrolled. You may consider creating file for this child in the event she needs care in the future. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Consultation provided following today’s visit: • Monitor playground equipment for rust and paint and plastic labeling beginning to peel. • Please consider trimming back any brush growing through the fencing. • 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, and you were provided the opportunity to ask questions during and at the conclusion of the visit. Thank you for your time and assistance with this visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: T'S CREATION CHRISTIAN HOME CHILD PROVIDER Facility ID: 34000556 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 6/20/2024 Number Present: 4 Completed Date: 6/20/2024 Age: From 2 To 4 Total Minutes: 332 Time In: 08:58 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements and to finalize the rated license assessment. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Tammy Melton, Operator. Your program currently operates with a 5-Star license, issued 12/19/2018, earning 7 points in the Education component, 7 points in the Program component, and 1 Quality Point for serving no more than two infants under one year of age. Restrictions include 1st, 2nd, and 3rd shift care and a maximum of five preschool children at any time. The license was observed, and the restrictions were found in compliance. Ms. Melton stated she is only operating first shift care at this time. The program’s compliance history was 96 % prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. The smoke detector was tested during today’s visit, and it was observed to be working appropriately. Capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children playing with toys, engaging in conversations with Ms. Melton and with each other, participating in small group activities, eating lunch, napping, and participating in general routines. I observed developmentally appropriate materials and activities that were available to the children in the spaces designated for child care. The last annual compliance visit was conducted on 10/17/2023. A Verification of Required Information for Operator and Additional Caregivers form was completed during the visit for the operator. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed ownership status of this facility. Ms. Melton stated she is the only person living in the home. Be reminded that you must have criminal record checks conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. Program records and required postings were monitored. A fire drill was conducted on 5/08/2024. A shelter in place and lockdown drill was documented on 5/09/2024. An outdoor inspection was documented on 5/09/2024. There are no pets reported in the home. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. The program does provide transportation. You stated that you do provide transportation during the summer for occasional field trips for six (6) children. In addition to written permission to transport observed on file, you also stated you notify parents via group text prior to transporting them for any routine activities or field trips. During today’s visit, I monitored emergency information and permission to transport forms for all children being transported. I observed first aid kits and fire extinguishers on the vehicle. I monitored one vehicle today. I observed a 2021 Honda Pilot, vehicle tag FAP 8540. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on this vehicle is due 3/31/2025, and the insurance is valid through 11/11/2024. The following violations were cited during today’s visit: Violation Number Comment Rule 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. The cover of a toy plastic grill located on the playground was observed to be detached from the grill; this cover was sharp to the touch on the right side. Two areas of the shed located in the outdoor learning environment were observed to be cracked and sharp to the touch (at the base of the front of the shed and at the base of the left side of the shed, facing the structure). 10A NCAC 09 .1719 (a) 1720 Operator did not give written notice of the written plan of care amendment to parents of all children enrolled, at least 30 days before the change was implemented. Each parent did not sign a statement acknowledging the receipt and explanation of the amendment. The operator did not retain the acknowledgment in the child's record for as long as the child was enrolled in the home and a copy was not maintained on file for review by Division representatives. The Written Plan of Care observed on file during today’s visit for one child enrolled had not been updated since Ms. Melton began operating without an additional caregiver. .1712(f) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. The door children use to access the playground was observed to have foam weather sealant peeling off along the doorway, accessible to children under three years of age. .1719(a)(18) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 7/03/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown-Stewart 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • The Written Plan of Care observed on file during today’s visit for one child enrolled had not been updated since Ms. Melton began operating without an additional caregiver. Ms. Melton stated she was unaware the updated Written Plan of Care for this child was not on file. You may consider requesting all parents to update the Written Plan of Care at the same time, as needed. • The cover of a toy plastic grill located on the playground was observed to be detached from the grill; this cover was sharp to the touch on the right side. Ms. Melton made this cover inaccessible to children during the visit and stated she is going to reattach the cover. Two areas of the shed located in the outdoor learning environment were observed to be cracked and sharp to the touch (at the base of the front of the shed and at the base of the left side of the shed, facing the structure). Ms. Melton stated the cracked areas on the shed may have been caused with a weed eater during recent lawn maintenance, and that she covered each of these areas during the visit. The door children use to access the playground was observed to have foam weather sealant peeling off along the doorway, accessible to children under three years of age; Ms. Melton removed this peeling sealant during the visit. It is important for the outdoor learning environment to be safe for children’s play and exploration. You may also consider monitoring the outdoor learning environment daily, prior to children’s use. Rated License Information: You submitted your application for re-assessment on 4/25/2024. You are eligible for a new 5- Star License based on the following: • Education: The operator has a two-year Degree in Early Childhood Education and has 38 years’ experience in licensed childcare. Based on the information noted above, your program earned 7 points in the Education component. • Program Standards: The facility completed the request for the Environment Rating Scales and submitted it with the reassessment packet on 4/25/2024. The ERS was requested on 4/26/2024. The FCCERS-R was administered on 6/04/2024. The assessment report was reviewed during a rated license visit on 6/20/2024. The score was 5.53 earning this facility 7 points in this component. - Quality Point: You have chosen to meet the Quality Point for serving no more than two infants under one year of age. I verified via enrollment this is being implemented, therefore your program earned 1 Quality Point. • Total: 7 + 7 + 1 = 15 = 5 Star License. A new license will be mailed directly to you and must be posted upon receipt. At that time, return the old license to me as it remains the property of the State of North Carolina. • I also reviewed Ms. Melton’s completed 3-month FCCH Self Study during the visit. Additional Information/Consultation: Item 10, Indicator 3.1: The children and the provider used the sink in the bathroom to wash their hands upon arrival, after wiping a child's nose, when returning from the playground, before and after meals, and after children toileted. Although the provider sprayed the sink with a disinfectant before lunch, the disinfectant was wiped away immediately, rather than being allowed to air dry on the surface for at least 2 minutes. In addition, at other times, the sink was not disinfected following toileting routines before it was used for another purpose. Ms. Melton and I discussed disinfecting the handwashing sink in between uses and using a timer, if beneficial, to ensure the sink is allowed to air dry for at least two minutes, prior to wiping it down and switching its use. Item 17, Indicator 3.2: As mentioned in item 12, there were googly eyes and small beads in the art area, which are a choking hazard for children under 3 years of age. Ms. Melton and I discussed Child Care Rule 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q), regarding items which can be considered choking hazards for children under the age of three. You may consider purchasing a choking tube to gauge the safety of small toys or art materials. We also discussed keeping these items inaccessible to children and bringing them down for supervised use with children three years of age and older, when appropriate. • 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@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 .1719 · Violation

Name of Operation: T'S CREATION CHRISTIAN HOME CHILD PROVIDER Facility ID: 34000556 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 6/20/2024 Number Present: 4 Completed Date: 6/20/2024 Age: From 2 To 4 Total Minutes: 332 Time In: 08:58 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements and to finalize the rated license assessment. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Tammy Melton, Operator. Your program currently operates with a 5-Star license, issued 12/19/2018, earning 7 points in the Education component, 7 points in the Program component, and 1 Quality Point for serving no more than two infants under one year of age. Restrictions include 1st, 2nd, and 3rd shift care and a maximum of five preschool children at any time. The license was observed, and the restrictions were found in compliance. Ms. Melton stated she is only operating first shift care at this time. The program’s compliance history was 96 % prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. The smoke detector was tested during today’s visit, and it was observed to be working appropriately. Capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children playing with toys, engaging in conversations with Ms. Melton and with each other, participating in small group activities, eating lunch, napping, and participating in general routines. I observed developmentally appropriate materials and activities that were available to the children in the spaces designated for child care. The last annual compliance visit was conducted on 10/17/2023. A Verification of Required Information for Operator and Additional Caregivers form was completed during the visit for the operator. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed ownership status of this facility. Ms. Melton stated she is the only person living in the home. Be reminded that you must have criminal record checks conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. Program records and required postings were monitored. A fire drill was conducted on 5/08/2024. A shelter in place and lockdown drill was documented on 5/09/2024. An outdoor inspection was documented on 5/09/2024. There are no pets reported in the home. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. The program does provide transportation. You stated that you do provide transportation during the summer for occasional field trips for six (6) children. In addition to written permission to transport observed on file, you also stated you notify parents via group text prior to transporting them for any routine activities or field trips. During today’s visit, I monitored emergency information and permission to transport forms for all children being transported. I observed first aid kits and fire extinguishers on the vehicle. I monitored one vehicle today. I observed a 2021 Honda Pilot, vehicle tag FAP 8540. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on this vehicle is due 3/31/2025, and the insurance is valid through 11/11/2024. The following violations were cited during today’s visit: Violation Number Comment Rule 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. The cover of a toy plastic grill located on the playground was observed to be detached from the grill; this cover was sharp to the touch on the right side. Two areas of the shed located in the outdoor learning environment were observed to be cracked and sharp to the touch (at the base of the front of the shed and at the base of the left side of the shed, facing the structure). 10A NCAC 09 .1719 (a) 1720 Operator did not give written notice of the written plan of care amendment to parents of all children enrolled, at least 30 days before the change was implemented. Each parent did not sign a statement acknowledging the receipt and explanation of the amendment. The operator did not retain the acknowledgment in the child's record for as long as the child was enrolled in the home and a copy was not maintained on file for review by Division representatives. The Written Plan of Care observed on file during today’s visit for one child enrolled had not been updated since Ms. Melton began operating without an additional caregiver. .1712(f) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. The door children use to access the playground was observed to have foam weather sealant peeling off along the doorway, accessible to children under three years of age. .1719(a)(18) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 7/03/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown-Stewart 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • The Written Plan of Care observed on file during today’s visit for one child enrolled had not been updated since Ms. Melton began operating without an additional caregiver. Ms. Melton stated she was unaware the updated Written Plan of Care for this child was not on file. You may consider requesting all parents to update the Written Plan of Care at the same time, as needed. • The cover of a toy plastic grill located on the playground was observed to be detached from the grill; this cover was sharp to the touch on the right side. Ms. Melton made this cover inaccessible to children during the visit and stated she is going to reattach the cover. Two areas of the shed located in the outdoor learning environment were observed to be cracked and sharp to the touch (at the base of the front of the shed and at the base of the left side of the shed, facing the structure). Ms. Melton stated the cracked areas on the shed may have been caused with a weed eater during recent lawn maintenance, and that she covered each of these areas during the visit. The door children use to access the playground was observed to have foam weather sealant peeling off along the doorway, accessible to children under three years of age; Ms. Melton removed this peeling sealant during the visit. It is important for the outdoor learning environment to be safe for children’s play and exploration. You may also consider monitoring the outdoor learning environment daily, prior to children’s use. Rated License Information: You submitted your application for re-assessment on 4/25/2024. You are eligible for a new 5- Star License based on the following: • Education: The operator has a two-year Degree in Early Childhood Education and has 38 years’ experience in licensed childcare. Based on the information noted above, your program earned 7 points in the Education component. • Program Standards: The facility completed the request for the Environment Rating Scales and submitted it with the reassessment packet on 4/25/2024. The ERS was requested on 4/26/2024. The FCCERS-R was administered on 6/04/2024. The assessment report was reviewed during a rated license visit on 6/20/2024. The score was 5.53 earning this facility 7 points in this component. - Quality Point: You have chosen to meet the Quality Point for serving no more than two infants under one year of age. I verified via enrollment this is being implemented, therefore your program earned 1 Quality Point. • Total: 7 + 7 + 1 = 15 = 5 Star License. A new license will be mailed directly to you and must be posted upon receipt. At that time, return the old license to me as it remains the property of the State of North Carolina. • I also reviewed Ms. Melton’s completed 3-month FCCH Self Study during the visit. Additional Information/Consultation: Item 10, Indicator 3.1: The children and the provider used the sink in the bathroom to wash their hands upon arrival, after wiping a child's nose, when returning from the playground, before and after meals, and after children toileted. Although the provider sprayed the sink with a disinfectant before lunch, the disinfectant was wiped away immediately, rather than being allowed to air dry on the surface for at least 2 minutes. In addition, at other times, the sink was not disinfected following toileting routines before it was used for another purpose. Ms. Melton and I discussed disinfecting the handwashing sink in between uses and using a timer, if beneficial, to ensure the sink is allowed to air dry for at least two minutes, prior to wiping it down and switching its use. Item 17, Indicator 3.2: As mentioned in item 12, there were googly eyes and small beads in the art area, which are a choking hazard for children under 3 years of age. Ms. Melton and I discussed Child Care Rule 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q), regarding items which can be considered choking hazards for children under the age of three. You may consider purchasing a choking tube to gauge the safety of small toys or art materials. We also discussed keeping these items inaccessible to children and bringing them down for supervised use with children three years of age and older, when appropriate. • 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@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: T'S CREATION CHRISTIAN HOME CHILD PROVIDER Facility ID: 34000556 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 6/20/2024 Number Present: 4 Completed Date: 6/20/2024 Age: From 2 To 4 Total Minutes: 332 Time In: 08:58 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements and to finalize the rated license assessment. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Tammy Melton, Operator. Your program currently operates with a 5-Star license, issued 12/19/2018, earning 7 points in the Education component, 7 points in the Program component, and 1 Quality Point for serving no more than two infants under one year of age. Restrictions include 1st, 2nd, and 3rd shift care and a maximum of five preschool children at any time. The license was observed, and the restrictions were found in compliance. Ms. Melton stated she is only operating first shift care at this time. The program’s compliance history was 96 % prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. The smoke detector was tested during today’s visit, and it was observed to be working appropriately. Capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children playing with toys, engaging in conversations with Ms. Melton and with each other, participating in small group activities, eating lunch, napping, and participating in general routines. I observed developmentally appropriate materials and activities that were available to the children in the spaces designated for child care. The last annual compliance visit was conducted on 10/17/2023. A Verification of Required Information for Operator and Additional Caregivers form was completed during the visit for the operator. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed ownership status of this facility. Ms. Melton stated she is the only person living in the home. Be reminded that you must have criminal record checks conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. Program records and required postings were monitored. A fire drill was conducted on 5/08/2024. A shelter in place and lockdown drill was documented on 5/09/2024. An outdoor inspection was documented on 5/09/2024. There are no pets reported in the home. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. The program does provide transportation. You stated that you do provide transportation during the summer for occasional field trips for six (6) children. In addition to written permission to transport observed on file, you also stated you notify parents via group text prior to transporting them for any routine activities or field trips. During today’s visit, I monitored emergency information and permission to transport forms for all children being transported. I observed first aid kits and fire extinguishers on the vehicle. I monitored one vehicle today. I observed a 2021 Honda Pilot, vehicle tag FAP 8540. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on this vehicle is due 3/31/2025, and the insurance is valid through 11/11/2024. The following violations were cited during today’s visit: Violation Number Comment Rule 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. The cover of a toy plastic grill located on the playground was observed to be detached from the grill; this cover was sharp to the touch on the right side. Two areas of the shed located in the outdoor learning environment were observed to be cracked and sharp to the touch (at the base of the front of the shed and at the base of the left side of the shed, facing the structure). 10A NCAC 09 .1719 (a) 1720 Operator did not give written notice of the written plan of care amendment to parents of all children enrolled, at least 30 days before the change was implemented. Each parent did not sign a statement acknowledging the receipt and explanation of the amendment. The operator did not retain the acknowledgment in the child's record for as long as the child was enrolled in the home and a copy was not maintained on file for review by Division representatives. The Written Plan of Care observed on file during today’s visit for one child enrolled had not been updated since Ms. Melton began operating without an additional caregiver. .1712(f) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. The door children use to access the playground was observed to have foam weather sealant peeling off along the doorway, accessible to children under three years of age. .1719(a)(18) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 7/03/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown-Stewart 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • The Written Plan of Care observed on file during today’s visit for one child enrolled had not been updated since Ms. Melton began operating without an additional caregiver. Ms. Melton stated she was unaware the updated Written Plan of Care for this child was not on file. You may consider requesting all parents to update the Written Plan of Care at the same time, as needed. • The cover of a toy plastic grill located on the playground was observed to be detached from the grill; this cover was sharp to the touch on the right side. Ms. Melton made this cover inaccessible to children during the visit and stated she is going to reattach the cover. Two areas of the shed located in the outdoor learning environment were observed to be cracked and sharp to the touch (at the base of the front of the shed and at the base of the left side of the shed, facing the structure). Ms. Melton stated the cracked areas on the shed may have been caused with a weed eater during recent lawn maintenance, and that she covered each of these areas during the visit. The door children use to access the playground was observed to have foam weather sealant peeling off along the doorway, accessible to children under three years of age; Ms. Melton removed this peeling sealant during the visit. It is important for the outdoor learning environment to be safe for children’s play and exploration. You may also consider monitoring the outdoor learning environment daily, prior to children’s use. Rated License Information: You submitted your application for re-assessment on 4/25/2024. You are eligible for a new 5- Star License based on the following: • Education: The operator has a two-year Degree in Early Childhood Education and has 38 years’ experience in licensed childcare. Based on the information noted above, your program earned 7 points in the Education component. • Program Standards: The facility completed the request for the Environment Rating Scales and submitted it with the reassessment packet on 4/25/2024. The ERS was requested on 4/26/2024. The FCCERS-R was administered on 6/04/2024. The assessment report was reviewed during a rated license visit on 6/20/2024. The score was 5.53 earning this facility 7 points in this component. - Quality Point: You have chosen to meet the Quality Point for serving no more than two infants under one year of age. I verified via enrollment this is being implemented, therefore your program earned 1 Quality Point. • Total: 7 + 7 + 1 = 15 = 5 Star License. A new license will be mailed directly to you and must be posted upon receipt. At that time, return the old license to me as it remains the property of the State of North Carolina. • I also reviewed Ms. Melton’s completed 3-month FCCH Self Study during the visit. Additional Information/Consultation: Item 10, Indicator 3.1: The children and the provider used the sink in the bathroom to wash their hands upon arrival, after wiping a child's nose, when returning from the playground, before and after meals, and after children toileted. Although the provider sprayed the sink with a disinfectant before lunch, the disinfectant was wiped away immediately, rather than being allowed to air dry on the surface for at least 2 minutes. In addition, at other times, the sink was not disinfected following toileting routines before it was used for another purpose. Ms. Melton and I discussed disinfecting the handwashing sink in between uses and using a timer, if beneficial, to ensure the sink is allowed to air dry for at least two minutes, prior to wiping it down and switching its use. Item 17, Indicator 3.2: As mentioned in item 12, there were googly eyes and small beads in the art area, which are a choking hazard for children under 3 years of age. Ms. Melton and I discussed Child Care Rule 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q), regarding items which can be considered choking hazards for children under the age of three. You may consider purchasing a choking tube to gauge the safety of small toys or art materials. We also discussed keeping these items inaccessible to children and bringing them down for supervised use with children three years of age and older, when appropriate. • 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@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1714 · Violation

Name of Operation: T'S CREATION CHRISTIAN HOME CHILD PROVIDER Facility ID: 34000556 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 5/14/2024 Number Present: 2 Completed Date: 5/14/2024 Age: From 4 To 4 Total Minutes: 155 Time In: 08:40 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Tammy Melton, Operator, assisted me with the visit. Child Care Consultant, Emily Lamquaye, was also present during the visit. Your program currently operates with a 5-Star license effective 12/19/18. Restrictions include 1st, 2nd, and 3rd shift care, and a maximum of five preschool children at any time. The program’s compliance history was 97 % prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Ms. Melton stated she is the only person living in the home. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Ms. Melton provided me a copy of her floor plan during the visit. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing with toys, engaging in conversations, and participating in group and individual activities with Ms. Melton during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, ITS-SIDS, and Criminal Background Checks. No medications were observed nor reported. Storage of hazardous items was monitored today and observed to be in compliance. A playground inspection was recorded 4/18/2024. A fire drill was recorded 5/08/2024. The most recent shelter-in-place drill for the facility was recorded 2/20/2024. There are currently no pets at the facility. The following violations were cited during today’s visit: Violation Number Comment Rule 904 Documentation of the operator’s emergency medical care plan to follow in the event of a child medical emergency, was not on file and available for review. A completed Emergency Medical Care Plan was not observed on file for review. .1713 1857 The operator did not develop an Emergency Preparedness and Response Plan within four months of completing the Emergency Preparedness and Response in Child Care training and/or the Plan was not completed on the template provided by the Division. A physical copy of the current EPR plan was not observed on file. .1714(c) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 5/28/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided during today’s visit: • A physical copy of the current EPR plan was not observed on file. An Emergency Medical Care plan was not observed on file. The first page of the EPR plan (updated on 4/21/2024) was observed to be on file for review. Ms. Melton stated she was had printed out a full copy of this plan when she updated it; only she was not able to locate this during the visit. Ms. Melton did have a template of the Emergency Medical Care Plan; she completed this during the visit. Consultation provided during today’s visit: The following Child Care Rules were thoroughly reviewed with Ms. Melton during the visit: • 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (d) (10) • 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) (18) - 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a) (6) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Ms. Melton confirmed during today’s visit that the email was received and provided information that she had enrolled in testing in March of this year. 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) • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • 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. • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1718 · Violation

Name of Operation: T'S CREATION CHRISTIAN HOME CHILD PROVIDER Facility ID: 34000556 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 5/14/2024 Number Present: 2 Completed Date: 5/14/2024 Age: From 4 To 4 Total Minutes: 155 Time In: 08:40 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Tammy Melton, Operator, assisted me with the visit. Child Care Consultant, Emily Lamquaye, was also present during the visit. Your program currently operates with a 5-Star license effective 12/19/18. Restrictions include 1st, 2nd, and 3rd shift care, and a maximum of five preschool children at any time. The program’s compliance history was 97 % prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Ms. Melton stated she is the only person living in the home. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Ms. Melton provided me a copy of her floor plan during the visit. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing with toys, engaging in conversations, and participating in group and individual activities with Ms. Melton during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, ITS-SIDS, and Criminal Background Checks. No medications were observed nor reported. Storage of hazardous items was monitored today and observed to be in compliance. A playground inspection was recorded 4/18/2024. A fire drill was recorded 5/08/2024. The most recent shelter-in-place drill for the facility was recorded 2/20/2024. There are currently no pets at the facility. The following violations were cited during today’s visit: Violation Number Comment Rule 904 Documentation of the operator’s emergency medical care plan to follow in the event of a child medical emergency, was not on file and available for review. A completed Emergency Medical Care Plan was not observed on file for review. .1713 1857 The operator did not develop an Emergency Preparedness and Response Plan within four months of completing the Emergency Preparedness and Response in Child Care training and/or the Plan was not completed on the template provided by the Division. A physical copy of the current EPR plan was not observed on file. .1714(c) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 5/28/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided during today’s visit: • A physical copy of the current EPR plan was not observed on file. An Emergency Medical Care plan was not observed on file. The first page of the EPR plan (updated on 4/21/2024) was observed to be on file for review. Ms. Melton stated she was had printed out a full copy of this plan when she updated it; only she was not able to locate this during the visit. Ms. Melton did have a template of the Emergency Medical Care Plan; she completed this during the visit. Consultation provided during today’s visit: The following Child Care Rules were thoroughly reviewed with Ms. Melton during the visit: • 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (d) (10) • 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) (18) - 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a) (6) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Ms. Melton confirmed during today’s visit that the email was received and provided information that she had enrolled in testing in March of this year. 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) • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • 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. • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1719 · Violation

Name of Operation: T'S CREATION CHRISTIAN HOME CHILD PROVIDER Facility ID: 34000556 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 5/14/2024 Number Present: 2 Completed Date: 5/14/2024 Age: From 4 To 4 Total Minutes: 155 Time In: 08:40 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Tammy Melton, Operator, assisted me with the visit. Child Care Consultant, Emily Lamquaye, was also present during the visit. Your program currently operates with a 5-Star license effective 12/19/18. Restrictions include 1st, 2nd, and 3rd shift care, and a maximum of five preschool children at any time. The program’s compliance history was 97 % prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Ms. Melton stated she is the only person living in the home. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Ms. Melton provided me a copy of her floor plan during the visit. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing with toys, engaging in conversations, and participating in group and individual activities with Ms. Melton during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, ITS-SIDS, and Criminal Background Checks. No medications were observed nor reported. Storage of hazardous items was monitored today and observed to be in compliance. A playground inspection was recorded 4/18/2024. A fire drill was recorded 5/08/2024. The most recent shelter-in-place drill for the facility was recorded 2/20/2024. There are currently no pets at the facility. The following violations were cited during today’s visit: Violation Number Comment Rule 904 Documentation of the operator’s emergency medical care plan to follow in the event of a child medical emergency, was not on file and available for review. A completed Emergency Medical Care Plan was not observed on file for review. .1713 1857 The operator did not develop an Emergency Preparedness and Response Plan within four months of completing the Emergency Preparedness and Response in Child Care training and/or the Plan was not completed on the template provided by the Division. A physical copy of the current EPR plan was not observed on file. .1714(c) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 5/28/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided during today’s visit: • A physical copy of the current EPR plan was not observed on file. An Emergency Medical Care plan was not observed on file. The first page of the EPR plan (updated on 4/21/2024) was observed to be on file for review. Ms. Melton stated she was had printed out a full copy of this plan when she updated it; only she was not able to locate this during the visit. Ms. Melton did have a template of the Emergency Medical Care Plan; she completed this during the visit. Consultation provided during today’s visit: The following Child Care Rules were thoroughly reviewed with Ms. Melton during the visit: • 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (d) (10) • 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) (18) - 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a) (6) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Ms. Melton confirmed during today’s visit that the email was received and provided information that she had enrolled in testing in March of this year. 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) • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • 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. • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: T'S CREATION CHRISTIAN HOME CHILD PROVIDER Facility ID: 34000556 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 5/14/2024 Number Present: 2 Completed Date: 5/14/2024 Age: From 4 To 4 Total Minutes: 155 Time In: 08:40 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Tammy Melton, Operator, assisted me with the visit. Child Care Consultant, Emily Lamquaye, was also present during the visit. Your program currently operates with a 5-Star license effective 12/19/18. Restrictions include 1st, 2nd, and 3rd shift care, and a maximum of five preschool children at any time. The program’s compliance history was 97 % prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Ms. Melton stated she is the only person living in the home. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Ms. Melton provided me a copy of her floor plan during the visit. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing with toys, engaging in conversations, and participating in group and individual activities with Ms. Melton during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, ITS-SIDS, and Criminal Background Checks. No medications were observed nor reported. Storage of hazardous items was monitored today and observed to be in compliance. A playground inspection was recorded 4/18/2024. A fire drill was recorded 5/08/2024. The most recent shelter-in-place drill for the facility was recorded 2/20/2024. There are currently no pets at the facility. The following violations were cited during today’s visit: Violation Number Comment Rule 904 Documentation of the operator’s emergency medical care plan to follow in the event of a child medical emergency, was not on file and available for review. A completed Emergency Medical Care Plan was not observed on file for review. .1713 1857 The operator did not develop an Emergency Preparedness and Response Plan within four months of completing the Emergency Preparedness and Response in Child Care training and/or the Plan was not completed on the template provided by the Division. A physical copy of the current EPR plan was not observed on file. .1714(c) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 5/28/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided during today’s visit: • A physical copy of the current EPR plan was not observed on file. An Emergency Medical Care plan was not observed on file. The first page of the EPR plan (updated on 4/21/2024) was observed to be on file for review. Ms. Melton stated she was had printed out a full copy of this plan when she updated it; only she was not able to locate this during the visit. Ms. Melton did have a template of the Emergency Medical Care Plan; she completed this during the visit. Consultation provided during today’s visit: The following Child Care Rules were thoroughly reviewed with Ms. Melton during the visit: • 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (d) (10) • 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) (18) - 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a) (6) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Ms. Melton confirmed during today’s visit that the email was received and provided information that she had enrolled in testing in March of this year. 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) • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • 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. • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov 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 .1713 · Violation

Name of Operation: T'S CREATION CHRISTIAN HOME CHILD PROVIDER Facility ID: 34000556 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 10/17/2023 Number Present: 4 Completed Date: 10/17/2023 Age: From 3 To 3 Total Minutes: 345 Time In: 08:15 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant, with Tammy Melton, Operator. Your program currently operates with a 5-Star license. Restrictions include 1st, 2nd, and 3rd shift care and a maximum of five preschoolers at any time. Upon arrival to the facility, a visiting family member was observed to be smoking a cigarette outdoors on the front porch of the home. The license was observed, and the restrictions were found in compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. On the playground, one plastic vent guard at the base of the home was observed to be broken and sharp to the touch. In two places at the base of the shed located within the fenced-in area, the vinyl siding and corner were observed to be cracked and sharp to the touch. The upper space between the post of the fencing nearest the driveway and the fencing of the back deck measures between six and eight inches, creating a potential entrapment hazard. One ice pack, labeled Keep Out of Reach of Children with additional warnings, was observed in the First Aid kit on the vehicle. This item was disposed of by Ms. Melton during the visit. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed the children in care playing with toys, engaging in conversations and activities with Ms. Melton, participating in general routines, and eating lunch during the visit. Ms. Melton stated she uses Cape Fear food program. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 10/25/2022. A Verification of Required Information for Operator and Additional Caregivers form was completed during the visit for the operator. Ms. Melton does not currently use an additional caregiver, but is in process of collecting the required paperwork for Ms. Tonya Hart to serve as an additional caregiver. Ms. Hart was present during the visit today, completing required trainings online and preparing snacks and meals for the children. I observed Ms. Hart’s current Criminal Background Check Qualifying Letter to be on file. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. A fire drill was conducted during my visit. The most recent lockdown drill was documented on 9/19/2023. The last outdoor inspection was also documented on 9/19/2023. The electrically operated smoke detector (with battery back-up) was tested and observed to be functioning properly during the visit. There are currently no pet at this facility. Ms. Melton does not participate in aquatic or off-premise activities with children enrolled at this time. Ms. Melton does provide transportation for occasional field trips. Ms. Melton uses a 2021 Honda Pilot, vehicle tag FAP 8540 to transport children. The next inspection for this vehicle was observed to be due on 3/31/2024, and the insurance information on file was observed to be current through 5/11/2024. A valid NC Driver’s License was observed to be on file for Ms. Melton. All other transportation requirements were monitored and observed to be in compliance. Staff files and children’s records were monitored per DCDEE procedures. A Health and Safety training certificate for topic #2, Administration of medication, with standards for parental consent, was on file for the operator for review, but had not been completed through an approved training organization. Ms. Melton stated she will email me a copy of the facility’s Operational Policies following the visit. Ms. Melton stated no children enrolled take medication during operating hours. The following violations were cited during today’s visit: Violation Number Comment Rule 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. On the playground, one plastic vent guard at the base of the home was observed to be broken and sharp to the touch. In two places at the base of the shed located within the fenced-in area, the vinyl siding and corner were observed to be cracked and sharp to the touch. The upper space between the post of the fencing nearest the driveway and the fencing of the back deck measures between six and eight inches, creating a potential entrapment hazard. One ice pack, labeled Keep Out of Reach of Children with additional warnings, was observed in the First Aid kit on the vehicle. 10A NCAC 09 .1719 (a) 1942 Children were not cared for in a smoke free and tobacco free environment. Upon arrival to the facility, a visiting family member was observed to be smoking a cigarette outdoors on the front porch of the home. .1719(a)(10) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. A Health and Safety training certificate for topic #2, Administration of medication, with standards for parental consent was on file for the operator for review, but had not been completed through an approved training organization. .1703(d)(2) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 10/31/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were thoroughly discussed with Ms. Melton during the visit: 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (a) The family child care home operator shall maintain the following health records for each enrolled child, including his or her own child(ren) who are not school-age: (4) an incident log that is filled out any time an incident report is completed. This log shall be cumulative and maintained in a separate file and shall be available for review by the Division. This log shall be completed on a form supplied by the Division. A copy of the form can be found on the Division's website at https://ncchildcare.ncdhhs.gov/pdf_forms/incident_log_i.pdf; 10A NCAC 09 .1713 EMERGENCY MEDICAL CARE The family child care home operator (operator) shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care receives appropriate medical attention. The operator shall be responsible for: (1) ensuring appropriate medical care is given, and determining which of the following is needed: (a) First Aid for an injury or illness needing only minimal attention; or (b) calling 911 in accordance with CPR or First Aid training recommendations. (2) ensuring that the signed authorization described in 10A NCAC 09 .1721(a)(3) is taken with the ill or injured child to the medical facility; (3) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; and (4) obtaining substitute providers, if needed, to maintain adequate supervision of children who remain in care. This plan shall be reviewed with all additional caregivers and substitute providers prior to caring for children and whenever the plan is revised. The plan shall be available for review by the Division during the Family Child Care Home’s operating hours. 10A NCAC 09 .1715 OPERATIONAL POLICIES (b) Operational policies shall be discussed with parents on or before the child's first day of attendance in the home. A copy of the policies shall be given to the parents on or before the child's first day of attendance and the parents shall be notified in writing of any changes in policy. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please monitor playground equipment for developing rust, cobwebs on playground equipment, and/or mildew prior to the children playing outdoors. • You may access Health and Safety trainings through the following link on the Division website: https://www.dcdee.moodle.nc.gov/ Please choose the Services tab, DCDEE Moodle, Professional Development, Regulatory, and then the 2023 CCDF Health and Safety trainings. - Please ensure a copy of your most recent TB test/screening is on file for review. - Please place a copy of your education on file for review. - Please add a date of completion to your Professional Development Plan on file. - Please check the boxes on your posted Safe Sleep Policy which your facility follows; please also provide an updated copy of this policy to newly enrolling parents of infants. • Please use the most recently updated forms (inclusive of transportation authorization forms) from the Division website for children, staff, and program records; these can be accessed at the following website: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms#FCCH • Please review all Written Plans of Care to ensure only current additional caregivers are listed. - Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1714 · Violation

Name of Operation: T'S CREATION CHRISTIAN HOME CHILD PROVIDER Facility ID: 34000556 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 10/17/2023 Number Present: 4 Completed Date: 10/17/2023 Age: From 3 To 3 Total Minutes: 345 Time In: 08:15 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant, with Tammy Melton, Operator. Your program currently operates with a 5-Star license. Restrictions include 1st, 2nd, and 3rd shift care and a maximum of five preschoolers at any time. Upon arrival to the facility, a visiting family member was observed to be smoking a cigarette outdoors on the front porch of the home. The license was observed, and the restrictions were found in compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. On the playground, one plastic vent guard at the base of the home was observed to be broken and sharp to the touch. In two places at the base of the shed located within the fenced-in area, the vinyl siding and corner were observed to be cracked and sharp to the touch. The upper space between the post of the fencing nearest the driveway and the fencing of the back deck measures between six and eight inches, creating a potential entrapment hazard. One ice pack, labeled Keep Out of Reach of Children with additional warnings, was observed in the First Aid kit on the vehicle. This item was disposed of by Ms. Melton during the visit. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed the children in care playing with toys, engaging in conversations and activities with Ms. Melton, participating in general routines, and eating lunch during the visit. Ms. Melton stated she uses Cape Fear food program. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 10/25/2022. A Verification of Required Information for Operator and Additional Caregivers form was completed during the visit for the operator. Ms. Melton does not currently use an additional caregiver, but is in process of collecting the required paperwork for Ms. Tonya Hart to serve as an additional caregiver. Ms. Hart was present during the visit today, completing required trainings online and preparing snacks and meals for the children. I observed Ms. Hart’s current Criminal Background Check Qualifying Letter to be on file. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. A fire drill was conducted during my visit. The most recent lockdown drill was documented on 9/19/2023. The last outdoor inspection was also documented on 9/19/2023. The electrically operated smoke detector (with battery back-up) was tested and observed to be functioning properly during the visit. There are currently no pet at this facility. Ms. Melton does not participate in aquatic or off-premise activities with children enrolled at this time. Ms. Melton does provide transportation for occasional field trips. Ms. Melton uses a 2021 Honda Pilot, vehicle tag FAP 8540 to transport children. The next inspection for this vehicle was observed to be due on 3/31/2024, and the insurance information on file was observed to be current through 5/11/2024. A valid NC Driver’s License was observed to be on file for Ms. Melton. All other transportation requirements were monitored and observed to be in compliance. Staff files and children’s records were monitored per DCDEE procedures. A Health and Safety training certificate for topic #2, Administration of medication, with standards for parental consent, was on file for the operator for review, but had not been completed through an approved training organization. Ms. Melton stated she will email me a copy of the facility’s Operational Policies following the visit. Ms. Melton stated no children enrolled take medication during operating hours. The following violations were cited during today’s visit: Violation Number Comment Rule 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. On the playground, one plastic vent guard at the base of the home was observed to be broken and sharp to the touch. In two places at the base of the shed located within the fenced-in area, the vinyl siding and corner were observed to be cracked and sharp to the touch. The upper space between the post of the fencing nearest the driveway and the fencing of the back deck measures between six and eight inches, creating a potential entrapment hazard. One ice pack, labeled Keep Out of Reach of Children with additional warnings, was observed in the First Aid kit on the vehicle. 10A NCAC 09 .1719 (a) 1942 Children were not cared for in a smoke free and tobacco free environment. Upon arrival to the facility, a visiting family member was observed to be smoking a cigarette outdoors on the front porch of the home. .1719(a)(10) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. A Health and Safety training certificate for topic #2, Administration of medication, with standards for parental consent was on file for the operator for review, but had not been completed through an approved training organization. .1703(d)(2) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 10/31/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were thoroughly discussed with Ms. Melton during the visit: 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (a) The family child care home operator shall maintain the following health records for each enrolled child, including his or her own child(ren) who are not school-age: (4) an incident log that is filled out any time an incident report is completed. This log shall be cumulative and maintained in a separate file and shall be available for review by the Division. This log shall be completed on a form supplied by the Division. A copy of the form can be found on the Division's website at https://ncchildcare.ncdhhs.gov/pdf_forms/incident_log_i.pdf; 10A NCAC 09 .1713 EMERGENCY MEDICAL CARE The family child care home operator (operator) shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care receives appropriate medical attention. The operator shall be responsible for: (1) ensuring appropriate medical care is given, and determining which of the following is needed: (a) First Aid for an injury or illness needing only minimal attention; or (b) calling 911 in accordance with CPR or First Aid training recommendations. (2) ensuring that the signed authorization described in 10A NCAC 09 .1721(a)(3) is taken with the ill or injured child to the medical facility; (3) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; and (4) obtaining substitute providers, if needed, to maintain adequate supervision of children who remain in care. This plan shall be reviewed with all additional caregivers and substitute providers prior to caring for children and whenever the plan is revised. The plan shall be available for review by the Division during the Family Child Care Home’s operating hours. 10A NCAC 09 .1715 OPERATIONAL POLICIES (b) Operational policies shall be discussed with parents on or before the child's first day of attendance in the home. A copy of the policies shall be given to the parents on or before the child's first day of attendance and the parents shall be notified in writing of any changes in policy. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please monitor playground equipment for developing rust, cobwebs on playground equipment, and/or mildew prior to the children playing outdoors. • You may access Health and Safety trainings through the following link on the Division website: https://www.dcdee.moodle.nc.gov/ Please choose the Services tab, DCDEE Moodle, Professional Development, Regulatory, and then the 2023 CCDF Health and Safety trainings. - Please ensure a copy of your most recent TB test/screening is on file for review. - Please place a copy of your education on file for review. - Please add a date of completion to your Professional Development Plan on file. - Please check the boxes on your posted Safe Sleep Policy which your facility follows; please also provide an updated copy of this policy to newly enrolling parents of infants. • Please use the most recently updated forms (inclusive of transportation authorization forms) from the Division website for children, staff, and program records; these can be accessed at the following website: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms#FCCH • Please review all Written Plans of Care to ensure only current additional caregivers are listed. - Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1715 · Violation

Name of Operation: T'S CREATION CHRISTIAN HOME CHILD PROVIDER Facility ID: 34000556 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 10/17/2023 Number Present: 4 Completed Date: 10/17/2023 Age: From 3 To 3 Total Minutes: 345 Time In: 08:15 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant, with Tammy Melton, Operator. Your program currently operates with a 5-Star license. Restrictions include 1st, 2nd, and 3rd shift care and a maximum of five preschoolers at any time. Upon arrival to the facility, a visiting family member was observed to be smoking a cigarette outdoors on the front porch of the home. The license was observed, and the restrictions were found in compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. On the playground, one plastic vent guard at the base of the home was observed to be broken and sharp to the touch. In two places at the base of the shed located within the fenced-in area, the vinyl siding and corner were observed to be cracked and sharp to the touch. The upper space between the post of the fencing nearest the driveway and the fencing of the back deck measures between six and eight inches, creating a potential entrapment hazard. One ice pack, labeled Keep Out of Reach of Children with additional warnings, was observed in the First Aid kit on the vehicle. This item was disposed of by Ms. Melton during the visit. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed the children in care playing with toys, engaging in conversations and activities with Ms. Melton, participating in general routines, and eating lunch during the visit. Ms. Melton stated she uses Cape Fear food program. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 10/25/2022. A Verification of Required Information for Operator and Additional Caregivers form was completed during the visit for the operator. Ms. Melton does not currently use an additional caregiver, but is in process of collecting the required paperwork for Ms. Tonya Hart to serve as an additional caregiver. Ms. Hart was present during the visit today, completing required trainings online and preparing snacks and meals for the children. I observed Ms. Hart’s current Criminal Background Check Qualifying Letter to be on file. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. A fire drill was conducted during my visit. The most recent lockdown drill was documented on 9/19/2023. The last outdoor inspection was also documented on 9/19/2023. The electrically operated smoke detector (with battery back-up) was tested and observed to be functioning properly during the visit. There are currently no pet at this facility. Ms. Melton does not participate in aquatic or off-premise activities with children enrolled at this time. Ms. Melton does provide transportation for occasional field trips. Ms. Melton uses a 2021 Honda Pilot, vehicle tag FAP 8540 to transport children. The next inspection for this vehicle was observed to be due on 3/31/2024, and the insurance information on file was observed to be current through 5/11/2024. A valid NC Driver’s License was observed to be on file for Ms. Melton. All other transportation requirements were monitored and observed to be in compliance. Staff files and children’s records were monitored per DCDEE procedures. A Health and Safety training certificate for topic #2, Administration of medication, with standards for parental consent, was on file for the operator for review, but had not been completed through an approved training organization. Ms. Melton stated she will email me a copy of the facility’s Operational Policies following the visit. Ms. Melton stated no children enrolled take medication during operating hours. The following violations were cited during today’s visit: Violation Number Comment Rule 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. On the playground, one plastic vent guard at the base of the home was observed to be broken and sharp to the touch. In two places at the base of the shed located within the fenced-in area, the vinyl siding and corner were observed to be cracked and sharp to the touch. The upper space between the post of the fencing nearest the driveway and the fencing of the back deck measures between six and eight inches, creating a potential entrapment hazard. One ice pack, labeled Keep Out of Reach of Children with additional warnings, was observed in the First Aid kit on the vehicle. 10A NCAC 09 .1719 (a) 1942 Children were not cared for in a smoke free and tobacco free environment. Upon arrival to the facility, a visiting family member was observed to be smoking a cigarette outdoors on the front porch of the home. .1719(a)(10) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. A Health and Safety training certificate for topic #2, Administration of medication, with standards for parental consent was on file for the operator for review, but had not been completed through an approved training organization. .1703(d)(2) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 10/31/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were thoroughly discussed with Ms. Melton during the visit: 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (a) The family child care home operator shall maintain the following health records for each enrolled child, including his or her own child(ren) who are not school-age: (4) an incident log that is filled out any time an incident report is completed. This log shall be cumulative and maintained in a separate file and shall be available for review by the Division. This log shall be completed on a form supplied by the Division. A copy of the form can be found on the Division's website at https://ncchildcare.ncdhhs.gov/pdf_forms/incident_log_i.pdf; 10A NCAC 09 .1713 EMERGENCY MEDICAL CARE The family child care home operator (operator) shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care receives appropriate medical attention. The operator shall be responsible for: (1) ensuring appropriate medical care is given, and determining which of the following is needed: (a) First Aid for an injury or illness needing only minimal attention; or (b) calling 911 in accordance with CPR or First Aid training recommendations. (2) ensuring that the signed authorization described in 10A NCAC 09 .1721(a)(3) is taken with the ill or injured child to the medical facility; (3) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; and (4) obtaining substitute providers, if needed, to maintain adequate supervision of children who remain in care. This plan shall be reviewed with all additional caregivers and substitute providers prior to caring for children and whenever the plan is revised. The plan shall be available for review by the Division during the Family Child Care Home’s operating hours. 10A NCAC 09 .1715 OPERATIONAL POLICIES (b) Operational policies shall be discussed with parents on or before the child's first day of attendance in the home. A copy of the policies shall be given to the parents on or before the child's first day of attendance and the parents shall be notified in writing of any changes in policy. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please monitor playground equipment for developing rust, cobwebs on playground equipment, and/or mildew prior to the children playing outdoors. • You may access Health and Safety trainings through the following link on the Division website: https://www.dcdee.moodle.nc.gov/ Please choose the Services tab, DCDEE Moodle, Professional Development, Regulatory, and then the 2023 CCDF Health and Safety trainings. - Please ensure a copy of your most recent TB test/screening is on file for review. - Please place a copy of your education on file for review. - Please add a date of completion to your Professional Development Plan on file. - Please check the boxes on your posted Safe Sleep Policy which your facility follows; please also provide an updated copy of this policy to newly enrolling parents of infants. • Please use the most recently updated forms (inclusive of transportation authorization forms) from the Division website for children, staff, and program records; these can be accessed at the following website: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms#FCCH • Please review all Written Plans of Care to ensure only current additional caregivers are listed. - Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1719 · Violation

Name of Operation: T'S CREATION CHRISTIAN HOME CHILD PROVIDER Facility ID: 34000556 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 10/17/2023 Number Present: 4 Completed Date: 10/17/2023 Age: From 3 To 3 Total Minutes: 345 Time In: 08:15 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant, with Tammy Melton, Operator. Your program currently operates with a 5-Star license. Restrictions include 1st, 2nd, and 3rd shift care and a maximum of five preschoolers at any time. Upon arrival to the facility, a visiting family member was observed to be smoking a cigarette outdoors on the front porch of the home. The license was observed, and the restrictions were found in compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. On the playground, one plastic vent guard at the base of the home was observed to be broken and sharp to the touch. In two places at the base of the shed located within the fenced-in area, the vinyl siding and corner were observed to be cracked and sharp to the touch. The upper space between the post of the fencing nearest the driveway and the fencing of the back deck measures between six and eight inches, creating a potential entrapment hazard. One ice pack, labeled Keep Out of Reach of Children with additional warnings, was observed in the First Aid kit on the vehicle. This item was disposed of by Ms. Melton during the visit. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed the children in care playing with toys, engaging in conversations and activities with Ms. Melton, participating in general routines, and eating lunch during the visit. Ms. Melton stated she uses Cape Fear food program. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 10/25/2022. A Verification of Required Information for Operator and Additional Caregivers form was completed during the visit for the operator. Ms. Melton does not currently use an additional caregiver, but is in process of collecting the required paperwork for Ms. Tonya Hart to serve as an additional caregiver. Ms. Hart was present during the visit today, completing required trainings online and preparing snacks and meals for the children. I observed Ms. Hart’s current Criminal Background Check Qualifying Letter to be on file. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. A fire drill was conducted during my visit. The most recent lockdown drill was documented on 9/19/2023. The last outdoor inspection was also documented on 9/19/2023. The electrically operated smoke detector (with battery back-up) was tested and observed to be functioning properly during the visit. There are currently no pet at this facility. Ms. Melton does not participate in aquatic or off-premise activities with children enrolled at this time. Ms. Melton does provide transportation for occasional field trips. Ms. Melton uses a 2021 Honda Pilot, vehicle tag FAP 8540 to transport children. The next inspection for this vehicle was observed to be due on 3/31/2024, and the insurance information on file was observed to be current through 5/11/2024. A valid NC Driver’s License was observed to be on file for Ms. Melton. All other transportation requirements were monitored and observed to be in compliance. Staff files and children’s records were monitored per DCDEE procedures. A Health and Safety training certificate for topic #2, Administration of medication, with standards for parental consent, was on file for the operator for review, but had not been completed through an approved training organization. Ms. Melton stated she will email me a copy of the facility’s Operational Policies following the visit. Ms. Melton stated no children enrolled take medication during operating hours. The following violations were cited during today’s visit: Violation Number Comment Rule 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. On the playground, one plastic vent guard at the base of the home was observed to be broken and sharp to the touch. In two places at the base of the shed located within the fenced-in area, the vinyl siding and corner were observed to be cracked and sharp to the touch. The upper space between the post of the fencing nearest the driveway and the fencing of the back deck measures between six and eight inches, creating a potential entrapment hazard. One ice pack, labeled Keep Out of Reach of Children with additional warnings, was observed in the First Aid kit on the vehicle. 10A NCAC 09 .1719 (a) 1942 Children were not cared for in a smoke free and tobacco free environment. Upon arrival to the facility, a visiting family member was observed to be smoking a cigarette outdoors on the front porch of the home. .1719(a)(10) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. A Health and Safety training certificate for topic #2, Administration of medication, with standards for parental consent was on file for the operator for review, but had not been completed through an approved training organization. .1703(d)(2) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 10/31/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were thoroughly discussed with Ms. Melton during the visit: 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (a) The family child care home operator shall maintain the following health records for each enrolled child, including his or her own child(ren) who are not school-age: (4) an incident log that is filled out any time an incident report is completed. This log shall be cumulative and maintained in a separate file and shall be available for review by the Division. This log shall be completed on a form supplied by the Division. A copy of the form can be found on the Division's website at https://ncchildcare.ncdhhs.gov/pdf_forms/incident_log_i.pdf; 10A NCAC 09 .1713 EMERGENCY MEDICAL CARE The family child care home operator (operator) shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care receives appropriate medical attention. The operator shall be responsible for: (1) ensuring appropriate medical care is given, and determining which of the following is needed: (a) First Aid for an injury or illness needing only minimal attention; or (b) calling 911 in accordance with CPR or First Aid training recommendations. (2) ensuring that the signed authorization described in 10A NCAC 09 .1721(a)(3) is taken with the ill or injured child to the medical facility; (3) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; and (4) obtaining substitute providers, if needed, to maintain adequate supervision of children who remain in care. This plan shall be reviewed with all additional caregivers and substitute providers prior to caring for children and whenever the plan is revised. The plan shall be available for review by the Division during the Family Child Care Home’s operating hours. 10A NCAC 09 .1715 OPERATIONAL POLICIES (b) Operational policies shall be discussed with parents on or before the child's first day of attendance in the home. A copy of the policies shall be given to the parents on or before the child's first day of attendance and the parents shall be notified in writing of any changes in policy. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please monitor playground equipment for developing rust, cobwebs on playground equipment, and/or mildew prior to the children playing outdoors. • You may access Health and Safety trainings through the following link on the Division website: https://www.dcdee.moodle.nc.gov/ Please choose the Services tab, DCDEE Moodle, Professional Development, Regulatory, and then the 2023 CCDF Health and Safety trainings. - Please ensure a copy of your most recent TB test/screening is on file for review. - Please place a copy of your education on file for review. - Please add a date of completion to your Professional Development Plan on file. - Please check the boxes on your posted Safe Sleep Policy which your facility follows; please also provide an updated copy of this policy to newly enrolling parents of infants. • Please use the most recently updated forms (inclusive of transportation authorization forms) from the Division website for children, staff, and program records; these can be accessed at the following website: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms#FCCH • Please review all Written Plans of Care to ensure only current additional caregivers are listed. - Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1721 · Violation

Name of Operation: T'S CREATION CHRISTIAN HOME CHILD PROVIDER Facility ID: 34000556 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 10/17/2023 Number Present: 4 Completed Date: 10/17/2023 Age: From 3 To 3 Total Minutes: 345 Time In: 08:15 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant, with Tammy Melton, Operator. Your program currently operates with a 5-Star license. Restrictions include 1st, 2nd, and 3rd shift care and a maximum of five preschoolers at any time. Upon arrival to the facility, a visiting family member was observed to be smoking a cigarette outdoors on the front porch of the home. The license was observed, and the restrictions were found in compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. On the playground, one plastic vent guard at the base of the home was observed to be broken and sharp to the touch. In two places at the base of the shed located within the fenced-in area, the vinyl siding and corner were observed to be cracked and sharp to the touch. The upper space between the post of the fencing nearest the driveway and the fencing of the back deck measures between six and eight inches, creating a potential entrapment hazard. One ice pack, labeled Keep Out of Reach of Children with additional warnings, was observed in the First Aid kit on the vehicle. This item was disposed of by Ms. Melton during the visit. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed the children in care playing with toys, engaging in conversations and activities with Ms. Melton, participating in general routines, and eating lunch during the visit. Ms. Melton stated she uses Cape Fear food program. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 10/25/2022. A Verification of Required Information for Operator and Additional Caregivers form was completed during the visit for the operator. Ms. Melton does not currently use an additional caregiver, but is in process of collecting the required paperwork for Ms. Tonya Hart to serve as an additional caregiver. Ms. Hart was present during the visit today, completing required trainings online and preparing snacks and meals for the children. I observed Ms. Hart’s current Criminal Background Check Qualifying Letter to be on file. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. A fire drill was conducted during my visit. The most recent lockdown drill was documented on 9/19/2023. The last outdoor inspection was also documented on 9/19/2023. The electrically operated smoke detector (with battery back-up) was tested and observed to be functioning properly during the visit. There are currently no pet at this facility. Ms. Melton does not participate in aquatic or off-premise activities with children enrolled at this time. Ms. Melton does provide transportation for occasional field trips. Ms. Melton uses a 2021 Honda Pilot, vehicle tag FAP 8540 to transport children. The next inspection for this vehicle was observed to be due on 3/31/2024, and the insurance information on file was observed to be current through 5/11/2024. A valid NC Driver’s License was observed to be on file for Ms. Melton. All other transportation requirements were monitored and observed to be in compliance. Staff files and children’s records were monitored per DCDEE procedures. A Health and Safety training certificate for topic #2, Administration of medication, with standards for parental consent, was on file for the operator for review, but had not been completed through an approved training organization. Ms. Melton stated she will email me a copy of the facility’s Operational Policies following the visit. Ms. Melton stated no children enrolled take medication during operating hours. The following violations were cited during today’s visit: Violation Number Comment Rule 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. On the playground, one plastic vent guard at the base of the home was observed to be broken and sharp to the touch. In two places at the base of the shed located within the fenced-in area, the vinyl siding and corner were observed to be cracked and sharp to the touch. The upper space between the post of the fencing nearest the driveway and the fencing of the back deck measures between six and eight inches, creating a potential entrapment hazard. One ice pack, labeled Keep Out of Reach of Children with additional warnings, was observed in the First Aid kit on the vehicle. 10A NCAC 09 .1719 (a) 1942 Children were not cared for in a smoke free and tobacco free environment. Upon arrival to the facility, a visiting family member was observed to be smoking a cigarette outdoors on the front porch of the home. .1719(a)(10) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. A Health and Safety training certificate for topic #2, Administration of medication, with standards for parental consent was on file for the operator for review, but had not been completed through an approved training organization. .1703(d)(2) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 10/31/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were thoroughly discussed with Ms. Melton during the visit: 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (a) The family child care home operator shall maintain the following health records for each enrolled child, including his or her own child(ren) who are not school-age: (4) an incident log that is filled out any time an incident report is completed. This log shall be cumulative and maintained in a separate file and shall be available for review by the Division. This log shall be completed on a form supplied by the Division. A copy of the form can be found on the Division's website at https://ncchildcare.ncdhhs.gov/pdf_forms/incident_log_i.pdf; 10A NCAC 09 .1713 EMERGENCY MEDICAL CARE The family child care home operator (operator) shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care receives appropriate medical attention. The operator shall be responsible for: (1) ensuring appropriate medical care is given, and determining which of the following is needed: (a) First Aid for an injury or illness needing only minimal attention; or (b) calling 911 in accordance with CPR or First Aid training recommendations. (2) ensuring that the signed authorization described in 10A NCAC 09 .1721(a)(3) is taken with the ill or injured child to the medical facility; (3) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; and (4) obtaining substitute providers, if needed, to maintain adequate supervision of children who remain in care. This plan shall be reviewed with all additional caregivers and substitute providers prior to caring for children and whenever the plan is revised. The plan shall be available for review by the Division during the Family Child Care Home’s operating hours. 10A NCAC 09 .1715 OPERATIONAL POLICIES (b) Operational policies shall be discussed with parents on or before the child's first day of attendance in the home. A copy of the policies shall be given to the parents on or before the child's first day of attendance and the parents shall be notified in writing of any changes in policy. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please monitor playground equipment for developing rust, cobwebs on playground equipment, and/or mildew prior to the children playing outdoors. • You may access Health and Safety trainings through the following link on the Division website: https://www.dcdee.moodle.nc.gov/ Please choose the Services tab, DCDEE Moodle, Professional Development, Regulatory, and then the 2023 CCDF Health and Safety trainings. - Please ensure a copy of your most recent TB test/screening is on file for review. - Please place a copy of your education on file for review. - Please add a date of completion to your Professional Development Plan on file. - Please check the boxes on your posted Safe Sleep Policy which your facility follows; please also provide an updated copy of this policy to newly enrolling parents of infants. • Please use the most recently updated forms (inclusive of transportation authorization forms) from the Division website for children, staff, and program records; these can be accessed at the following website: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms#FCCH • Please review all Written Plans of Care to ensure only current additional caregivers are listed. - Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: T'S CREATION CHRISTIAN HOME CHILD PROVIDER Facility ID: 34000556 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 10/17/2023 Number Present: 4 Completed Date: 10/17/2023 Age: From 3 To 3 Total Minutes: 345 Time In: 08:15 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant, with Tammy Melton, Operator. Your program currently operates with a 5-Star license. Restrictions include 1st, 2nd, and 3rd shift care and a maximum of five preschoolers at any time. Upon arrival to the facility, a visiting family member was observed to be smoking a cigarette outdoors on the front porch of the home. The license was observed, and the restrictions were found in compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. On the playground, one plastic vent guard at the base of the home was observed to be broken and sharp to the touch. In two places at the base of the shed located within the fenced-in area, the vinyl siding and corner were observed to be cracked and sharp to the touch. The upper space between the post of the fencing nearest the driveway and the fencing of the back deck measures between six and eight inches, creating a potential entrapment hazard. One ice pack, labeled Keep Out of Reach of Children with additional warnings, was observed in the First Aid kit on the vehicle. This item was disposed of by Ms. Melton during the visit. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed the children in care playing with toys, engaging in conversations and activities with Ms. Melton, participating in general routines, and eating lunch during the visit. Ms. Melton stated she uses Cape Fear food program. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 10/25/2022. A Verification of Required Information for Operator and Additional Caregivers form was completed during the visit for the operator. Ms. Melton does not currently use an additional caregiver, but is in process of collecting the required paperwork for Ms. Tonya Hart to serve as an additional caregiver. Ms. Hart was present during the visit today, completing required trainings online and preparing snacks and meals for the children. I observed Ms. Hart’s current Criminal Background Check Qualifying Letter to be on file. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. A fire drill was conducted during my visit. The most recent lockdown drill was documented on 9/19/2023. The last outdoor inspection was also documented on 9/19/2023. The electrically operated smoke detector (with battery back-up) was tested and observed to be functioning properly during the visit. There are currently no pet at this facility. Ms. Melton does not participate in aquatic or off-premise activities with children enrolled at this time. Ms. Melton does provide transportation for occasional field trips. Ms. Melton uses a 2021 Honda Pilot, vehicle tag FAP 8540 to transport children. The next inspection for this vehicle was observed to be due on 3/31/2024, and the insurance information on file was observed to be current through 5/11/2024. A valid NC Driver’s License was observed to be on file for Ms. Melton. All other transportation requirements were monitored and observed to be in compliance. Staff files and children’s records were monitored per DCDEE procedures. A Health and Safety training certificate for topic #2, Administration of medication, with standards for parental consent, was on file for the operator for review, but had not been completed through an approved training organization. Ms. Melton stated she will email me a copy of the facility’s Operational Policies following the visit. Ms. Melton stated no children enrolled take medication during operating hours. The following violations were cited during today’s visit: Violation Number Comment Rule 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. On the playground, one plastic vent guard at the base of the home was observed to be broken and sharp to the touch. In two places at the base of the shed located within the fenced-in area, the vinyl siding and corner were observed to be cracked and sharp to the touch. The upper space between the post of the fencing nearest the driveway and the fencing of the back deck measures between six and eight inches, creating a potential entrapment hazard. One ice pack, labeled Keep Out of Reach of Children with additional warnings, was observed in the First Aid kit on the vehicle. 10A NCAC 09 .1719 (a) 1942 Children were not cared for in a smoke free and tobacco free environment. Upon arrival to the facility, a visiting family member was observed to be smoking a cigarette outdoors on the front porch of the home. .1719(a)(10) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. A Health and Safety training certificate for topic #2, Administration of medication, with standards for parental consent was on file for the operator for review, but had not been completed through an approved training organization. .1703(d)(2) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 10/31/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were thoroughly discussed with Ms. Melton during the visit: 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (a) The family child care home operator shall maintain the following health records for each enrolled child, including his or her own child(ren) who are not school-age: (4) an incident log that is filled out any time an incident report is completed. This log shall be cumulative and maintained in a separate file and shall be available for review by the Division. This log shall be completed on a form supplied by the Division. A copy of the form can be found on the Division's website at https://ncchildcare.ncdhhs.gov/pdf_forms/incident_log_i.pdf; 10A NCAC 09 .1713 EMERGENCY MEDICAL CARE The family child care home operator (operator) shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care receives appropriate medical attention. The operator shall be responsible for: (1) ensuring appropriate medical care is given, and determining which of the following is needed: (a) First Aid for an injury or illness needing only minimal attention; or (b) calling 911 in accordance with CPR or First Aid training recommendations. (2) ensuring that the signed authorization described in 10A NCAC 09 .1721(a)(3) is taken with the ill or injured child to the medical facility; (3) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; and (4) obtaining substitute providers, if needed, to maintain adequate supervision of children who remain in care. This plan shall be reviewed with all additional caregivers and substitute providers prior to caring for children and whenever the plan is revised. The plan shall be available for review by the Division during the Family Child Care Home’s operating hours. 10A NCAC 09 .1715 OPERATIONAL POLICIES (b) Operational policies shall be discussed with parents on or before the child's first day of attendance in the home. A copy of the policies shall be given to the parents on or before the child's first day of attendance and the parents shall be notified in writing of any changes in policy. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please monitor playground equipment for developing rust, cobwebs on playground equipment, and/or mildew prior to the children playing outdoors. • You may access Health and Safety trainings through the following link on the Division website: https://www.dcdee.moodle.nc.gov/ Please choose the Services tab, DCDEE Moodle, Professional Development, Regulatory, and then the 2023 CCDF Health and Safety trainings. - Please ensure a copy of your most recent TB test/screening is on file for review. - Please place a copy of your education on file for review. - Please add a date of completion to your Professional Development Plan on file. - Please check the boxes on your posted Safe Sleep Policy which your facility follows; please also provide an updated copy of this policy to newly enrolling parents of infants. • Please use the most recently updated forms (inclusive of transportation authorization forms) from the Division website for children, staff, and program records; these can be accessed at the following website: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms#FCCH • Please review all Written Plans of Care to ensure only current additional caregivers are listed. - Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times